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Updated: May 16, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Midterm results after perineal stapled prolapse resection for external rectal prolapse
Diana Sehmer1, Lukas Marti, Katja Wolff
1Clinic of Surgery, Cantonal Hospital, Schaffhausen, Switzerland.
Background:
Previous studies showed that perineal stapled prolapse resection for external rectal prolapse improves continence and has short operation times and low complication rates.
Objective:
The aim of this study was to assess the midterm recurrence rates, functional results, and patient satisfaction after perineal stapled prolapse resection.
Design:
This was a retrospective study.
Settings:
: The study was performed at a tertiary hospital in Switzerland.
Patients:
From November 2007 to October 2011, a total of 56 consecutive patients were included in the study.
Main Outcome Measures:
Recurrence rates, functional results according to the Wexner incontinence scale, and patient satisfaction using a visual analog scale were determined.
Results:
The median age was 78.5 years (range, 24-94 years), and 2 patients were men. Midterm results were available for 46 (82%) of 56 patients after a median follow-up of 25.5 months (range, 2-47 months). In 10 cases (18%) data collection was not possible. The recurrence rate at 3 years was 19.7% (95% CI 4.2%-32.7%). The Wexner incontinence score improved from a median of 14.5 presurgery to 4.0 points (p < 0.0001) after surgery. Twenty-five patients (54%) stated that their bowel movements were regular postoperatively. On a visual analog scale that measured satisfaction, the median patient score was 9 (range, 0-10), indicating high patient satisfaction.
Limitations:
Limitations included the retrospective study design and the lack of clinical examinations to determine recurrence rates.
Conclusions:
Perineal stapled prolapse resection is an alternative technique for treating rectal prolapse with a recurrence rate similar to the Altemeier-Mikulicz or Delorme procedures. This technique is a quick and reliable procedure for use in patients with advanced age.
