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Fecal incontinence and rectal prolapse.
1Central Middlesex Hospital, London.
The Surgical Clinics of North America
|December 1, 1988
Summary
Most patients with full-thickness prolapse achieve successful surgical correction. Persistent fecal incontinence may benefit from postanal repair, and lifestyle changes are crucial for preventing recurrence after rectopexy.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Pelvic Floor Disorders
Background:
- Full-thickness prolapse affects a significant patient population.
- Surgical correction is the primary treatment modality.
- A subset of patients experience persistent fecal incontinence post-surgery.
Purpose of the Study:
- To evaluate the efficacy and safety of surgical correction for full-thickness prolapse.
- To identify management strategies for patients with residual fecal incontinence.
- To understand the long-term implications of surgical repair, including constipation.
Main Methods:
- Review of surgical outcomes for full-thickness prolapse.
- Analysis of secondary procedures for refractory fecal incontinence.
- Assessment of lifestyle factors contributing to prolapse and incontinence.
Main Results:
- The majority of patients experience successful and safe treatment for full-thickness prolapse.
- Postanal repair offers a potential solution for fecal incontinence in a select group.
- Rectopexy is associated with a notable increase in constipation post-surgery.
Conclusions:
- Surgical correction is effective for most full-thickness prolapse cases.
- Postanal repair can address persistent fecal incontinence.
- Management of dietary and defecation habits is essential for long-term success and preventing recurrence.
- Constipation is a common sequela of rectopexy that requires attention.