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Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
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A quantitative study to explore functional outcomes following laparoscopic ventral mesh rectopexy for rectal prolapse
O Olatunbode1, S Rangarajan1, V Russell2
1James Cook University Hospital, Middlesbrough, UK.
Annals of the Royal College of Surgeons of England
|December 23, 2021
Summary
Laparoscopic ventral mesh rectopexy (LVMR) improves overall bowel function but may worsen constipation. This surgery shows potential for enhancing sexual function while having minimal impact on bladder function.
Area of Science:
- Colorectal surgery
- Pelvic floor reconstructive surgery
Background:
- Rectal prolapse significantly impacts quality of life.
- Laparoscopic ventral mesh rectopexy (LVMR) is an increasingly common surgical treatment.
- Limited data exists on LVMR's effects on bladder and sexual function.
Purpose of the Study:
- To evaluate short-term functional outcomes after LVMR.
- To assess changes in bowel, bladder, and sexual function post-LVMR.
Main Methods:
- Retrospective, quantitative study with pretest-post-test design.
- 130 adult patients undergoing LVMR from 2010-2018.
- Statistical analysis using paired-samples t-test and Wilcoxon matched pairs test.
Main Results:
- Significant improvement in overall bowel symptoms (p=0.002), excluding constipation (p=0.295).
- Significant improvement in irritable bowel symptoms (p=0.001), vaginal prolapse (p<0.0005), dyspareunia (p=0.001), and sexual intercourse-related bowel issues (p=0.01).
- No statistically significant improvement in bladder function (p=0.670) or overall sexual function (p=0.081).
Conclusions:
- LVMR effectively improves general bowel function but carries a risk of worsening constipation.
- The procedure demonstrates potential for improving sexual function and related symptoms.
- LVMR has a negligible impact on bladder function.
