A comparative study on the surgical options for male rectal prolapse

Area of Science:

• Colorectal surgery
• Gastroenterology
• Surgical outcomes

Background:

• Rectal prolapse is significantly less common in males than females.
• Understanding male rectal prolapse epidemiology and surgical management is crucial.

Purpose of the Study:

• To determine the frequency of male rectal prolapse.
• To compare the perioperative parameters and outcomes of transanal versus laparoscopic surgical approaches for male rectal prolapse.

Main Methods:

• Retrospective analysis of male patients undergoing rectal prolapse surgery from March 2016 to February 2021.
• Comparison of transanal and laparoscopic abdominal approaches regarding operative time, bleeding, prolapse characteristics, and functional outcomes.
• Calculation of recurrence rates and assessment of postoperative complications.

Main Results:

• Males constituted 23.7% of all rectal prolapse patients.
• The transanal approach had shorter operative times and less bleeding compared to the laparoscopic approach.
• Despite differences in operative parameters and prolapse characteristics, both methods yielded similar postoperative complication and recurrence rates, with significant functional improvements.

Conclusions:

• Male rectal prolapse has a notable frequency of 23.7%.
• Perioperative factors vary between transanal and laparoscopic approaches for male rectal prolapse.
• Both surgical techniques offer comparable recurrence rates and functional improvements for male rectal prolapse.