Colonoscopy-assisted percutaneous sigmoidopexy for a complete rectal prolapse: A case report

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery

Background:

• Complete rectal prolapse presents significant challenges with existing treatments.
• Current modalities often involve high recurrence rates, invasiveness, and complications.
• There is a critical need for safer, less invasive alternatives.

Observation:

• A nonagenarian female presented with severe symptoms including fecal incontinence, dysuria, and pain.
• Diagnosis revealed a 15 cm complete rectal prolapse.
• The patient was otherwise healthy but experiencing significant quality of life impairment.

Findings:

• Colonoscopy-assisted percutaneous sigmoidopexy was successfully employed to treat the complete rectal prolapse.
• The procedure involved endoscopic traction and fixation of the sigmoid colon to the abdominal wall.
• The patient experienced no intraoperative or postoperative complications.

Implications:

• This case highlights colonoscopy-assisted percutaneous sigmoidopexy as a viable, minimally invasive option for complete rectal prolapse.
• The technique shows promise for reduced recurrence and fewer complications compared to traditional methods.
• Long-term follow-up confirmed no recurrence over a 5-year period, suggesting durable efficacy.