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Outcomes for men undergoing rectal prolapse surgery - a systematic review
Georgina Fagan1, Andrea Bathgate2, Alex Dalzell1
1Department of Surgery, Capital and Coast District Health Board, Wellington, New Zealand.
Summary
Outcomes of rectal prolapse surgery in men are not well-studied. Current evidence is insufficient to recommend a specific surgical approach for optimal recurrence rates and functional outcomes.
Area of Science:
- Colorectal surgery
- Gastroenterology
- Surgical outcomes
Background:
- Rectal prolapse is uncommon in men, but prevalence varies in specific populations.
- Optimal surgical management for rectal prolapse in men remains unclear regarding recurrence and functional outcomes.
Approach:
- A systematic review of MEDLINE, EMBASE, and Scopus databases was conducted.
- Studies published between 1951 and September 2022 focusing on surgical management of full-thickness rectal prolapse in men were included.
- Outcomes analyzed included recurrence rates, bowel, urinary, and sexual function, and complications.
Key Points:
- Twenty-eight studies involving 1751 men were analyzed.
- Recurrence rates varied significantly, from 0% to 34%.
- Sexual and urinary function data were limited, though dysfunction incidence appeared low.
Conclusions:
- Rectal prolapse surgery outcomes in men are under-researched, with small sample sizes and inconsistent results.
- Insufficient evidence exists to favor a particular surgical approach based on recurrence or functional outcomes.
- Further research is needed to determine the best surgical strategy for rectal prolapse in men.
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