[Laparoscopic anterior and posterior rectopexy using two mesh implants for rectal prolapse in men]

To describe the immediate and long-term results of laparoscopic anterior and posterior rectopexy using two mesh implants in men with rectal prolapse.

The authors present surgical treatment of 5 male patients with rectal prolapse between 2017 and 2022. They underwent nerve-sparing laparoscopic anterior and posterior rectopexy using two macroporous partially absorbable monofilament mesh implants. Mean age of patients was 35.4±13.3 years, mean preoperative duration of disease - 3.5 years.

All surgeries were laparoscopic. Mean surgery time was 173±21.7 min. No intraoperative complications were noted. In postoperative period, 1 patient developed perforation of sigmoid colon diverticulum that required redo surgery. Mean postoperative hospital stay was 7±3.3 days, postoperative follow-up - 50.1 (32-94) months. There were no recurrences or complications associated with mesh implant or sutures throughout the follow-up period. Mean Wexner score before treatment was 11.8, after treatment - 2.6. Mean Ryzhikh score before treatment was 9.4, after treatment - 2.4, mean PFDI-20 score before treatment - 19.4, after treatment - 4.6.

Laparoscopic anteroposterior rectopexy with double mesh implant in men with rectal prolapse resulted in favorable functional outcomes and quality of life. No recurrence of disease or complications related to mesh implants were observed. Conclusions are limited by small sample size, and further studies are needed to standardize surgical treatment of rectal prolapse in men.