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Updated: Mar 27, 2026
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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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Clinician and Patient Stakeholders Prioritize Rectal Prolapse Research Themes Through an International Delphi Process
Brooke H Gurland1, Sydni Au Hoy1, Liliana Bordeianou2
1Department of General Surgery, Stanford University School of Medicine, Stanford, California.
Diseases of the Colon and Rectum
|March 25, 2026
Summary
This study identified key research themes for rectal prolapse care through a consensus process involving clinicians and patients. Long-term functional outcomes were a top priority for future research.
Area of Science:
- Medical Research
- Surgical Outcomes
- Patient-Centered Care
Background:
- Limited understanding exists on prioritizing research for rectal prolapse care.
- Enhancing care requires focused research and resource allocation.
Purpose of the Study:
- To identify and prioritize clinical research themes for rectal prolapse (with and without pelvic organ prolapse).
- To incorporate perspectives from both clinician and patient stakeholders.
Main Methods:
- Utilized the Delphi method with iterative surveys and a consensus meeting.
- Surveys were distributed to clinicians via the Pelvic Floor Consortium; patient surveys adapted from consensus themes.
- Achieved >70% consensus for theme prioritization.
Main Results:
- 19 themes reached consensus among clinicians after three survey rounds.
- A final consensus of 22 themes was established, including 10 themes agreed upon by all stakeholders.
- Long-term functional outcomes emerged as a key area of agreement.
Conclusions:
- Identified a prioritized list of research themes for rectal prolapse.
- These themes can guide international collaboration on outcomes research for the next decade.
- Acknowledged limitations include potential clinician bias and initial lack of patient input.
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