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[Occult rectal prolapse: functional results after rectopexy]

M Scaglia1, G G Delaini, F Ribero

  • 1Divisione di Chirurgia Generale, Ospedale Maria Vittoria, Torino.

Chirurgia Italiana
|February 1, 1993
PubMed
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Posterior abdominal rectopexy effectively treats occult rectal prolapse symptoms like pain and bleeding. However, this surgery does not significantly improve pre-existing defecation functional disorders, such as the sensation of obstruction.

Area of Science:

  • Gastroenterology and Surgical Procedures
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Occult rectal prolapse, also known as internal rectal procidentia, presents a distinct clinical syndrome.
  • Symptoms can significantly impact quality of life, including pain, fecal incontinence, and rectal bleeding.
  • Surgical intervention is often considered for anatomical correction.

Purpose of the Study:

  • To evaluate the efficacy of posterior abdominal rectopexy in managing symptoms of occult rectal prolapse.
  • To assess functional outcomes and symptom relief following the surgical procedure.
  • To determine the impact of rectopexy on pre-existing defecation disorders.

Main Methods:

  • Study included 19 patients diagnosed with occult rectal prolapse.

Related Experiment Videos

  • Patients underwent posterior abdominal rectopexy.
  • Symptoms and functional results were evaluated pre- and post-operatively.

    • Main Results:

    • Posterior abdominal rectopexy provided relief for symptoms such as pain upon defecation (14/19 patients) and rectal bleeding (8/19 patients).
    • Fecal incontinence was present in 5/19 patients (29%) and was addressed by the surgery.
    • Pre-existing functional disorders, specifically sensation of obstruction (11/19 pre-op vs. 9/19 post-op), remained largely unaffected by the rectopexy.

    Conclusions:

    • Posterior abdominal rectopexy is an effective treatment for the anatomical correction of rectal intussusception and associated symptoms like pain and bleeding in occult rectal prolapse.
    • The surgical procedure does not appear to resolve pre-existing functional defecation disorders, indicating a need for further investigation or alternative management strategies for these specific issues.