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[Internal rectal prolapse: therapy outcome and current status]
1Chirurgische Klinik, Spial Neumünster, Zollikerberg/Zürish.
Schweizerische Medizinische Wochenschrift
|August 17, 1996
Summary
Surgery for internal rectal prolapse (intussusception) effectively cures the condition in most patients. However, functional outcomes vary, with some patients experiencing poor results despite successful prolapse repair.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Context:
- Internal rectal prolapse (intussusception) presents significant therapeutic challenges.
- It can be a secondary functional disorder or cause outlet obstruction.
Purpose:
- To evaluate the surgical outcomes of patients with severe internal rectal prolapse resistant to conservative management.
Summary:
- 49 patients underwent surgery for internal rectal prolapse over 10 years.
- Common symptoms included obstructive constipation, tenesmus, pain, bleeding, and incontinence.
- The procedure involved rectal mobilization, elevation, rectopexy, and rectosigmoid resection in most cases.
- Intussusception was cured in 48 patients, but 21% had poor functional outcomes.
- Favorable results were associated with incontinence, incipient external prolapse, and solitary rectal ulcer syndrome.
Impact:
- Surgical intervention can successfully resolve internal rectal prolapse.
- Patient selection is crucial, as 35% with obstruction, pain, and normal continence did not benefit.
- Further research may refine surgical indications and improve functional outcomes.