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The best operation for rectal prolapse

L K Jacobs1, Y J Lin, B A Orkin

  • 1Department of Surgery, George Washington University, Washington, DC USA.

The Surgical Clinics of North America
|February 1, 1997
PubMed
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Rectal prolapse management is debated, but surgical repair is recommended for external prolapse. Isolated internal prolapse management remains unclear, with surgery rarely advised unless associated conditions are present.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Rectal prolapse etiology is poorly understood, and optimal management strategies are debated.
  • The natural history of rectal prolapse can lead to significant complications, including incontinence and constipation.
  • Current literature lacks clarity on the best management for internal rectal prolapse.

Purpose of the Study:

  • To review current understanding of rectal prolapse causes, symptoms, and presentation.
  • To discuss the management options for both internal and external rectal prolapse.
  • To highlight the need for ongoing evaluation of clinical outcomes in rectal prolapse management.

Main Methods:

  • Review of existing literature on rectal prolapse.

Related Experiment Videos

  • Analysis of clinical experience at George Washington University regarding rectal prolapse repair.
  • Discussion of surgical approaches for internal and external rectal prolapse, including associated conditions.

    • Main Results:

    • Surgical repair is generally recommended for all patients with external rectal prolapse.
    • Surgery for isolated internal rectal prolapse is rarely performed and generally not advised.
    • Patients with internal prolapse often have associated enterocele, rectocele, or cystocele, which may benefit from repair.

    Conclusions:

    • All patients with external rectal prolapse should be considered for surgical repair.
    • Management of isolated internal rectal prolapse requires further investigation due to unclear symptom contribution.
    • Continued clinical evaluation is crucial for improving the understanding and treatment of rectal prolapse.