J Korean Surg Soc.  1998 Dec;55(6):868-873.

Treatment of Rectal Prolapse by a Perineal Rectosigmoidectomy

• Rhyu PG
• Baek MJ
• Lee MS
• Kim CH
• Song OP
• Cho MS

Abstract

BACKGROUND: The optimum surgical treatment for rectal prolapse is controversial, and many different operations have been described. The aim of this study is to evaluate the results of a perineal procedure for the treatment of rectal prolapse.
METHODS
Between February 1990 and March 1997, 16 consecutive patients underwent perineal rectosigmoidectomy for a complete rectal prolapse. One patient was lost to follow up. The remaining 15 patients were followed up for an average of 58.4 (9~94) months, and clinical and functional outcomes were evaluated.
RESULTS
There were 8 males and 7 females, and ages ranged from 18 to 65 years. The mean prolapse duration was 10.7 (0.25~30) years. There were no postoperative deaths. Two patients developed postoperative complications (one wound infection and the other wound hematoma). Five patients had fecal incontinence prior to surgery. Three of the five patients had improved fecal incontinence after the procedure. There were three recurrences (recurrence rate of 20%): one of them underwent a Delorme operation at our institution and others had no treatment.
CONCLUSION
A perineal rectosigmoidectomy is a safe and effective operation for the primary treatment of rectal prolapse and has low mortality and morbidity.

Keyword

Rectal prolapse; Perineal rectosigmoidectomy

MeSH Terms

Fecal Incontinence
Female
Humans
Lost to Follow-Up
Male
Mortality
Postoperative Complications
Prolapse
Rectal Prolapse*
Recurrence
Wound Infection
Wounds and Injuries