ArticleTechniques in coloproctology2016
Laparoscopic ventral rectopexy in male patients with external rectal prolapse is associated with a high reoperation rate.
Article in Techniques in coloproctology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
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8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Systematic literature review and meta-analysis of surgical treatment of complete rectal prolapse in male patients.Techniques in coloproctology · 2024Pooled it
- Could robotic-assisted surgery reduce mesh-related complications after ventral mesh rectopexy? Experience of a tertiary centre and systematic review of the literature.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Pooled it
- Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse: a systematic review, meta-analysis, and meta-regression analysis of the predictors for recurrence.Surgical endoscopy · 2019Pooled it
- Functional and surgical outcomes of ventral mesh rectopexy in male patients with rectal prolapse: a nationwide multicenter retrospective cohort study by the Pelvic Floor Working Group of the Turkish Society of Colon and Rectal Surgery (TSCRS).Techniques in coloproctology · 2026Article
- Ventral Rectopexy: An International Expert Panel Consensus and Review of Contemporary Literature.Diseases of the colon and rectum · 2025Article
- Robot-assisted mesh rectosacropexy and sigmoid colon resection for obstructive defecation syndrome: a two-stage surgical approach.Journal of robotic surgery · 2025Article
- Predictive Factors for Recurrence of External Rectal Prolapse after Laparoscopic Ventral Rectopexy.Journal of the anus, rectum and colon · 2021Article
- Laparoscopic posterior rectopexy for complete rectal prolapse: Is it the ideal procedure for males?Journal of minimal access surgeryArticle
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9 authors at 5 institutions in 1 country.
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Abstract
backgroundLaparoscopic ventral rectopexy has been used to treat male patients with external rectal prolapse, but evidence to support this approach is scarce. The aim of this study was to evaluate the results of this new abdominal rectopexy surgical technique in men.
methodsThis was a retrospective multicenter study. Adult male patients who were operated on for external rectal prolapse using ventral rectopexy in five tertiary hospitals in Finland between 2006 and 2014 were included in the study. Patient demographics, detailed operative, postoperative and short-term follow-up data were collected from patient registers in participating hospitals. A questionnaire and informed consent form was sent to all patients. The questionnaire included scores for anal incontinence, obstructed defecation syndrome, urinary symptoms and sexual dysfunction. The main outcome measure was the incidence of recurrent rectal prolapse. Surgical morbidity, the need for surgical repair due to recurrent symptoms and functional outcomes were secondary outcome measures.
resultsA total of 52 adult male patients with symptoms caused by external rectal prolapse underwent ventral rectopexy. The questionnaire response rate was 64.4 %. Baseline clinical characteristics and perioperative results were similar in the responder and non-responder groups. A total of 9 (17.3 %) patients faced complications. There were two (3.8 %) serious surgical complications during the 30-day period after surgery that necessitated reoperation. None of the complications were mesh related. Recurrence of the prolapse was noticed in nine patients (17 %), and postoperative mucosal anal prolapse symptoms persisted in 11 patients (21 %). As a result, the reoperation rate was high. Altogether, 17 patients (33 %) underwent reoperation during the follow-up period due to postoperative complications or recurrent rectal or mucosal prolapse. According to the postoperative questionnaire data, patients under 40 had good functional results in terms of anal continence, defecation, urinary functions and sexual activity.
conclusionsLaparoscopic ventral rectopexy is a safe surgical procedure in male patients with external prolapse. However, a high overall reoperation rate was noticed due to recurrent rectal and residual mucosal prolapse. This suggests that the ventral rectopexy technique should be modified or combined with other abdominal or perineal methods when treating male rectal prolapse patients.
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