Perineal Rectal Prolapse Repair
6 results
1 - 6
Pelvic Floor- A 45-year-old patient, gravida 4, para 4, who has no comorbidities presents with full-thickness rectal prolapse. She has not undergone prior anorectal surgery and has had a normal colonoscopy. She reports regular bowel movements without straining and no history of chronic constipation. What is the best next approach in her management?
- An 89-year old with multiple comorbidities presents with recurrent rectal prolapse after prior sigmoid resection and rectopexy for rectal prolapse and chronic constipation. Which of the following carries the highest risk for bowel ischemia?
- A 67-year-old female patient presents with full-thickness rectal prolapse. Other than this condition, she is healthy. Dynamic pelvic magnetic resonance imaging (MRI) shows a 4-cm rectocele with incomplete evacuation of contrast and the known full-thickness rectal prolapse. What is the best surgical option for her?
- A 65-year-old woman presents with a 4-month history of progressively worsening fecal incontinence. The patient initially noted the intermittent uncontrolled passage of gas and liquid stools. However, she now reports daily uncontrolled passage of solid stools. She notes that this has been debilitating, preventing her from interacting with friends and family during her usual activities. The patient reports three vaginal births, with a grade 3 perineal tear occurring during her last delivery requiring repair. The best modality to evaluate her fecal incontinence is
- An 89-year-old woman with end-stage Parkinson’s disease is admitted to the hospital with fecal impaction. Computed tomography demonstrates a transition point at the anus. The patient’s caretaker reports she had an operation last month for rectal prolapse. Which of the following techniques is most likely to have contributed to her current presentation?
- A 54-year-old healthy woman, gravida 3, para 3, with morbid obesity is seen in the clinic for a recurrent rectal prolapse 1 year after posterior suture rectopexy. She reports a bulge in the vagina for many years that has not changed with the rectopexy. Colonoscopy shows a redundant sigmoid colon. Which of the following most likely contributed to the recurrence of rectal prolapse?