Perineal Rectal Prolapse Repair
4 results
1 - 4
Pelvic Floor- A 59-year-old woman presents with full-thickness rectal prolapse 6 years after sigmoid resection and rectopexy. She complains of significant discomfort and fecal urgency. Dynamic magnetic resonance imaging defecography demonstrates full-thickness rectal prolapse without anterior or middle compartment involvement. Which of the following procedures is contraindicated in the management of this patient’s rectal prolapse?
- A 73-year-old woman presents with a history of constipation, fecal soiling, and a mass protruding from her rectum. Examination reveals a complete rectal prolapse, and the patient undergoes a transabdominal surgical repair. Six months later, she returns with severe constipation. Which surgical maneuver may have contributed to this patient’s recurrent constipation?
- An 80-year-old woman with multiple comorbidities presents with chronic, full-thickness rectal prolapse. The patient recognizes the need for surgery and inquires about the durability of surgical repair. Which repair option is associated with the highest rate of recurrent rectal prolapse?
- A 75-year-old woman with chronic rectal prolapse wishes to discuss surgical treatment planning. She has prolapsing tissue with defecation, which is lifestyle limiting due to bleeding, fecal smearing, and pain. On physical examination, she has a 1.5-cm segment of circumferential prolapsing rectal mucosa with a focal anterior ulcer, no rectocele, and moderate baseline tone. She is frail, with a medical history significant for coronary artery disease after stent placement, receives dual antiplatelet therapy, and has a caretaker to assist with daily activities. What is the best surgical approach for repair of this patient’s prolapse?