Rectal Prolapse
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Rectal Prolapse
Rectal Prolapse
Treatment of Rectal Prolapse (2017)- Author Information
- STATEMENT OF THE PROBLEM
- METHODOLOGY
- Evaluation of Rectal Prolapse
- Nonoperative Management
- Operations for Rectal Prolapse
- Abdominal Procedures for Rectal Prolapse
- Posterior Rectal Dissection Techniques to Repair Rectal Prolapse
- Posterior Suture Rectopexy With and Without Sigmoid Resection
- Posterior Mesh Rectopexy
- Anterior Rectal Dissection Techniques to Repair Rectal Prolapse
- Additional Abdominal Surgery Considerations
- Perineal Operations for Rectal Prolapse
- ACKNOWLEDGMENTS
- References
Perineal Rectal Prolapse Repair- Perineal Proctosigmoidectomy with Levatorplasty (Altemeier) Procedure for the Management of Rectal Prolapse
- Rectal Prolapse, Perineal Repair (Perineal Rectosigmoidectomy: Altemeier Procedure)
- Abdominal vs. perineal rectal prolapse repair (including mesh rectopexy)
- Core Descriptor Sets for Rectal Prolapse Outcomes Research Using a Modified Delphi Consensus
- Development of a Consensus-Derived Synoptic Operative Report for Rectal Prolapse: A Report From the Pelvic Floor Disorders Consortium
Pelvic Floor- 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 75-year-old female patient with advanced dementia has rectal prolapse requiring manual reduction for the past 3 years. She was brought to the emergency department from the nursing home because the rectal prolapse had become completely irreducible for the previous 2 days. Clinical examination shows a massive nonreducible rectal prolapse with evidence of mucosal necrosis. What is the best next step in management?
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 64-year-old woman presents to the clinic with a 5-month history of rectal prolapse and urinary leakage. On examination, you confirm a 5-cm full-thickness rectal prolapse. A colonoscopy 2 years ago revealed sigmoid diverticulosis. What is the best next step in management?