4,730 results match your criteria Rectal Prolapse


Emergency surgical strategy for incarcerated rectal prolapse.

Cir Esp (Engl Ed) 2022 Jun 23. Epub 2022 Jun 23.

Colorectal Surgery Unit, Hospital Universitario Son Espases, Palma de Mallorca, Spain.

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Clinical Presentation and Intensity of Infection with Intestinal Helminths among School Children in Ile-Ife, Osun State, Nigeria.

West Afr J Med 2022 Jun;39(6):568-572

Department of Internal Medicine, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria.

Background: Intestinal helminthiases are public health problems of children in developing countries of the world and account for significant morbidity as it results in stunted growth, intestinal obstruction, anaemia, cognitive impairment, acute pancreatitis, acute cholecystitis and rectal prolapse. This study assessed intestinal helminths, infection intensity and symptoms in primary school children in Ile-Ife.

Methods: It was a cross sectional study. Read More

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MRI biomarker of muscle composition is associated with severity of pelvic organ prolapse.

Tech Coloproctol 2022 Jun 21. Epub 2022 Jun 21.

Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA.

Background: The pathophysiology of pelvic organ prolapse is largely unknown. We hypothesized that reduced muscle mass on magnetic resonance defecography (MRD) is associated with increased pelvic floor laxity. The aim of this study was to compare the psoas and puborectalis muscle mass composition and cross-sectional area among patients with or without pelvic laxity. Read More

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Mebendazole, an anti-helminth drug, suppresses inflammation, oxidative stress and injury in a mouse model of ulcerative colitis.

Sci Rep 2022 Jun 17;12(1):10249. Epub 2022 Jun 17.

Department of Clinical Biochemistry, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mebendazole (MBZ) is an efficacious anthelmintic with known anti-inflammatory and fibrinolytic properties. In this study, we aimed to explore the protective effects of this FDA-approved drug against DSS-induced colitis in a murine model either alone or in combination with Sulfasalazine (SSZ), a standard therapy for ulcerative colitis. We found that MBZ significantly improved colitis disease activity index as assessed by changes in body weight, degree of stool consistency, rectal bleeding, and prolapse. Read More

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A comparative study on the surgical options for male rectal prolapse.

J Minim Access Surg 2022 Jul-Sep;18(3):426-430

Department of Surgery, Chonnam National University Hospital, College of Medicine, Chonnam National University, Gwangju, South Korea.

Purpose: Rectal prolapse is known to be a rare condition in males compared to females. This study aimed to analyse the frequency of male rectal prolapse and compare the results of different surgical approaches performed at a single centre.

Patients And Methods: The authors included patients who underwent surgical treatment for rectal prolapse from March 2016 to February 2021. Read More

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Laparoscopic colopexy for recurrent rectal prolapse in a Maltese dog.

Can Vet J 2022 Jun;63(6):593-596

Ulsan S Animal Medical Center, Ulsan, Republic of Korea (Park); S Animal Cancer Center, Yangsan, Republic of Korea (Park); Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon 34134, Republic of Korea (Moon, Kim, Lee, Jeong).

A 2.5-kg castrated male Maltese dog, suspected to be older than 10 y, was presented with a prolapsed mass at the anus. This had occurred on 2 previous occasions within the last 4 mo and had been managed with manual reduction and purse-string sutures. Read More

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Postoperative complications and pelvic organ prolapse recurrence following combined pelvic organ prolapse and rectal prolapse surgery compared with pelvic organ prolapse only surgery.

Am J Obstet Gynecol 2022 May 30. Epub 2022 May 30.

Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA.

Background: There is a growing interest in combined pelvic organ prolapse and rectal prolapse surgery for concomitant pelvic floor prolapse despite a paucity of data regarding complications and clinical outcomes of combined repair.

Objective: The primary objective of this study was to compare the <30-day postoperative complication rate in women undergoing combined POP + RP surgery with that of women undergoing pelvic organ prolapse-only surgery. The secondary objectives were to describe the <30-day postoperative complications, compare the pelvic organ prolapse recurrence between the 2 groups, and determine the preoperative predictors of <30-day postoperative complications and predictors of pelvic organ prolapse recurrence. Read More

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Long-term reoperation risk after apical prolapse repair in female pelvic reconstructive surgery.

Am J Obstet Gynecol 2022 May 30. Epub 2022 May 30.

Department of Obstetrics & Gynecology, Kaiser Permanente, San Diego, San Diego, CA.

Background: Although several different apical suspension procedures are available to women with pelvic organ prolapse, data on long-term efficacy and safety profiles are limited.

Objective: The primary aim of this study was to analyze longitudinal reoperation risk for recurrent prolapse among the 4 apical suspension procedures over 2 to 15 years. Secondary aims included evaluation of all-cause reoperation, defined as a repeated surgery for the indications of recurrent prolapse and adverse events, and total retreatment rate, which included a repeated treatment with another surgery or a pessary. Read More

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The role of rectal redundancy in the pathophysiology of rectal prolapse: a pilot study.

Ann Surg Treat Res 2022 May 3;102(5):289-293. Epub 2022 May 3.

Department of General Surgery, Marmara University School of Medicine, Istanbul, Turkey.

Purpose: Rectal prolapse is hypothesized to be caused due to weakness of the pelvic floor which is related to childbearing. However, half of the female patients with rectal prolapse were reported to be nulliparous and this hypothesis doesn't explain the prolapse in males. The aim of this study is to evaluate the role of rectal redundancy in rectal prolapse pathophysiology. Read More

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Farm and animal-level risk factors associated with rectal prolapse in bovine and buffalo calves in Egypt with special reference to the optimal treatment strategy.

Open Vet J 2022 Mar-Apr;12(2):212-220. Epub 2022 Apr 2.

Department of Internal Medicine and Infectious Diseases, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt.

Background: Rectal prolapse (RP) is a serious illness of the rectum and small intestine causing serious health problems in domestic animals. However, there is paucity in the estimation of the risk factors associated with this problem in calves.

Aim: In the present study, we investigated the prevalence and risk factors associated with the rectal prolapse in both bovine and buffalo calves in Egypt, highlighting the most appropriate treatment strategy. Read More

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Pattern of anatomic disorder and surgical management of anorectal prolapse in anorectal malformation.

Pediatr Surg Int 2022 Jul 20;38(7):993-1004. Epub 2022 May 20.

Department of Pediatric Surgery, Capital Institute of Pediatrics, No.2 Yabao Road, Chaoyang District, Beijing, 100020, China.

Aim: Due to the paucity of data and controversy regarding the etiology and surgical approach for managing anorectal prolapse (ARP) after anorectoplasty, we sought to investigate the underlying anatomic disorder and the surgical outcome in managing this challenging complication.

Methods: We performed a retrospective study on 83 patients with ARP related to anorectal malformations (ARM). Logistic regression analyses were performed to detect the risk factors for the ARP severity. Read More

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Stepped-wedge randomized controlled trial of laparoscopic ventral mesh rectopexy in adults with chronic constipation.

Tech Coloproctol 2022 May 19. Epub 2022 May 19.

Centre for Neuroscience, Surgery and Trauma, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Background: The effectiveness of laparoscopic ventral mesh rectopexy (LVMR) in patients with defecatory disorders secondary to internal rectal prolapse is poorly evidenced. A UK-based multicenter randomized controlled trial was designed to determine the clinical efficacy of LVMR compared to controls at medium-term follow-up.

Methods: The randomized controlled trial was conducted from March 1, 2015 TO January 31, 2019. Read More

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Assessment of defecation disorders using high-resolution MRI-defecography.

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2022 May 13. Epub 2022 May 13.

2nd Medical Clinic, Department of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.

Aims: The aim of this retrospective study was to try to find correlations between different diagnoses established by clinical examination, anorectal manometry and MRI-defecography and, the association with psychiatric disorders.

Methods: 44 patients (median age 53.81 years) presenting with intestinal motility disorders and who underwent clinical, biological and psychiatric examination, dynamic defecographic-MRI (resting, squeezing, straining, defecation and evacuation phases), anorectal manometry, colonoscopy. Read More

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Mesh erosion into the rectum after laparoscopic posterior rectopexy: A case report.

Int J Surg Case Rep 2022 Jun 30;95:107136. Epub 2022 Apr 30.

University of Tsukuba, Faculty of Medicine, Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-shi, Ibaraki-ken 305-8575, Japan. Electronic address:

Introduction: Rectal prolapse typically presents in elderly women with protruding full-thickness rectum from the anus. Rectopexy using mesh is known to be a highly curative treatment for rectal prolapse, however, this procedure carries the risk of severe complication as mesh erosion.

Presentation Of Case: A 78-year-old woman who had undergone laparoscopic posterior rectopexy 4 years earlier visited the outpatient clinic with a complaint of bloody stool. Read More

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Management of Pelvic Organ Prolapse (POP) and Rectal Prolapse.

J Anus Rectum Colon 2022 27;6(2):83-91. Epub 2022 Apr 27.

Department of Coloproctological Surgery, Tsujinaka Hospital Kashiwanoha, Kashiwa, Japan.

Pelvic organ prolapse (POP) is a condition wherein one or more of the organs in the pelvis slip down from their original position and protrude into the vagina. Pelvic organ prolapse surgery has increased in the urogynecological field due to higher aging society. POP patients often suffer from bowel dysfunction, such as difficulty of bowel movements and the need to strain or push on the vagina to have a bowel movement. Read More

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Defecating proctography: A pictorial essay.

Radiography (Lond) 2022 May 12;28(3):628-633. Epub 2022 May 12.

Department of Radiology, Alfred Health, Melbourne, VIC, Australia.

Objectives: To provide an illustrative description of the technique and spectrum of findings in defecating proctography.

Key Findings: Important findings on defecating proctography include rectocoele, enterocoele, sigmoidocoele, cystocoele, intussusception, rectal prolapse, descending perineum, incomplete emptying, anismus, and faecal incontinence. This review article illustrates these key findings with examples. Read More

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Clinical Outcomes Following Rectal Artery Embolisation for the Treatment of Internal Haemorrhoids: A Systematic Review and Meta-Analysis.

Cardiovasc Intervent Radiol 2022 May 12. Epub 2022 May 12.

Department of Interventional Radiology, Monash Health, Clayton, VIC, 3168, Australia.

Objectives: Haemorrhoidal disease (HD) is a common anorectal disorder which can substantially impair quality of life. Rectal artery embolisation (RAE) is a recently described technique for the management of HD, however, its clinical efficacy and safety are unclear at present. The objective of this systematic review and meta-analysis is to evaluate the clinical outcomes following RAE. Read More

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Intrarectal diazepam following pelvic reconstructive surgery: a double-blind, randomized placebo-controlled trial.

Am J Obstet Gynecol 2022 May 10. Epub 2022 May 10.

Department of Urogynecology, TriHealth, Cincinnati, OH.

Background: Patients undergoing vaginal hysterectomy with native tissue pelvic reconstruction typically have low pain levels overall in the postoperative period. Notwithstanding, pain control immediately after surgery may be more challenging and a barrier to same-day discharge. Intrarectal diazepam has been used for acute and chronic pelvic pain and has a pharmacokinetic profile ideal for intermittent use. Read More

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Laparoscopic resection rectopexy significantly affects preexisting urinary symptoms in female patients.

Int J Colorectal Dis 2022 Jun 6;37(6):1301-1307. Epub 2022 May 6.

Department of General and Visceral Surgery, Coloproctology, St. Barbara-Klinik, Hamm 59073, Germany.

Purpose: It has previously been noted that following rectopexy, some patients report changes in urinary function. So far, not much is known about the extent of such changes. This study assesses the effects of laparoscopic rectopexy on urinary symptoms. Read More

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Magnetic resonance defecography findings of dyssynergic defecation.

Pol J Radiol 2022 20;87:e181-e185. Epub 2022 Mar 20.

Ankara University Faculty of Medicine, Ankara, Turkey.

Dyssynergic defecation (DD) is defined as paradoxical contraction or inadequate relaxation of the pelvic floor muscles during defecation, which causes functional constipation. Along with the anal manometry and balloon expulsion tests, magnetic resonance (MR) defecography is widely used to diagnose or rule out pelvic dyssynergia. Besides the functional abnormality, structural pathologies like rectocele, rectal intussusception, or rectal prolapse accompanying DD can also be well demonstrated by MR defecography. Read More

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Indications, Feasibility, and Safety of TST STARR Plus Stapler for Degree III Hemorrhoids: A Retrospective Study of 125 Hemorrhoids Patients.

Front Surg 2022 13;9:860150. Epub 2022 Apr 13.

Department of Anorectal Surgery, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, Changshu, China.

Background: Stapler hemorrhoidopexy (SH) has been widely accepted for hemorrhoids patients because of its low postoperative pain, but it is also associated with a high recurrence rate. The recurrence might be due to failure to completely remove the prolapsed tissue or insufficient removal capacity of the instruments. Removing more prolapsed tissue to reduce the recurrence is believed to benefit more severe prolapsed hemorrhoids patients. Read More

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Is rectal prolapse a hernia?

Colorectal Dis 2022 Apr;24(4):351-352

Department of Surgery, Royal Devon and Exeter Hospital, Devon, UK.

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Value of Defecography in the Diagnostic and Therapeutic Management of the Modified Wells Procedure for Rectal Prolapse.

Contrast Media Mol Imaging 2022 10;2022:2219330. Epub 2022 Apr 10.

Department of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China.

The main aim of this study was to explore the role of defecography in the preoperative diagnosis and postoperative evaluation of rectal prolapse surgery (modified Wells procedure). We collected and summarized the X-ray performance and then analyzed the results of 107 patients with defecatory dysfunction who underwent defecography from January 2020 to March 2021. Furthermore, the preoperative and 6-month postoperative defecography results and clinical symptoms of 25 patients who underwent rectal prolapse surgery (modified Wells procedure) were compared. Read More

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Clinical outcomes of surgical management for recurrent rectal prolapse: a multicenter retrospective study.

Ann Surg Treat Res 2022 Apr 5;102(4):234-240. Epub 2022 Apr 5.

Department of Colorectal Surgery, Hansol Hospital, Seoul, Korea.

Purpose: There are few reports on outcomes following surgical repair of recurrent rectal prolapse. The purpose of this study was to examine surgical outcomes for recurrent rectal prolapse.

Methods: We conducted a multicenter retrospective study of patients who underwent surgery for recurrent rectal prolapse. Read More

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Rectal prolapse associated with enlarged seminal vesicles in a Vervet monkey (Chlorocebus pygerythrus).

J Med Primatol 2022 Apr 24. Epub 2022 Apr 24.

Department of Animal Pathology and Epidemiology, Razi Vaccine and Serum Research Institute, Agriculture Research, Education and Extension Organization (AREEO), Karaj, Iran.

A 7-year-old vervet monkey (Chlorocebus pygerythrus) died 8 days after surgery to repair the rectal prolapse. The animal had a history of tenesmus in a week leading up to the rectal prolapse. At necropsy enlargement and dilatation of seminal vesicles that appeared to cause posterior compression of the rectum leading to luminal narrowing. Read More

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Rectal Polyposis in Mucosal Prolapse Syndrome.

Diagnostics (Basel) 2022 Apr 12;12(4). Epub 2022 Apr 12.

Department of Pathology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.

Mucosal prolapse syndrome is also known as solitary rectal ulcer syndrome. It may either presents as an ulcer or polyp, which could mimic other pathological lesions such as juvenile polyp, hyperplastic polyp, adenomatous polyp, polyp related inflammatory bowel disease and adenocarcinoma. It can pose as a diagnostic challenge to both the surgeons and pathologists due to the overlapping gross and histological features. Read More

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Is Same-Day Discharge Following Minimally Invasive Sacrocolpopexy Safe and Feasible? A National Contemporary Database Analysis.

Female Pelvic Med Reconstr Surg 2022 Jul 3;28(7):414-420. Epub 2022 Apr 3.

From the Department of Obstetrics and Gynecology.

Objective: The aim of this study was to investigate trends and outcomes of ambulatory minimally invasive sacrocolpopexy (MISC) using data from a contemporary multicenter nationwide cohort.

Methods: We used the American College of Surgeons National Surgical Quality Improvement Program database to identify women who underwent nonemergent MISC (laparoscopic and robotic) from 2012 to 2018. Exclusion criteria were age <18 or ≥90 years, rectal prolapse, postoperative discharge day ≥3, and concomitant hysterectomy, transvaginal mesh repair, colpocleisis, and/or colorectal surgery. Read More

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Identification and In Silico Characterization of a Novel Gene Variant in a Child with Mucosal Rectal Prolapse.

Int J Mol Sci 2022 Mar 27;23(7). Epub 2022 Mar 27.

Department of Medical Genetics, Warsaw Medical University, Pawinskiego 3c, 02-106 Warsaw, Poland.

Rectal prolapse is influenced by many factors including connective tissue dysfunction. Currently, there is no data about genetic contribution in the etiology of this disorder. In this study, we performed trio whole-exome sequencing in an 11-year-old girl with mucosal rectal prolapse and her parents and sibling. Read More

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Comparison of 5% Phenol With Almond Oil Versus 15% Hypertonic Saline in Treatment of Pediatric Idiopathic Rectal Prolapse.

Cureus 2022 Mar 27;14(3):e23552. Epub 2022 Mar 27.

Pediatric Surgery, University of Child Health Sciences, The Children's Hospital, Lahore, PAK.

Objective: The objective of the study was to compare the frequency of recurrence with 5% phenol in almond oil versus 15% hypertonic saline for pediatric idiopathic rectal prolapse.

Methodology:  An open-label, randomized clinical trial was conducted at the Department of Paediatric Surgery, Services Hospital, Lahore, Pakistan, over a period of one year from May 1, 2018 to April 30, 2019. Altogether, 120 patients with idiopathic rectal prolapse were included in this study. Read More

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Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis.

BJS Open 2022 03;6(2)

Colorectal Surgery, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy.

Background: External rectal prolapse (ERP) is a debilitating condition in which surgery plays an important role. The aim of this study was to evaluate the outcomes of abdominal approaches (AA) and perineal approaches (PA) to ERP.

Methods: This was a PRISMA-compliant systematic review with meta-analysis. Read More

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