rectal prolapse

Summary

Summary: Protrusion of the rectal mucous membrane through the anus. There are various degrees: incomplete with no displacement of the anal sphincter muscle; complete with displacement of the anal sphincter muscle; complete with no displacement of the anal sphincter muscle but with herniation of the bowel; and internal complete with rectosigmoid or upper rectum intussusception into the lower rectum.

Top Publications

  1. ncbi Rectal prolapse: which surgical option is appropriate?
    T H K Schiedeck
    Department of Surgery, University Clinic of Schleswig Holstein, Campus Lubeck, Ratzeburger Allee 160, 23538, Lubeck, Germany
    Langenbecks Arch Surg 390:8-14. 2005
  2. ncbi Laparotomic vs. laparoscopic rectopexy in complete rectal prolapse
    P Boccasanta
    Department of General and Oncologic Surgery, University of Milan, Ospedale Maggiore Policlinico, IRCCS, Milan, Italy
    Dig Surg 16:415-9. 1999
  3. ncbi Submucosal rectal lipoma presenting as rectal prolapse
    J C Evans
    Department of Radiology, Royal Liverpool University Hospital NHS Trust, Liverpool, U K
    Clin Radiol 57:523-5. 2002
  4. ncbi Long-term outcome after laparoscopic and open surgery for rectal prolapse: a case-control study
    Y Kariv
    Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA
    Surg Endosc 20:35-42. 2006
  5. ncbi [Case management of pelvic floor disorders]
    Richard Villet
    Chirurgie viscérale, gynécologie, Groupe hospitalier des Diaconesses, 18, rue Sergent Bauchat, 75012 Paris
    Bull Acad Natl Med 189:1541-58; discussion 1558-60. 2005
  6. ncbi Rectal prolapse, rectal intussusception, rectocele, and solitary rectal ulcer syndrome
    R J Felt-Bersma
    Department of Gastroenterology, University Hospital Rotterdam Dijkzigt, The Netherlands
    Gastroenterol Clin North Am 30:199-222. 2001
  7. ncbi Long-term follow-up of the modified Delorme procedure for rectal prolapse
    Brian P Watkins
    Department of General and Vascular Surgery, Gundersen Lutheran Medical Center, LaCrosse, WI 54601, USA
    Arch Surg 138:498-502; discussion 502-3. 2003
  8. ncbi How accurate are published recurrence rates after rectal prolapse surgery? A meta-analysis of individual patient data
    Giuseppe DiGiuro
    Department of Research and Development, Forde Health System, Forde, Norway 6807
    Am J Surg 191:773-8. 2006
  9. ncbi Surgical management of rectal prolapse
    Eric L Marderstein
    Division of Colorectal Surgery and Department of Surgery, University Hospitals Case Medical Center, Cleveland, OH 44106 5047, USA
    Nat Clin Pract Gastroenterol Hepatol 4:552-61. 2007
  10. ncbi Complications after rectal prolapse surgery: does approach matter?
    Marcia McGory Russell
    Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, MA, USA
    Dis Colon Rectum 55:450-8. 2012

Research Grants

Detail Information

Publications205 found, 100 shown here

  1. ncbi Rectal prolapse: which surgical option is appropriate?
    T H K Schiedeck
    Department of Surgery, University Clinic of Schleswig Holstein, Campus Lubeck, Ratzeburger Allee 160, 23538, Lubeck, Germany
    Langenbecks Arch Surg 390:8-14. 2005
    Numerous surgical procedures have been suggested to treat rectal prolapse. In elderly and high-risk patients, perineal approaches such as Delorme's procedure and perineal rectosigmoidectomy (Altemeier's procedure) have been preferred, ..
  2. ncbi Laparotomic vs. laparoscopic rectopexy in complete rectal prolapse
    P Boccasanta
    Department of General and Oncologic Surgery, University of Milan, Ospedale Maggiore Policlinico, IRCCS, Milan, Italy
    Dig Surg 16:415-9. 1999
    The aim of this study was to compare the functional and clinical results of laparotomic and laparoscopic rectopexy in 2 homogeneous groups of patients with complete rectal prolapse and fecal incontinence.
  3. ncbi Submucosal rectal lipoma presenting as rectal prolapse
    J C Evans
    Department of Radiology, Royal Liverpool University Hospital NHS Trust, Liverpool, U K
    Clin Radiol 57:523-5. 2002
  4. ncbi Long-term outcome after laparoscopic and open surgery for rectal prolapse: a case-control study
    Y Kariv
    Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA
    Surg Endosc 20:35-42. 2006
    Laparoscopic repair (LR) of rectal prolapse is potentially associated with earlier recovery and lower perioperative morbidity, as compared with open transabdominal repair (OR)...
  5. ncbi [Case management of pelvic floor disorders]
    Richard Villet
    Chirurgie viscérale, gynécologie, Groupe hospitalier des Diaconesses, 18, rue Sergent Bauchat, 75012 Paris
    Bull Acad Natl Med 189:1541-58; discussion 1558-60. 2005
    ..The choice of treatment always depends on the patient's age, anatomical defects and functional disorders, and the surgeon's expertise..
  6. ncbi Rectal prolapse, rectal intussusception, rectocele, and solitary rectal ulcer syndrome
    R J Felt-Bersma
    Department of Gastroenterology, University Hospital Rotterdam Dijkzigt, The Netherlands
    Gastroenterol Clin North Am 30:199-222. 2001
    b>Rectal prolapse can be diagnosed easily by having the patient strain as if to defecate. A laparoscopic rectopexy should be recommended...
  7. ncbi Long-term follow-up of the modified Delorme procedure for rectal prolapse
    Brian P Watkins
    Department of General and Vascular Surgery, Gundersen Lutheran Medical Center, LaCrosse, WI 54601, USA
    Arch Surg 138:498-502; discussion 502-3. 2003
    The modified Delorme operation is a safe, effective, and durable treatment for complete rectal prolapse.
  8. ncbi How accurate are published recurrence rates after rectal prolapse surgery? A meta-analysis of individual patient data
    Giuseppe DiGiuro
    Department of Research and Development, Forde Health System, Forde, Norway 6807
    Am J Surg 191:773-8. 2006
    The literature shows wide variations of recurrence rates (RRs) after abdominal surgery for rectal prolapse. The aim of this meta-analysis was to evaluate the accuracy of published RRs.
  9. ncbi Surgical management of rectal prolapse
    Eric L Marderstein
    Division of Colorectal Surgery and Department of Surgery, University Hospitals Case Medical Center, Cleveland, OH 44106 5047, USA
    Nat Clin Pract Gastroenterol Hepatol 4:552-61. 2007
    This article reviews the pathogenesis, clinical presentation and surgical management of rectal prolapse. Full-thickness prolapse of the rectum causes significant discomfort because of the sensation of the prolapse itself, the mucus that ..
  10. ncbi Complications after rectal prolapse surgery: does approach matter?
    Marcia McGory Russell
    Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, MA, USA
    Dis Colon Rectum 55:450-8. 2012
    Data comparing surgical outcomes following abdominal and transperineal approaches for rectal prolapse are limited.
  11. ncbi Long-term results of Delorme's procedure and Orr-Loygue rectopexy to treat complete rectal prolapse
    Frederic Marchal
    Department of Surgery, Centre Alexis Vautrin, Vandoeuvre les Nancy, France
    Dis Colon Rectum 48:1785-90. 2005
    The aim of this study was to assess long-term outcome of Orr-Loygue rectopexy and Delorme's procedures in total rectal prolapse management.
  12. ncbi Gasterophilosis: a major cause of rectal prolapse in working donkeys in Ethiopia
    Adako Mulugeta Getachew
    Donkey Health and Welfare Project, Faculty of Veterinary Medicine, Addis Ababa University, P O Box 34, Debre Zeit, Ethiopia
    Trop Anim Health Prod 44:757-62. 2012
    A retrospective study was conducted to investigate the cause of rectal prolapse in working donkeys in Ethiopia...
  13. ncbi Rectal hyposensitivity is uncommon and unlikely to be the central cause of obstructed defecation in patients with high-grade internal rectal prolapse
    N A Wijffels
    Oxford Pelvic Floor Centre, Surgery and Diagnostics, Churchill Hospital, Oxford, UK
    Neurogastroenterol Motil 23:151-4, e30. 2011
    There are several causes of obstructed defecation one of which is thought to be internal rectal prolapse. Operations directed at internal prolapse, such as laparoscopic ventral rectopexy, may improve obstructed defecation symptoms ..
  14. ncbi Tailored surgery for internal and external rectal prolapse: functional results of 268 patients operated upon by a single surgeon over a 21-year period*
    M Pescatori
    Coloproctology Unit, Ars Medica and Villa Flaminia Hospital, Rome, Italy
    Colorectal Dis 11:410-9. 2009
    Many procedures are used to treat internal (IRP) and external rectal prolapse (ERP). We report the outcome of surgery tailored in accordance with an evolving Unit algorithm over a 21-year period.
  15. ncbi [Surgical treatment of rectal prolapse]
    Ilmo Kellokumpu
    Keski Suomen keskussairaala, Keskussairaaalantie 19, 40620 Jyvaskyla
    Duodecim 125:207-14. 2009
    The aim of surgical treatment is to anatomically restore rectal prolapse and functionally remedy fecal incontinence and disorder of rectal emptying...
  16. ncbi Early outcomes of laparoscopic procedures performed on military personnel with total rectal prolapse and follow-up
    Sezai Demirbas
    Department of General Surgery, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey
    Surg Laparosc Endosc Percutan Tech 14:194-200. 2004
    Total rectal prolapse is a disorder frequently associated with constipation and anal incontinence...
  17. ncbi The Delorme repair for full-thickness rectal prolapse: a retrospective review
    Michael Lieberth
    St Vincent Department of Colon and Rectal Surgery, Erie, PA 16508, USA
    Am J Surg 197:418-23. 2009
    The purpose of this study was to assess our colorectal surgical training program experience with the Delorme procedure for complete rectal prolapse.
  18. ncbi Surgery for rectal prolapse: Orr-Loygue ventral rectopexy with limited dissection prevents postoperative-induced constipation without increasing recurrence
    Guillaume Portier
    Digestive Surgery Unit, Pr Lazorthes, CHU Purpan, Toulouse, France
    Dis Colon Rectum 49:1136-40. 2006
    Abdominal rectopexy is the preferred surgical technique for the treatment of total rectal prolapse. In many reported series, its results are impaired by induced constipation...
  19. ncbi Rectal prolapse, rectal intussusception, rectocele, solitary rectal ulcer syndrome, and enterocele
    Richelle J F Felt-Bersma
    Department of Gastroenterology, University Hospital Vrije Universiteit, PO Box 7057, 1007 MB Amsterdam, The Netherlands
    Gastroenterol Clin North Am 37:645-68, ix. 2008
    b>Rectal prolapse is best diagnosed by physical examination and by having the patient strain as if to defecate; a laparoscopic rectopexy is the preferred treatment approach...
  20. ncbi Rectal prolapse and cap polyposis: the missing link
    Fady Daniel
    Dis Colon Rectum 48:874-5; author reply 875. 2005
  21. ncbi Complete rectal prolapse in young patients: psychiatric disease a risk factor of poor outcome
    C Marceau
    Department of General and Digestive Surgery, Hopital Saint Antoine, Assistance Publique Hopitaux de Paris, Universite Pierre et Marie Curie Paris VI, Paris, France
    Colorectal Dis 7:360-5. 2005
    Complete rectal prolapse is rare before the age of 50. The aim of our study was to identify the risk factors of total rectal prolapse before this age and to determine the surgical outcome in this specific group of patients.
  22. ncbi Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation
    P Boons
    Pelvic Floor Service, Department of Colorectal Surgery, John Radcliffe Hospital, Oxford, UK
    Colorectal Dis 12:526-32. 2010
    Abdominal rectopexy is ideal for otherwise healthy patients with rectal prolapse because of low recurrence, yet after posterior rectopexy, half of the patients complain of severe constipation...
  23. pmc The pathophysiology of pelvic floor disorders: evidence from a histomorphologic study of the perineum and a mouse model of rectal prolapse
    R Yiou
    Faculté de Médecine de Créteil, CHU Henri Mondor, France
    J Anat 199:599-607. 2001
    ..in urokinase-type plasminogen activator (uPA-/-) that was previously reported to develop a high incidence of rectal prolapse. We could clearly identify the iliococcygeus (ILC) and pubococcygeus (PC) muscles and anal (SPA) and urethral ..
  24. ncbi Focus on abdominal rectopexy for full-thickness rectal prolapse: meta-analysis of literature
    F Cadeddu
    Department of Surgery, University Hospital Tor Vergata, Viale Oxford 81, 00133, Rome, Italy
    Tech Coloproctol 16:37-53. 2012
    Laparoscopic rectopexy to treat full-thickness rectal prolapse has proven short-term benefits, but there are few long-term follow-up and functional outcome data available...
  25. pmc Functional outcome after perineal stapled prolapse resection for external rectal prolapse
    Franc H Hetzer
    Department of Surgery, Cantonal Hospital, St Gallen, Switzerland
    BMC Surg 10:9. 2010
    A new surgical technique, the Perineal Stapled Prolapse resection (PSP) for external rectal prolapse was introduced in a feasibility study in 2008...
  26. ncbi Cauterization-plication operation in the treatment of complete rectal prolapse
    O El-Sibai
    Department of Surgery, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt
    Tech Coloproctol 6:51-4; discussion 54. 2002
    The current communication presents a simple technique for treatment of complete rectal prolapse (CRP). The study included 28 patients presenting with CRP (mean age, 36.4 years; 4 children 2-12 years; 17 female and 11 males)...
  27. ncbi Haemorrhoids, rectal prolapse, anal fissure, peri-anal fistulae and sexually transmitted diseases
    Richelle J F Felt-Bersma
    Department of Gastroenterology, University Hospital Vrije Universiteit, P O Box 7057, 1007 MB Amsterdam, The Netherlands
    Best Pract Res Clin Gastroenterol 23:575-92. 2009
    Anorectal disorders like haemorrhoids, rectal prolapse, anal fissures, peri-anal fistulae and sexually transmitted diseases are bothersome benign conditions that warrant special attention...
  28. pmc Recurrence and functional results after open versus conventional laparoscopic versus robot-assisted laparoscopic rectopexy for rectal prolapse: a case-control study
    Dominique E N M de Hoog
    Department of Surgery, Maastricht University Hospital, PO Box 5800, 6202 AZ, Maastricht, The Netherlands
    Int J Colorectal Dis 24:1201-6. 2009
    ..A case-control study was performed to study recurrence after the three operative techniques used for rectal procidentia. The secondary aim of this study was to examine the differences in functional results between the three techniques...
  29. ncbi [Impact of rectal prolapse and rectocele on TVT results]
    Marouane Ben Amna
    Service d Urologie, Hopital Charles Nicolle, 1, rue de Germont, 76031 Rouen
    Prog Urol 13:453-8. 2003
    ..The objective of this study was to evaluate the influence of this combination on the quality of postoperative voiding and urinary continence...
  30. ncbi Clinical and functional outcome of laparoscopic posterior rectopexy (Wells) for full-thickness rectal prolapse. A prospective study
    Jean Louis Dulucq
    Department of Abdominal Surgery, Maison de Santé Protestante, Bagatelle Hospital, Route de Toulouse 203, 33401, Talence Bordeaux, France
    Surg Endosc 21:2226-30. 2007
    ..The aim of this prospective study was to assess the clinical and functional outcome of laparoscopic Wells procedure for full-thickness rectal prolapse.
  31. pmc Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time
    Jeroen Heemskerk
    Department of Surgery, Maastricht University Hospital, Maastricht, The Netherlands
    Dis Colon Rectum 50:1825-30. 2007
    Laparoscopic rectopexy has become one of the most advocated treatments for full-thickness rectal prolapse, offering good functional results compared with open surgery and resulting in less postoperative pain and faster convalescence...
  32. ncbi Delorme's procedure for rectal prolapse: clinical and physiological analysis
    Akira Tsunoda
    Second Department of Surgery, School of Medicine, Showa University, Tokyo, Japan
    Dis Colon Rectum 46:1260-5. 2003
    Clinical and physiological results of Delorme's procedure were assessed retrospectively in patients undergoing this procedure for rectal prolapse.
  33. ncbi Laparoscopically-assisted resection rectopexy for rectal prolapse: ten years' experience
    Luai H S Ashari
    Department of Surgery, Colorectal Unit, Royal Brisbane Hospital, Brisbane, Australia
    Dis Colon Rectum 48:982-7. 2005
    This study has been undertaken to audit a single-center experience with laparoscopically-assisted resection rectopexy for full-thickness rectal prolapse. The clinical outcomes and long-term results were evaluated.
  34. ncbi Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy)
    Joe J Tjandra
    Department of Colorectal Surgery, Royal Melbourne Hospital and Epworth Hospitals, University of Melbourne, Melbourne, Australia
    Dis Colon Rectum 50:878-92. 2007
    ..This is a systematic review on stapled hemorrhoidopexy of all randomized, controlled trials that have been published until August 2006...
  35. ncbi Transanal resection of a colonic lipoma, mimicking rectal prolapse
    Argyrios Tzilinis
    Department of Surgery, Mercy Catholic Medical Center, Philadelphia, Pennsylvania, USA
    Curr Surg 60:313-4. 2003
    Colonic lipomas are benign tumors usually asymptomatic. Occasionally, they may cause symptoms such as bleeding, intussusception, obstruction, or rectal prolapse.
  36. ncbi A comparison of open vs. laparoscopic abdominal rectopexy for full-thickness rectal prolapse: a meta-analysis
    Sanjay Purkayastha
    Department of Surgical Oncology and Technology, Imperial College, London, St Mary s Hospital, London, United Kingdom
    Dis Colon Rectum 48:1930-40. 2005
    Using meta-analytical techniques, this study was designed to compare open and laparoscopic abdominal procedures used to treat full-thickness rectal prolapse in adults.
  37. ncbi Long-term outcome of Altemeier's procedure for rectal prolapse
    Donato F Altomare
    Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
    Dis Colon Rectum 52:698-703. 2009
    ..Altemeier's procedure is infrequently applied in European countries and because of the small number of patients treated in each center, its long-term reliability is uncertain...
  38. ncbi Pelvic organ prolapse and urinary incontinence in women with surgically managed rectal prolapse: a population-based case-control study
    D Altman
    Division of Obstetrics and Gynecology, Pelvic Floor Center, Stockholm, Sweden
    Dis Colon Rectum 49:28-35. 2006
    This study aimed to investigate the prevalence of genital prolapse surgery and urinary incontinence in female patients operated on for rectal prolapse compared with a matched control group without rectal prolapse.
  39. ncbi Mucosal plication (Gant-Miwa procedure) with anal encircling for rectal prolapse--a review of the Japanese experience
    Tetsuo Yamana
    Department of Proctology, Social Health Insurance Hospital, 3 22 1 Hakunincho Shinjuku ku, Tokyo 169 0073, Japan
    Dis Colon Rectum 46:S94-9. 2003
    Although mucosal plication for rectal prolapse, known as the Gant-Miwa procedure, is described in some English textbooks, it has been infrequently performed in the West...
  40. ncbi Randomised controlled trial between stapled circumferential mucosectomy and conventional circular hemorrhoidectomy in advanced hemorrhoids with external mucosal prolapse
    P Boccasanta
    Department of General and Oncological Surgery, Milano, Italy
    Am J Surg 182:64-8. 2001
    ....
  41. ncbi Laparoscopic suture rectopexy for rectal prolapse in a 22-month-old child
    Amulya K Saxena
    Pediatric Surgical University Clinic, Munster, Germany
    Surg Laparosc Endosc Percutan Tech 14:33-4. 2004
    ..There was no blood loss, and the procedure was completed without complication. The child was followed up for a period of 24 months with good results...
  42. ncbi Prolapse of the rectum, long-term results of surgical treatment
    Anders T Hoel
    Department of Surgery, Haukeland University Hospital, 5021, Bergen, Norway
    Int J Colorectal Dis 24:201-7. 2009
    ..This study evaluates patency and functional results of abdominal and perineal treatment approaches to prolapse of the rectum...
  43. ncbi Complications and recurrence after excision of rectal internal mucosal prolapse for obstructed defaecation
    M Pescatori
    Coloproctology Unit, Villa Flaminia Hospital, Rome, Italy
    Int J Colorectal Dis 21:160-5. 2006
    ..The objective of this retrospective study was to assess both clinical and functional outcome after this procedure alone for patients presenting with evacuatory difficulty...
  44. ncbi Robotic-assisted pelvic organ prolapse surgery
    A Ayav
    Department of Digestive Surgery, University Hospital of Nancy Brabois, 54511 Vandoeuvre les Nancy, France
    Surg Endosc 19:1200-3. 2005
    ..This study describes technical aspect and short-term results of pelvic organ prolapse surgery using the da Vinci robotic system...
  45. ncbi Economic impact of laparoscopic versus open abdominal rectopexy
    G Salkeld
    Surgical Outcomes Research Centre SOURCE, University of Sydney, New South Wales, Australia
    Br J Surg 91:1188-91. 2004
    ..The aim of this study was to compare the cost effectiveness of laparoscopic rectopexy with that of open abdominal rectopexy for full-thickness rectal prolapse.
  46. ncbi Laparoscopic mesh rectopexy for complete rectal prolapse in children: a new simplified technique
    Rafik Shalaby
    General Surgery Department, Al Azhar University, Cairo, Egypt
    Pediatr Surg Int 26:807-13. 2010
    b>Rectal prolapse in children without underlying conditions is usually a self-limiting problem and requires no surgical treatment...
  47. ncbi Sacral nerve stimulation for fecal incontinence following surgery for rectal prolapse repair: a multicenter study
    Michael E D Jarrett
    Physiology Unit, St Mark s Hospital, London, England
    Dis Colon Rectum 48:1243-8. 2005
    A proportion of patients have fecal incontinence secondary to a full-thickness rectal prolapse that fails to resolve following prolapse repair...
  48. ncbi [Stapled hemorrhoidopexy in the treatment of hemorroidal prolapse]
    G Conzo
    IV Divisione di Chirurgia Generale e di Endocrinochirurgia, Facolta di Medicina e Chirurgia, Seconda Universita degli Studi di Napoli
    Ann Ital Chir 75:655-9; discussion 659-60. 2004
    ..In case of rectal prolapse associated to external fibrous hemorroids, a combined surgical treatment is requested in order to achieve ..
  49. ncbi Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse
    A D'Hoore
    Department of Abdominal Surgery, University Clinics Gasthuisberg, Leuven, Belgium
    Br J Surg 91:1500-5. 2004
    Postoperative constipation is a common problem with most mesh suspension techniques used to correct rectal prolapse. Autonomic denervation of the rectum subsequent to its complete mobilization has been suggested as a contributory factor...
  50. ncbi Surgical management of rectal prolapse
    Thandinkosi E Madiba
    Department of Surgery, University of KwaZulu Natal, Durban, South Africa
    Arch Surg 140:63-73. 2005
    The problem of complete rectal prolapse is formidable, with no clear predominant treatment of choice...
  51. ncbi Rectal prolapse following posterior sagittal anorectoplasty for anorectal malformations
    Avraham Belizon
    North Shore Long Island Jewish Medical Center, Schneider Children s Hospital, New Hyde Park, NY 11040, USA
    J Pediatr Surg 40:192-6. 2005
    b>Rectal prolapse is a known postoperative problem in children with anorectal malformations...
  52. ncbi Laparoscopic resection rectopexy for rectal prolapse
    Hermann Kessler
    Department of Surgery, University of Erlangen Nurnberg, Germany
    Dis Colon Rectum 48:1800-1. 2005
    ..The laparoscopic approach in suture rectopexy with sigmoid resection is appealing as surgery is mainly confined to the pelvis...
  53. ncbi Decision-making algorithm for the STARR procedure in obstructed defecation syndrome: position statement of the group of STARR Pioneers
    Oliver Schwandner
    Department of Surgery, Caritas Krankenhaus St Josef, Regensburg, Germany
    Surg Innov 15:105-9. 2008
    Internal rectal prolapse (rectal intussusception) and rectocele are frequent clinical findings in patients suffering from refractory constipation that may be best characterized as obstructive defecation syndrome...
  54. pmc Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures
    M Pescatori
    Coloproctology Unit, Ars Medica Hospital, Rome, Italy
    Tech Coloproctol 12:7-19. 2008
    ..However, if performed in selected cases by skilled specialists aware of the risks and associated diseases, some complications may be prevented...
  55. ncbi Resection rectopexy for external rectal prolapse reduces constipation and anal incontinence
    E Johnson
    Department of Gastroenterological Surgery, Ulleval University Hospital, Oslo, Norway
    Scand J Surg 96:56-61. 2007
    The main aim was to examine constipation and anal incontinence in patients before and after resection for external rectal prolapse.
  56. ncbi Stapled transanal rectal resection (STARR) to reverse the anatomic disorders of pelvic floor dyssynergia
    George Pechlivanides
    1st Department of General Surgery, Athens Naval Hospital, Athens, Greece
    World J Surg 31:1329-35. 2007
    ..Additional biofeedback treatment is usually necessary for further functional improvement. Failure may be the result of other coexisting anatomic and functional abnormalities of the pelvic floor...
  57. ncbi Stapled transanal rectal resection for outlet obstruction syndrome: results and follow-up
    Marco Frascio
    Department of Surgery, University of Genoa, Di C M I, Largo Rosanna Benzi 8, Genoa 16132, Italy
    World J Surg 32:1110-5. 2008
    ..The objective of the present study was to assess safety, effectiveness, and long-term outcomes of stapled transanal rectal resection (STARR) for the cure of outlet obstruction syndrome (OOS)...
  58. ncbi Long-term functional outcomes after laparoscopic and open rectopexy for the treatment of rectal prolapse
    Christopher M Byrne
    Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia
    Dis Colon Rectum 51:1597-604. 2008
    Laparoscopic rectopexy to treat full-thickness rectal prolapse has proven short-term benefits, but there is little long-term follow-up and functional outcome data available.
  59. ncbi A prospective evaluation of occult disorders in obstructed defecation using the 'iceberg diagram'
    M Pescatori
    Coloproctology Units, Villa Flaminia, Rome, Italy
    Colorectal Dis 8:785-9. 2006
    ..The aim of this study was to evaluate occult disorders in order to alert the clinician of these and minimize failures...
  60. ncbi Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients
    A D'Hoore
    Department of Abdominal Surgery, University Hospital Gasthuisberg Herestraat 49, 3000 Leuven, Belgium
    Surg Endosc 20:1919-23. 2006
    The authors propose a new laparoscopic technique for correction of rectal prolapse. The unique feature of this technique is that it avoids any posterolateral dissection of the rectum...
  61. ncbi Stapled transanal rectal resection versus stapled anopexy in the cure of hemorrhoids associated with rectal prolapse. A randomized controlled trial
    Paolo Boccasanta
    Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, IRCCS Foundation, Milan, 1st Department of General Surgery, University of Milan, Via F Sforza 35, 20122, Milan, Italy
    Int J Colorectal Dis 22:245-51. 2007
    ..The stapled transanal rectal resection (STARR) was demonstrated to successfully cure the association of rectal prolapse and rectocele by using two staplers...
  62. ncbi Rectal prolapse
    Stavros Gourgiotis
    Clinical Attachment in Division of General Surgery and Oncology, Royal Liverpool University Hospital, 21 Millersdale Road, Mossley Hill, L18 5HG, Liverpool, UK
    Int J Colorectal Dis 22:231-43. 2007
    b>Rectal prolapse, or procidentia, is defined as a protrusion of the rectum beyond the anus. It commonly occurs at the extremes of age...
  63. ncbi Laparoscopic suture rectopexy in the treatment of persisting rectal prolapse in children: a preliminary report
    A Koivusalo
    Hospital for Children and Adolescents, University of Helsinki, Helsinki, 000290, Finland
    Surg Endosc 20:960-3. 2006
    The repair of choice for persistent rectal prolapse (PRP) in children is disputed. Laparoscopic suture rectopexy (LSRP) is effective in adults, but its usefulness in pediatric PRP is unknown...
  64. ncbi Prosthetic rectopexy to the pelvic floor and sigmoidectomy for rectal prolapse
    J P Lechaux
    Service de Chirurgie Digestive, Hopital des Diaconesses, 18 rue du Sergent Bauchat, 75012, Paris, France
    Am J Surg 182:465-9. 2001
    Full thickness rectal prolapse in young adults with normal pelvic floor is a disease in which the rectum is exceedingly long and mobile...
  65. ncbi Perineal stapled prolapse resection: a new procedure for external rectal prolapse
    Roland Scherer
    Center for Colorectal and Pelvic Floor Surgery, Waldfriede Hospital, Berlin, Germany
    Dis Colon Rectum 51:1727-30. 2008
    A perineal approach to treating rectal prolapse is ideal for frail patients. Recently, internal rectal redundancy has been successfully treated with transanal resection using the Contour Transtar stapler...
  66. ncbi Closed rectopexy with transanal resection for complete rectal prolapse in adults
    Ahmed E Lasheen
    General Surgery Department, Faculty of Medicine, Zagazig University, Sharkia, Egypt
    J Gastrointest Surg 9:980-4. 2005
    Many techniques have been described for repair of complete rectal prolapse in adults. The results of abdominal approaches are superior to those of perineal approaches, but they carry the risks of major abdominal surgery...
  67. pmc STARR with Contour Transtar: prospective multicentre European study
    L Lenisa
    Department of Surgery, Casa di Cura San Pio X, Milan, Italy
    Colorectal Dis 11:821-7. 2009
    ..A new device has been recently developed, the Contour Transtar stapler, in order to improve the safety and effectiveness of the STARR technique. The study has been designed to confirm this declaration...
  68. ncbi Stapled transanal rectal resection in solitary rectal ulcer associated with prolapse of the rectum: a prospective study
    Paolo Boccasanta
    1st Department of General Surgery, Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, IRCCS Foundation, Milan, and the University of Milan, Milan, Italy
    Dis Colon Rectum 51:348-54. 2008
    At present, none of the conventional surgical treatments of solitary rectal ulcer associated with internal rectal prolapse seems to be satisfactory because of the high incidence of recurrence...
  69. ncbi Functional results two years after laparoscopic rectopexy
    S Benoist
    Academic Surgical Unit, St. Mary' Hospital Medical School, Praed St, W2 1NY, London, England, UK
    Am J Surg 182:168-73. 2001
    BACKGROUND: Rectopexy is one of the accepted treatment options for full-thickness rectal prolapse, but the details of the technique remain controversial...
  70. ncbi Rectal prolapse: a search for the "best" operation
    K Azimuddin
    Department of Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania, USA
    Am Surg 67:622-7. 2001
    There is a lack of consensus regarding the optimal operative treatment for full-thickness rectal prolapse. We describe our experience in the management of procidentia and evaluate our current practice for improvement of results...
  71. ncbi Rectal perforation, retropneumoperitoneum, and pneumomediastinum after stapling procedure for prolapsed hemorrhoids: report of a case and subsequent considerations
    Valter Ripetti
    Department of Digestive Disease, Libera Università Campus Bio Medico, Rome, Italy
    Dis Colon Rectum 45:268-70. 2002
    ..Our experience, taken together with some other cases previously published of severe complications after such an operation, suggests caution in the use of this new technique for the treatment of a benign disease...
  72. ncbi Perineal rectosigmoidectomy (Altemeier's procedure): a review of physiology, technique and outcome
    A P Zbar
    Department of Medicine and Clinical Research, Queen Elisabeth Hospital, University of West Indies, Martindales Road, St Michael, Barbados
    Tech Coloproctol 6:109-16. 2002
    Perineal rectosigmoidectomy (Altemeier's procedure), as used for the surgical treatment of full-thickness rectal prolapse, has a long history...
  73. ncbi Functional results after laparoscopic rectopexy for rectal prolapse
    T T Zittel
    Department of General Surgery, University Hospital, Tubingen, Germany
    J Gastrointest Surg 4:632-41. 2000
    We investigated the functional results after laparoscopic rectopexy for rectal prolapse in 29 patients at least 12 months postoperatively...
  74. ncbi Clinically based management of rectal prolapse
    K M Madbouly
    Department of Colorectal Surgery and the Minimally Invasive Surgery Center, Cleveland Clinic Foundation, 9500 Euclid Ave, Desk A 111, Cleveland, OH 44195, USA
    Surg Endosc 17:99-103. 2003
    Laparoscopic repair of rectal prolapse offers the potential of lower recurrence rates for transabdominal repair coupled with the advantages of minimally invasive colorectal surgery...
  75. ncbi Laparoscopic treatment of rectal prolapse: experience gained in a prospective multicenter study
    J Rose
    Department of Surgery and Center for Minimally Invasive Surgery, Hanover Hospital, Roesebeckstrasse 15 Siloah, 30449 Hanover, Germany
    Langenbecks Arch Surg 387:130-7. 2002
    ..for Laparoscopic Colorectal Surgery on patients undergoing laparoscopic or laparoscopic-assisted surgery for rectal prolapse. The study investigated the safety of various laparoscopic techniques in terms of perioperative and ..
  76. ncbi Hemorrhoidal stapler prolapsectomy vs. Milligan-Morgan hemorrhoidectomy: a long-term randomized trial
    A Racalbuto
    Department of Surgical Sciences, Organ Transplant and Advanced Technologies, O U General Surgery, Catania University, Catania, Italy
    Int J Colorectal Dis 19:239-44. 2004
    ..The notable success of stapled prolapsectomy in recent years led us to compare this technique with Milligan-Morgan hemorrhoidectomy in terms of the results obtained both in the immediate postoperative period and in the long term...
  77. ncbi Anal sphincter tears in patients with rectal prolapse and faecal incontinence
    R Woods
    Department of Surgery Division of Medical Imaging, Flinders Medical Centre, Bedford Park, South Australia, Australia
    Colorectal Dis 5:544-8. 2003
    Faecal incontinence often persists after surgery for rectal prolapse. Multiple mechanisms have been proposed as responsible, however, anal sphincter integrity has only been studied in a handful of cases...
  78. ncbi Bleeding, incontinence, pain and constipation after STARR transanal double stapling rectotomy for obstructed defecation
    G Dodi
    Coloproctology Unit, University Hospital, Padua, Italy
    Tech Coloproctol 7:148-53. 2003
    ..We report the postoperative complications and recurrence of symptoms following this novel operation...
  79. ncbi Outcome of submucosal injection of different sclerosing materials for rectal prolapse in children
    M A Baky Fahmy
    Al Galaa Teaching Hospital, 25th July Street, Cairo, Egypt
    Pediatr Surg Int 20:353-6. 2004
    ..mainly enterobiasis and amoebiasis, and poor toilet training practices are commonly associated with rectal prolapse in developing countries...
  80. ncbi Robotic assisted rectopexy
    Yaron Munz
    Department of Surgical Oncology and Technology, Imperial College School of Science, Technology and Medicine, St Mary s Campus, London, United Kingdom
    Am J Surg 187:88-92. 2004
    ..This study describes the surgical technique and preliminary results of our first 6 cases of robotic assisted suture rectopexy...
  81. ncbi Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse
    M J Solomon
    Department of Colorectal Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, New South Wales, Australia
    Br J Surg 89:35-9. 2002
    ..the objective stress response of laparoscopic and open abdominal rectopexy in patients with full-thickness rectal prolapse. Abdominal rectopexy for patients with rectal prolapse is well suited for a laparoscopic approach as no ..
  82. ncbi The Altemeier repair: outpatient treatment of rectal prolapse
    M H Kimmins
    Department of Surgery, Northwest Hospital, Seattle, Washington, USA
    Dis Colon Rectum 44:565-70. 2001
    PURPOSE: Rectal prolapse typically occurs in elderly patients, who are often poor surgical candidates because of the presence of multiple comorbidities...
  83. ncbi PPH stapled hemorrhoidectomy--a cautionary note
    Mario Pescatori
    Dis Colon Rectum 46:131. 2003
  84. ncbi Open vs. laparoscopic surgery for rectal prolapse: a case-controlled study assessing short-term outcome
    Matti V Kairaluoma
    Department of Gastroenterological Surgery, Central Hospital of Jyvaskyla, Jyvaskyla, Finland
    Dis Colon Rectum 46:353-60. 2003
    This study was undertaken to evaluate the efficacy and safety of laparoscopic repair for rectal prolapse.
  85. ncbi Injection sclerotherapy of rectal prolapse in children with 15 percent saline solution
    M Abes
    Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey
    Eur J Pediatr Surg 14:100-2. 2004
    A wide variety of sclerosing agents have been used in the treatment of rectal prolapse (RP) in children. We have used 15 % saline solution for the first time in the treatment...
  86. ncbi Early recovery after abdominal rectopexy with multimodal rehabilitation
    Linda Basse
    Unit of Gastroenterology, Surgical Section, University of Copenhagen, Hvidovre University Hospital, Hvidovre, Denmark
    Dis Colon Rectum 45:195-9. 2002
    ..The aim of this study was to describe the results after abdominal rectopexy with a multimodal rehabilitation program...
  87. ncbi Management of recurrent rectal prolapse: surgical approach influences outcome
    Scott R Steele
    Department of Colorectal Surgery, University of Minnesota, Minneapolis, Minnesota, USA
    Dis Colon Rectum 49:440-5. 2006
    Recurrent rectal prolapse is an unresolved problem and the optimal treatment is debated. This study was designed to review patterns of care and outcomes in a large cohort of patients after surgery for recurrent prolapse.
  88. ncbi Mesh invasion of the rectum: an unusual late complication of rectal prolapse repair
    Erdal Karagulle
    Department of General Surgery, Baskent University Faculty of Medicine, Konya, Turkey
    Int J Colorectal Dis 21:724-7. 2006
    Various surgical techniques have been described for repair of rectal prolapse; however, there is no agreement on a standard treatment method. In the Ripstein procedure, the rectum is fixed to the sacrum with a piece of mesh material...
  89. ncbi Laparoscopic rectal prolapse surgery combined with short hospital stay is safe in elderly and debilitated patients
    M Carpelan-Holmström
    Department of Surgery, Helsinki University Central Hospital, Lapinlahdenkatu 16, 00290 HUS, Helsinki, Finland
    Surg Endosc 20:1353-9. 2006
    We report the results of patients treated from January 2000 to June 2004 for full-thickness rectal prolapse with trans-abdominal surgery in Helsinki.
  90. ncbi Rectal stenosis after procedures for prolapse and hemorrhoids (PPH)--a report from China
    Liqin Yao
    Department of General Surgery, Zhongshan Hospital, Fudan University Medical Center, Shanghai, 200032, People s Republic of China
    World J Surg 30:1311-5. 2006
    ..Stenosis of the lower rectum is one of the delayed complications. In order to evaluate this specific problem following PPH, we reviewed our data with special reference to potential predictive factors or stenotic events...
  91. ncbi Rectal prolapse in women with other defects of pelvic floor support
    W A Peters
    Pacific Gynecology Specialists and the Department of Obstetrics and Gynecology, University of Washington, Seattle 98104, USA
    Am J Obstet Gynecol 184:1488-94; discussion 1494-5. 2001
    OBJECTIVES: We describe a series of patients with rectal prolapse who had other pelvic floor defects. STUDY DESIGN: Patients with rectal prolapse that we examined between 1990 and 2000 were reviewed...
  92. ncbi New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel transanal stapled techniques from a randomised controlled trial
    Paolo Boccasanta
    1st Department of General Surgery, Ospedale Maggiore di Milano, I R C C S University of Milan, Milan, Italy
    Int J Colorectal Dis 19:359-69. 2004
    ..A randomised trial was undertaken to compare the clinical and functional results of two novel transanal stapled techniques in patients with outlet obstruction syndrome...
  93. ncbi [Fournier gangrene as a rare complication after stapler hemorrhoidectomy. Case report and review of the literature]
    C Bonner
    Koloproktologische Klinik, Kliniken St Antonius, Wuppertal
    Chirurg 72:1464-6. 2001
    ..To our knowledge the described case of a lethal outcome after staplerhemorrhoidectomy is the first one reported in literature...
  94. ncbi Recent concepts in fecal incontinence
    J M Douglas
    Section of Colon and Rectal Surgery, Washington Hospital Center, 110 Irving Street NW, Suite 3B-31, Washington, DC 20010, USA
    Curr Womens Health Rep 1:67-71. 2001
    ..factors include previous vaginal deliveries, pelvic or perineal trauma, previous anorectal surgery, and rectal prolapse. Many physicians lack experience and knowledge related to pelvic floor incontinence disorders, but advancing ..
  95. ncbi The value of posterior levator repair in the treatment of anorectal incontinence due to rectal prolapse--a clinical and manometric study
    A Kohler
    St Joseph Hospital Laar, Clinic for Colo proctology, Duisburg, Germany
    Langenbecks Arch Surg 386:188-92. 2001
    When treating a complete rectal prolapse, the most important objective is elimination of the prolapse. In addition, restoration of sufficient anorectal continence is extremely important for the patients...
  96. ncbi Incidence of occult rectal prolapse in patients with clinical rectoceles and defecatory dysfunction
    Jason R Thompson
    Department of Gynecologic Surgery, Mayo Clinic, Jacksonville, Fla, USA
    Am J Obstet Gynecol 187:1494-9; discussion 1499-500. 2002
    The purpose of this study was to determine the incidence of occult rectal prolapse (rectal intussusception) by defecating proctography in patients with clinical rectoceles and defecatory dysfunction.
  97. ncbi Bowel symptoms 1 year after surgery for prolapse: further analysis of a randomized trial of rectocele repair
    A Marcus Gustilo-Ashby
    Section of Urogynecology and Reconstructive Pelvic Surgery, Division of Surgery, Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, OH, USA
    Am J Obstet Gynecol 197:76.e1-5. 2007
    ..The purpose of this study was to analyze change in bowel function and its relationship to vaginal anatomy 1 year after rectocele repair and pelvic reconstruction in a randomized trial of 3 techniques of rectocele repair...
  98. ncbi "Graciloplasty" in treatment of recurrent complete rectal prolapse: case report
    S O Khainga
    Department of Surgery, College of Health Sciences, University of Nairobi, P O Box 19676 00202, Nairobi, Kenya
    East Afr Med J 84:398-400. 2007
    Gracilis muscle flap was used to treat a seven year old boy with a one year history of recurrent rectal prolapse. Initial perineal surgery in form of Thiersch stitch resulted into failure to control rectal prolapse and damage to anal ..
  99. ncbi [Surgical options in the treatment of rectal prolapse: indications, techniques and results]
    M Sailer
    Klinik fur Chirurgie, Bethesda Allgemeines Krankenhaus Bergedorf, Hamburg
    Zentralbl Chir 132:350-7. 2007
    Two different approaches can be distinguished in the surgical treatment of rectal prolapse, i. e. the transabdominal route and the perineal procedures...
  100. ncbi Preoperative anal manometry predicts continence after perineal proctectomy for rectal prolapse
    Sean C Glasgow
    Department of Surgery, Section of Colon and Rectal Surgery, Washington University School of Medicine, St Louis, Missouri 63110, USA
    Dis Colon Rectum 49:1052-8. 2006
    This study examines whether preoperative anal manometry and pudendal nerve terminal motor latency predict functional outcome after perineal proctectomy for rectal prolapse.
  101. ncbi [Actual Role of Stapled Transanal Rectal Resection (STARR) for obstructed defecation syndrome]
    O Schwandner
    Klinik für Chirurgie und Beckenbodenzentrum Regensburg, Caritas Krankenhaus St Josef, Regensburg
    Zentralbl Chir 133:116-22. 2008
    Internal rectal prolapse (rectal intussusception) and rectocele are frequent clinical findings in patients suffering from refractory constipation that may be best characterized as "obstructive defecation syndrome" (ODS)...

Research Grants4

  1. The roles of MKP-1 in Gram-negative bacterial sepsis and colitis
    Yusen Liu; Fiscal Year: 2010
    ..mice housed in conventional but not pathogen-free conditions are known to develop colitis associated with rectal prolapse. Conversely, deletion of both MKP-1 and IL-10 caused severe rectal prolapse even in pathogen-free conditions...
  2. Mid Career Award in Patient Oriented Pelvic Floor Research
    Holly E Richter; Fiscal Year: 2013
    ..in the older woman, rectoceles, defecatory dysfunction, outcomes associated with sphincteroplasty and rectal prolapse surgery...
  3. Human mitochondrial fatty acid synthase
    Stuart Smith; Fiscal Year: 2009
    ..Elucidation of the role of the mitFAS system in mitochondrial function may aid in understanding the etiology of these disorders. ..
  4. STRUCTURE AND SPECIFICITY OF LIPOGENIC ENZYMES
    Stuart Smith; Fiscal Year: 2008
    ..abstract_text> ..