Functional results after abdominal suture rectopexy for rectal prolapse or intussusception.
OBJECTIVE
To assess the functional outcome after suture rectopexy in patients with rectal prolapse or intussusception.


METHODS
Retrospective study.


METHODS
University hospital, Sweden.


METHODS
33 patients with rectal prolapse and 19 patients with intussusception treated by abdominal suture rectopexy 1969-1992.


METHODS
Bowel function evaluated by a questionnaire a median of 97 months after operation.


RESULTS
10/33 patients (30%) reported less constipation after rectopexy in the prolapse group compared with 3/19 (16%) in the intussusception group (p = 0.33). Rectal emptying improved in 14/33 (42%) and 1/19 (5%), respectively (p = 0.005), and incontinence in 12/33 (36%) and 3/19 (16%), respectively (p = 0.20). Seventeen patients (52%) with prolapse and 3 (16%) with intussusception described the result of operation as excellent or good (p = 0.02).


CONCLUSIONS
There is a reasonable chance of improved rectal emptying and continence in patients undergoing suture rectopexy for rectal prolapse, whereas bowel symptoms commonly worsen postoperatively in patients treated for intussusception.
Graf
W
W
Department of Surgery, University Hospital, Uppsala, Sweden.
Karlbom
U
U
Påhlman
L
L
Nilsson
S
S
Ejerblad
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003248:Constipation / Q000209:etiology; D003672:Defecation; D005260:Female; D006801:Humans; D007443:Intussusception / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012005:Rectal Prolapse / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome