[Rectal prolapse in adults].
The etiology of rectal prolapse is unclear. Diagnosis is easy by local inspection. The ideal surgery would repair the prolapse, correct any functional problems such as incontinence or constipation, be minimally invasive and cost-effective, and result in minimal morbidity and recurrence. The best surgical repair remains controversial-whether by the transanal/perineal or abdominal approach-with or without resection and rectopexy. There are no prospective-randomized studies that convincingly answer the numerous questions. The best possible option today seems to be the abdominal/laparoscopic method with a resection rectopexy according to Frykman and Goldberg.
Chirurgische Klinik, Städtisches Krankenhaus München-Bogenhausen, Englschalkinger Strasse 77, 81927 Munich, Germany. WUHEITLAND@aol.com
W
W
Heitland
D000328:Adult; D000367:Age Factors; D000368:Aged; D003248:Constipation / Q000150:complications; D005242:Fecal Incontinence / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy; D008297:Male; D011183:Postoperative Complications; D012005:Rectal Prolapse / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012008:Recurrence; D012737:Sex Factors; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome