title: Laparoscopic Rectopexy: First Option for Rectal Prolapse?
abstract: BACKGROUND
  Rectal prolapse (RP) is one of the benign anorectal diseases and impairs the quality of life due to co-existing constipation and incontinence problems. There is no consensus for the most accurate surgical method for its treatment.
  
  
  OBJECTIVE
  The objective was to evaluate the short- and long-term results of patients with rectal prolapse who underwent surgery in our clinic.
  
  
  METHODS
  A retrospective analysis was performed of 83 patients with RP who underwent surgery between 1997-2013 in terms of demographic data, surgical technique, complications, and early and late outcomes.
  
  
  RESULTS
  The mean age was 45 years (± 18 years) and 60% (n = 50) of the patients were female. The mean body mass index (BMI) was 24.3 (± 4.1) kg/m2. The mean age was significantly higher in the transperineal approach (PA group) than transabdominal approach (TA group) (p < 0.05). The length of hospital stay was not affected by surgical technique (open or laparoscopic or perineal surgery), but in the subgroup analysis it was significantly shorter for laparoscopic rectopexy (p< 0.05). The median follow-up was 80 ± 38.6 months. Ten (12%) patients had recurrence during the follow-up period; however, recurrence was not associated with the type of surgical technique (p = 0.824).
  
  
  CONCLUSIONS
  Giving consideration to patients additional symptoms and general condition before committing to a surgical method for RP may improve the success rate. Laparoscopic rectopexy should be considered as the first option in the treatment RP owing to its favorable early-term outcomes and acceptable rate of long-term recurrence.
authors.forename: Metin
authors.initials: M
authors.lastname: Keskin
authors.forename: Dogan
authors.initials: D
authors.lastname: Gönüllü
authors.forename: Bora
authors.initials: B
authors.lastname: Karip
authors.forename: Emre
authors.initials: E
authors.lastname: Balik
authors.forename: M Türker
authors.initials: MT
authors.lastname: Bulut
mesh_terms: D000328:Adult; D003248:Constipation / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012005:Rectal Prolapse / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome