How should we manage complete rectal prolapse in men?

Emile, Sameh Hany

doi:10.1111/codi.14745

Cited by 2 publications

(2 citation statements)

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“…In men, traditional teaching and a prominent surgical textbook have advocated for a perineal approach due to concerns over pelvic nerve injury and impaired sexual function postoperatively; however, there has been no definitive evidence for this [13]. A recent editorial also highlight the uncertainty about the surgical management of men with rectal prolapse [15].…”

Section: Introductionmentioning

confidence: 99%

Outcomes for men undergoing rectal prolapse surgery – a systematic review

et al. 2023

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INTRODUC TI ON BackgroundExternal rectal prolapse (ERP) is defined as a protrusion of all layers of the rectal wall through the anal canal [1]. Factors that may contribute to the development of rectal prolapse include pelvic floor dysfunction, chronic straining, a deep pouch of Douglas and multiparity [1,2]. The condition is estimated to affect 0.5% of the population, with older, multiparous women predominantly affected [3,4].Men account for 10% of the rectal prolapses seen and treated [5][6][7].Rectal prolapse in men is much higher in countries such as Egypt, where it commonly affects younger patients, but the exact mechanism for this is not well known [8][9][10].Surgical management of ERP can be broadly divided into abdominal and perineal approaches [11]. Most of the published literature on rectal prolapse focuses on women, with little guidance on the management of rectal prolapse in men [12]. The perineal approach is often reserved for clinically comorbid and frail patients

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Section: Introductionmentioning

confidence: 99%

Outcomes for men undergoing rectal prolapse surgery – a systematic review

et al. 2023

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“…Full‐thickness rectal prolapse (RP) is a circumferential descent of the rectal wall, for whom the causative factors are not well understood. Schistosomiasis, occult childhood prolapse or connective tissue disorders have been suggested as causative factors [1,2,3].…”

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confidence: 99%