Skip to main content

Advertisement

SpringerLink
Log in

Evacuation difficulties and other characteristics of rectal function associated with procidentia and the ripstein operation

  • Published:
Diseases of the Colon & Rectum

Abstract

Twenty-one patients with rectal prolapse (N=15) or internal rectal procidentia (N=6) were investigated clinically and by anorectal manometry prior to and six months following rectopexy. Symptoms such as urgency, rectal pain, blood, and mucous discharge were markedly relieved by the operation. Rectal evacuation and number of bowel motions seemed to be unaffected. Rectal volume, sensibility, and compliance did not change following surgery. Rectal sensibility was reduced in these patients compared with 15 controls, but there was no difference in rectal volume or rectal compliance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Holmström B, Brodén G, Dolk A. Results of the Ripstein operation in the treatment of rectal prolapse and internal rectal procidentia. Dis Colon Rectum 1986;29:845–8.

    Article  PubMed  Google Scholar 

  2. Loygue J, Nordlinger B, Cunci O, Malafosse M, Huguet C, Parc R Rectopexy to the promontory for the treatment of rectal prolapse: report of 257 cases. Dis Colon Rectum 1984;27:356–9.

    PubMed  CAS  Google Scholar 

  3. Morgan CN, Porter NH, Klugman DJ. Ivalon (polyvinyl alcohol) sponge in the repair of complete rectal prolapse. Br J Surg 1972;59:841–6.

    PubMed  CAS  Google Scholar 

  4. Penfold JB, Hawley PR. Experiences of Ivalon-sponge implant for complete rectal prolapse at St. Mark's hospital 1960–70. Br J Surg 1972;59:846–8.

    PubMed  CAS  Google Scholar 

  5. Jurgeleit MC, Corman ML, Coller JA, Veidenheimer MC. Procidentia of the rectum: teflon sling repair of rectal prolapse, Lahey Clinic experience. Dis Colon Rectum 1975;18:464–7.

    PubMed  CAS  Google Scholar 

  6. Launer DP, Fazio VW, Weakley FL, Turnbull RB Jr, Jagelman DG, Lavery IC. The Ripstein procedure: a 16-year experience. Dis Colon Rectum 1982;25:41–5.

    Article  PubMed  CAS  Google Scholar 

  7. Keighley MR, Fielding JW, Alexander-Williams J. Results of Marlex mesh abdominal rectopexy for rectal prolapse in 100 consecutive patients. Br J Surg 1983;70:229–32.

    PubMed  CAS  Google Scholar 

  8. Schlinkert RT, Beart RW Jr, Wolff BG, Pemberton JH. Anterior resection for complete rectal prolapse. Dis Colon Rectum 1985;28:409–12.

    PubMed  CAS  Google Scholar 

  9. Holmström B, Broden G, Dolk A, Frenckner B. Increased anal resting pressure following the Ripstein operation: a contribution to continence? Dis Colon Rectum 1986;29:485–7.

    Article  PubMed  Google Scholar 

  10. Holmström B, Ahlberg J, Bergstrand O, Broden G, Ewerth S. Results of the treatment of rectal prolapse operated according to Ripstein. Acta Chir Scand (suppl) 1978;482:51–2.

    Google Scholar 

  11. Ahlbäck S, Brodén B, Broden G, Ewerth S, Holmström B. Rectal anatomy following Ripstein's operation for prolapse studied by cineradiography. Dis Colon Rectum 1979;22:333–5.

    PubMed  Google Scholar 

  12. Breland U, Bauer H, Ling L. Ripstein kontra främre resektion vid procidentia recti. Svensk Kirurgi 1984;42:51.

    Google Scholar 

  13. Ripstein CB, Surgical care of massive rectal prolapse. Dis Colon Rectum 1965;8:34–8.

    PubMed  CAS  Google Scholar 

  14. Swash M, Henry MM, Snooks SJ. Unifying concept of pelvic floor disorders and incontinence. J R Soc Med 1985;78:906–11.

    PubMed  CAS  Google Scholar 

  15. Lescher TJ, Corman ML, Coller JA, Veidenheimer MC. Management of late complications of Teflon® sling repair for rectal prolapse. Dis Colon Rectum 1979;22:445–7.

    PubMed  CAS  Google Scholar 

  16. Broden B, Snellman B. Procidentia of the rectum studied with cineradiography: a contribution to the discussion of causative mechanism. Dis Colon Rectum 1968;11:330–47.

    PubMed  CAS  Google Scholar 

  17. Johansson C, Thre T, Ahlbäck SO. Disturbances in the defecation mechanism with special reference to intussusception of the rectum (internal procidentia). Dis Colon Rectum 1985;28:920–4.

    Article  PubMed  CAS  Google Scholar 

  18. Barnes PR, Hawley PR, Preston DM, Lennard-Jones JE. Experience of posterior division of the puborectalis muscle in the management of chronic constipation. Br J Surg 1985;72:475–77.

    PubMed  CAS  Google Scholar 

  19. Keighley MR, Shouler PJ. Outlet syndrome: is there a surgical option? J R Soc Med 1984;77:559–63.

    PubMed  CAS  Google Scholar 

  20. Keighley MR, Shouler PJ. Abnormalities of colonic function in patients with rectal prolapse and faecal incontinence. Br J Surg 1984;71:892–95.

    PubMed  CAS  Google Scholar 

  21. Watts JD, Rothenberger DA, Buls JG, Goldberg SM, Nivatvongs S. The management of procidentia: 30 years' experience. Dis Colon Rectum 1985;28:96–102.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Karolinska Institutet at Danderyd Hospital, S-182 88, Danderyd, Sweden

    G. Brodén M.D., A. Dolk M.D. & B. Holmström M.D.

Authors
  1. G. Brodén M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Dolk M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Holmström M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Brodén, G., Dolk, A. & Holmström, B. Evacuation difficulties and other characteristics of rectal function associated with procidentia and the ripstein operation. Dis Colon Rectum 31, 283–286 (1988). https://doi.org/10.1007/BF02554361

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02554361

Key words

Search

Navigation