Abstract
Fifty-six patients were treated for rectal prolapse or incontinence. Rectal prolapse was present in 32 patients and was associated with fecal incontinence in 24 (75 per cent). Incontinence without prolapse was present in 24 patients, 12 of whom were less than 40 years old. Rectopexy was used for treatment of rectal prolapse. Surgical treatment of fecal incontinence was by post-anal repair; external sphincter reconstruction and surgery was advised only if control of diarrhea and electrical therapy had been of no benefit. Rectopexy was completely successful at controlling rectal prolapse in all cases, and only four of the 20 (20 per cent) patients with incontinence and prolapse remained incontinent after rectopexy alone. Incontinence was completely controlled by postanal repair in 58 per cent of patients and by external sphincter repair alone or in combination with postanal repair in 67 per cent. Using a combination of therapies 45 of 48 patients who were initially incontinent were improved (94 per cent), and 42 of the patients have complete control of defecation (87 per cent).
Similar content being viewed by others
References
Wells C. New operation for rectal prolapse. Proc R Soc Med 1959;52:602–3.
Ripstein CB. Surgical cure of massive rectal prolapse. Dis Colon Rectum 1965;8:34–8.
Hopkinson BR, Hardman J. Silicone rubber perianal suture for rectal prolapse. Proc R Soc Med 1973;66:1095–8.
Hopkinson BR, Lightwood R. Electrical treatment of anal incontinence. Lancet 1966;1:297–8.
Parks AG. Anorectal incontinence. Proc R Soc Med 1975;68:681–90
Hancock BD. Measurement of anal pressure and motility. Gut 1976;17:645–51.
Morgan CN, Porter NH, Klugman DJ. Ivalon (polyvinyl alcohol) sponge in the repair of complete rectal prolapse. Br J Surg 1972;59:841–6.
Penfold JC, Hawley PR. Experience of Ivalon-sponge implant for complete rectal prolapse at St. Mark's Hospital. 1960–70. Br J Surg 1972;59:846–8.
Gordon PH, Hoexter B. Complications of the Ripstein procedure. Dis Colon Rectum 1978;21:277–80.
Keighley MR, Makuria T, Alexander-Williams J, Arabi Y. Clinical and manometric evaluation of rectal prolapse and incontinence. Br J Surg 1980;67:54–6.
Author information
Authors and Affiliations
About this article
Cite this article
Keighley, M.R.B., Matheson, D.M. Results of treatment for rectal prolapse and fecal incontinence. Dis Colon Rectum 24, 449–453 (1981). https://doi.org/10.1007/BF02626780
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02626780