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01-12-2024 | Rectal Prolapse | Research

Mental health disorders as a risk factor in young patients with rectal prolapse

Authors: Ashlyn E. Whitlock, Kevin R. Arndt, Benjamin G. Allar, Michelle N. Fakler, Thomas E. Cataldo, Kristen T. Crowell, Anne C. Fabrizio, Evangelos Messaris

Published in: Langenbeck's Archives of Surgery | Issue 1/2024

Abstract

Background

Rectal prolapse (RP) typically presents in the elderly, though it can present in younger patients lacking traditional risk factors. The current study compares medical and mental health history, presentation, and outcomes for young and older patients with RP.

Methods

This is a single-center retrospective review of patients who underwent abdominal repair of RP between 2005 and 2019. Individuals were dichotomized into two groups based on age greater or less than 40 years.

Results

Of 156 patients, 25 were < 40. Younger patients had higher rates of diagnosed mental health disorders (80% vs 41%, p < 0.001), more likely to take SSRIs (p = .02), SNRIs (p = .021), anxiolytics (p = 0.033), and antipsychotics (p < 0.001). Younger patients had lower preoperative incontinence but higher constipation. Both groups had low rates of recurrence (9.1% vs 11.6%, p = 0.73).

Conclusions

Young patients with RP present with higher concomitant mental health diagnoses and represent unique risk factors characterized by chronic straining compared to pelvic floor laxity.

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Title: Mental health disorders as a risk factor in young patients with rectal prolapse
Authors: Ashlyn E. Whitlock
Kevin R. Arndt
Benjamin G. Allar
Michelle N. Fakler
Thomas E. Cataldo
Kristen T. Crowell
Anne C. Fabrizio
Evangelos Messaris
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Rectal Prolapse
Constipation
Constipation
Antidepressant Drugs
Antidepressant Drugs
Published in: Langenbeck's Archives of Surgery / Issue 1/2024
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-024-03262-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mental health disorders as a risk factor in young patients with rectal prolapse

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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