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International Journal of Colorectal Disease

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01-03-2005 | Original Article

Surgical management of combined rectal and genital prolapse in young patients: transabdominal approach

Authors: A. Ayav, L. Bresler, L. Brunaud, R. Zarnegar, P. Boissel

Published in: International Journal of Colorectal Disease | Issue 2/2005

Abstract

Background

The aim of this study was to determine the anatomical and functional outcomes of the simultaneous treatment of combined rectal and genital prolapse in young patients.

Methods

Between March 2001 and June 2002, eight female patients with symptomatic rectal and genital prolapse were enrolled in this study. The median age at the time of presentation was 44 years (range 34–53). All patients underwent simultaneous transabdominal treatment of their combined prolapse. Genital prolapse was treated by colpohysteropexy. Rectal prolapse was treated by mesh rectopexy or sutured rectopexy associated with sigmoid resection. The end evaluation to assess long-term results was performed after a median duration of follow-up of 17 months (range 10–24). Patients were asked about current problems with constipation, use of laxatives, incontinence and recurrence.

Results

The postoperative course was uneventful in 7 out of 8 cases. None of the patients had recurrence. Three patients out of 6 remained constipated postoperatively. One patient had a new onset of constipation postoperatively. None of the patients became faecally incontinent. Seven patients (87%) stated that they had improved overall after surgery.

Conclusion

Combined rectal and genital prolapse in young women can be safely treated simultaneously using an abdominal approach. The genital prolapse should be treated by colpohysteropexy. The rectal prolapse should be treated by mesh rectopexy in patients who are not constipated, and by sutured rectopexy plus sigmoid resection in patients who are constipated preoperatively.

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Title: Surgical management of combined rectal and genital prolapse in young patients: transabdominal approach
Authors: A. Ayav
L. Bresler
L. Brunaud
R. Zarnegar
P. Boissel
Publication date: 01-03-2005
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 2/2005
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-004-0647-8

At a glance: The STEP trials

Springer Medicine

Surgical management of combined rectal and genital prolapse in young patients: transabdominal approach

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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