Outcome of Laparoscopic Ventral Mesh Rectopexy for Management of internal Rectal Prolapse

Abuelnasr, Mohamed I.; Elgohary, Hussein; Muse, Nur Macawiye; Bahbah, Mokhtar A

doi:10.21608/bmfj.2023.187809.1748

	Outcome of Laparoscopic Ventral Mesh Rectopexy for Management of internal Rectal Prolapse
Benha Medical Journal
Article 12, Volume 40, Annual conference issue, March and April 2023, Page 146-157 PDF (865.41 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.187809.1748
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Authors
Mohamed I. Abuelnasr¹; Hussein Elgohary²; Nur Macawiye Muse ³; Mokhtar A Bahbah⁴
¹General surgery department, benha faculty of medicine
²General surgey department, faculty of medicine, benha university, Egypt
³Department of General Surgery Faculty of Medicine- Benha University
⁴General Surgery Department, Faculty of Medicine, Benha University
Abstract
Background: Rectal prolapse can be treated using laparoscopic ventral rectopexy, which combines the benefits of a minimally invasive method with the decreased recurrence rate seen following abdominal operations. Although the procedure's safety and functional outcomes have been often discussed, there is a dearth of recent literature on functional outcomes, particularly sexual function and quality of life. aim To ascertain the surgical and functional outcome of LVMR for the management of patients with internal rectal prolapse and to ascertain the frequency of sexual activity among patients. Methods: This investigation involved 40 adult patients with symptomatic internal rectal prolapse, LVMR was done. At 6 and 12 months, patients were reassessed by anorectal manometry and Modified Longo score. Results: statistically significant decline in the frequency of need laxatives and a decrease in the Longo score. There are two cases of recurrence (5%) were found in postoperative period. Regarding anorectal manometry, there is a statistically significant increase in maximum squeeze pressure with a significant decrease in all rectal sensations with no significant change in mean resting pressure. There is a statistically significant increase in desire, arousal, satisfaction, and orgasm domains of FSFI score in 28 female patients while in males 2 cases (18%) reported transient retrograde ejaculation postoperative. Conclusions: LVR improves dyspareunia and sexual function in people with a history of sexual dysfunction in addition to its benefits for bowel function and structural repair. Additionally, it has a favorable effect on the quality of life, which is significant in the context of functional surgery.
Keywords
complete rectal prolapse; Internal rectal prolapse; Mesh rectopexy; Obstructed defecation


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