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Comparison of Delorme-Thiersch Operation Outcomes in Men and Women With Rectal Prolapse
Annals of Coloproctology ; : 262-267, 2019.
Article in English | WPRIM | ID: wpr-762329
ABSTRACT

PURPOSE:

The laparoscopic rectopexy has become increasingly popular with verified stability, surgical route selection should be tailored to individual patient characteristics rather than operative risk. The perineal approach is useful in young male patients who need to preserve fertility. This study aimed to compare the characteristics of men and women who underwent Delorme-Thiersch procedures and analyze the postoperative outcomes of the perineal approach by sex.

METHODS:

We retrospectively reviewed the medical records of 293 patients who underwent Delorme-Thiersch operations in Seoul Song Do Colorectal Hospital between January 2011 and September 2017. Patient clinical characteristics and postoperative complications were analyzed by sex. We analyzed surgical outcomes with preoperative and 3-month postoperative incontinence questionnaires, constipation levels, and anal manometry.

RESULTS:

In this study, men with rectal prolapse were younger than women with the same condition. American Society of Anesthesiologists physical status classifications were higher in women and women had more L-spine X-ray and pudendal nerve terminal motor latency test abnormalities. Anorectal manometry pressures were higher in men. Men also had longer operation times and hospital stays and more postoperative complications (8 T ring infections, 6 patients with bleeding, 3 with strictures, 2 with severe pain, and 2 with rectal perforations). The recurrence rate was higher among women.

CONCLUSION:

Men with rectal prolapse were younger, healthier, and had relatively better anorectal function than women. The Delorme-Thiersch operation in men promoted lower recurrence rates and was advantageous in preserving the fertility of young patients, but the incidence of complications was also higher in men. Adequate counseling and preparation for the possibility of complications are needed.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / Recurrence / Medical Records / Incidence / Retrospective Studies / Rectal Prolapse / Classification / Constipation / Constriction, Pathologic / Counseling Type of study: Incidence study / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Annals of Coloproctology Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / Recurrence / Medical Records / Incidence / Retrospective Studies / Rectal Prolapse / Classification / Constipation / Constriction, Pathologic / Counseling Type of study: Incidence study / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Annals of Coloproctology Year: 2019 Type: Article