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Rectal Prolapse, Intussusception, Solitary Rectal Ulcer

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Coloproctology

Part of the book series: European Manual of Medicine ((EUROMANUAL))

Abstract

The understanding of the pathophysiology of rectal prolapse syndromes has progressed. Untreated total prolapse leads to fecal incontinence. Obstructed defecation and incontinence have been linked to internal rectal prolapse. Proper functional assessment should lead to a treatment tailored to the patient and will include surgery in a subgroup of patients.

Perineal approaches to rectal prolapse are still indicated in old and frail patients. Laparoscopic rectopexy techniques have become the standard of care. Laparoscopic ventral mesh rectopexy minimizes the mobilization of the rectum and allows prolapses of the middle and posterior pelvic compartment to be corrected. Therefore the technique can be used to treat not only rectal prolapse but also complex rectoceles and enteroceles.

There is ongoing debate regarding the type of mesh to be used to minimize the risk for mesh-related problems and to avoid prolapse recurrence. Despite improved surgical technique, not all patients experience a functional recovery, and there is a permanent need to monitor the functional sequelae of prolapse surgery.

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Author information

Authors and Affiliations

  1. Department of Abdominal Surgery, University Hospitals of Surgery, Leuven, Belgium

    André D’Hoore MD, PhD

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  1. André D’Hoore MD, PhD
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Correspondence to André D’Hoore MD, PhD .

Editor information

Editors and Affiliations

  1. End- und Dickdarm-Zentrum Mannheim, Mannheim, Germany

    Alexander Herold

  2. Clinique de chirurgie digestive et endocrinienne, Institut des maladies de l’appareil digestif, Hotel Dieu, Nantes, France

    Paul-Antoine Lehur

  3. Chirurgische Klinik mit Poliklinik, Universitaet Erlangen, Erlangen, Germany

    Klaus E. Matzel

  4. UCD School of Medicine, St Vincent’s University Hospital, Dublin, Ireland

    P. Ronan O'Connell

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D’Hoore, A. (2017). Rectal Prolapse, Intussusception, Solitary Rectal Ulcer. In: Herold, A., Lehur, PA., Matzel, K., O'Connell, P. (eds) Coloproctology. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53210-2_12

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  • DOI: https://doi.org/10.1007/978-3-662-53210-2_12

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  • Online ISBN: 978-3-662-53210-2

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