Abstract
Introduction
This study explores the efficacy of Rubber Band Ligation (RBL) as a treatment for
symptomatic occult prolapse in a single outpatient center, proposing it as a viable
alternative to traditional surgical methods. The research aims to assess patient outcomes,
complication rates, and overall satisfaction with RBL, providing insights into its
potential as a less invasive treatment option. Occult prolapse, often underdiagnosed,
can significantly impact a patient's quality of life. Traditional surgical treatments,
while effective, come with higher risks and longer recovery periods. This study investigates
the use of RBL, a minimally invasive procedure commonly used for hemorrhoid treatment,
as an alternative for addressing symptomatic occult prolapse.
Methods
A retrospective analysis was conducted on patients diagnosed with symptomatic occult
prolapse at a single outpatient center. These patients underwent RBL treatment over
a defined period. Data on patient demographics, symptoms, procedure details, and follow-up
outcomes were collected and analyzed. The primary endpoints included symptom relief,
complication rates, and patient satisfaction.
Results
The study included 186 patients with a mean age of 48.3 years. Symptom relief was
achieved in about 80% of patients post-RBL, with a minor complication rate of 9%.
Common complications included minor bleeding and discomfort, which were manageable
with conservative measures. Results confirmed it is effective until 1 year with a
low rate of complications and could be offered conservative treatment for mucosal
prolapse.
Keywords
prolapse - rubber band ligation - complications - hospital stays
Bibliographical Record
Maurizio Gentile, Nunzio Velotti, Vincenzo Schiavone, Antonio Franzese, Sebastiano
Di Lascio. Treatment of Symptomatic Occult Prolapse by Rubber Band Ligation (RBL)
in a Single Outpatient Centre: A Suggestion for an Alternative to Surgery. Journal
of Coloproctology 2025; 45: s00451805010.
DOI: 10.1055/s-0045-1805010
