Recurrent Rectal Prolapse

Abstract

Surgical correction is the primary treatment of external rectal prolapse. The likelihood that rectal prolapse will return is reported to be between 5 and 40% depending on a combination of technical and patient factors. In this review, we will present patient features as well as technical factors during index repair that have been shown to place patients at higher risk of recurrence. Subsequently, we will present the available data regarding the management of recurrent rectal prolapse and our approach in the care of patients with recurrence.

Keywords

rectal prolapse - rectopexy - recurrence - resection

Publikationsverlauf

Artikel online veröffentlicht:
28. Februar 2025

• References

• 1 Bordeianou L, Paquette I, Johnson E. et al. Clinical practice guidelines for the treatment of rectal prolapse. Dis Colon Rectum 2017; 60 (11) 1121-1131
• 2 Keller DS, Smart N. Is rectal prolapse a hernia?. Colorectal Dis 2022; 24 (04) 351-352
• 3 Neshatian L, Lee A, Trickey AW, Arnow KD, Gurland BH. Rectal prolapse: age-related differences in clinical presentation and what bothers women most. Dis Colon Rectum 2021; 64 (05) 609-616
• 4 Steele SR, Hull TL, Hyman N. et al. The ASCRS Textbook of Colon and Rectal Surgery. 4th ed. Springer; 2022
• 5 Bordeianou L, Ogilvie Jr JW, Saraidaridis JT. et al; Steering Committee for the Pelvic Floor Disorders Consortium Quality Improvement in Rectal Prolapse Surgery Database Pilot. Durable approaches to recurrent rectal prolapse repair may require avoidance of index procedure. Dis Colon Rectum 2024; 67 (07) 968-976
• 6 Schaffer JI, Wai CY, Boreham MK. Etiology of pelvic organ prolapse. Clin Obstet Gynecol 2005; 48 (03) 639-647
• 7 Emile SH, Elfeki H, Shalaby M, Sakr A, Sileri P, Wexner SD. Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse: a systematic review, meta-analysis, and meta-regression analysis of the predictors for recurrence. Surg Endosc 2019; 33 (08) 2444-2455
• 8 Lammers K, Lince SL, Spath MA. et al. Pelvic organ prolapse and collagen-associated disorders. Int Urogynecol J 2012; 23 (03) 313-319
• 9 Petersen S, Tobisch A, Puhl G, Kötter I, Wollina U. Stubborn rectal prolapse in systemic sclerosis. Reumatologia 2017; 55 (02) 100-103
• 10 Singh S, Smyth E, Jones O, Cunningham C, Lindsey I. Outcomes of rectal prolapse surgery in patients with benign joint hypermobility syndrome. Tech Coloproctol 2023; 27 (06) 491-494
• 11 Lee UJ, Kerkhof MH, van Leijsen SA, Heesakkers JP. Obesity and pelvic organ prolapse. Curr Opin Urol 2017; 27 (05) 428-434
• 12 Marceau C, Parc Y, Debroux E, Tiret E, Parc R. Complete rectal prolapse in young patients: psychiatric disease a risk factor of poor outcome. Colorectal Dis 2005; 7 (04) 360-365
• 13 Fu CWP, Stevenson ARL. Risk factors for recurrence after laparoscopic ventral rectopexy. Dis Colon Rectum 2017; 60 (02) 178-186
• 14 Pikarsky AJ, Joo JS, Wexner SD. et al. Recurrent rectal prolapse: what is the next good option?. Dis Colon Rectum 2000; 43 (09) 1273-1276
• 15 Gurland B, ECarvalho MEC, Ridgeway B, Paraiso MFR, Hull T, Zutshi M. Should we offer ventral rectopexy to patients with recurrent external rectal prolapse?. Int J Colorectal Dis 2017; 32 (11) 1561-1567
• 16 Lundby L, Iversen LH, Buntzen S, Wara P, Høyer K, Laurberg S. Bowel function after laparoscopic posterior sutured rectopexy versus ventral mesh rectopexy for rectal prolapse: a double-blind, randomised single-centre study. Lancet Gastroenterol Hepatol 2016; 1 (04) 291-297
• 17 Hidaka J, Elfeki H, Duelund-Jakobsen J, Laurberg S, Lundby L. Functional outcome after laparoscopic posterior sutured rectopexy versus ventral mesh rectopexy for rectal prolapse: six-year follow-up of a double-blind, randomized single-center study. EClinicalMedicine 2019; 16: 18-22
• 18 La Greca G, Sofia M, Primo S, Randazzo V, Lombardo R, Russello D. Laparoscopic implementation of the Altemeier procedure for recurrent rectal prolapse. Technical note. Int J Surg Case Rep 2014; 5 (07) 347-349
• 19 Ng ZQ, Levitt M, Tan P, Makin G, Platell C. Long-term outcomes of surgical management of rectal prolapse. ANZ J Surg 2019; 89 (06) E231-E235
• 20 Shin J-W, Hong K-D, Lee D-H, Kim D-S, Lee D-S. Laparoscopic ventral mesh rectopexy (LVMR) for internal and external rectal prolapse: an analysis of 122 consecutive patients. Surg Laparosc Endosc Percutan Tech 2021; 31 (04) 479-484
• 21 Senapati A, Gray RG, Middleton LJ. et al; PROSPER Collaborative Group. PROSPER: a randomised comparison of surgical treatments for rectal prolapse. Colorectal Dis 2013; 15 (07) 858-868
• 22 Raftopoulos Y, Senagore AJ, Di Giuro G, Bergamaschi R. Rectal Prolapse Recurrence Study Group. Recurrence rates after abdominal surgery for complete rectal prolapse: a multicenter pooled analysis of 643 individual patient data. Dis Colon Rectum 2005; 48 (06) 1200-1206
• 23 Bachoo P, Brazzelli M, Grant A. Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev 2000; (02) CD001758
• 24 Glasgow SC, Birnbaum EH, Kodner IJ, Fleshman Jr JW, Dietz DW. Recurrence and quality of life following perineal proctectomy for rectal prolapse. J Gastrointest Surg 2008; 12 (08) 1446-1451
• 25 Bordeianou L, Ogilvie J, Murphy M. et al; Members of the Pelvic Floor Disorders Consortium Quality Improvement in Rectal Prolapse Surgery Database Pilot. Does concomitant pelvic organ prolapse repair at the time of rectopexy impact rectal prolapse recurrence rates? A retrospective review of the prospectively collected pelvic floor disorders consortium quality improvement database pilot. Dis Colon Rectum 2022; 65 (12) 1522-1530
• 26 Karas JR, Uranues S, Altomare DF. et al; Rectal Prolapse Recurrence Study Group. No rectopexy versus rectopexy following rectal mobilization for full-thickness rectal prolapse: a randomized controlled trial. Dis Colon Rectum 2011; 54 (01) 29-34
• 27 Tou S, Brown SR, Nelson RL. Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev 2015; 2015 (11) CD001758
• 28 van der Schans EM, Verheijen PM, Broeders IAMJ, Consten ECJ. Ninety-day morbidity of robot-assisted redo surgery for recurrent rectal prolapse, mesh erosion and pelvic pain: lessons learned from 9 years' experience in a tertiary referral centre. Colorectal Dis 2021; 23 (12) 3205-3212
• 29 Hool GR, Hull TL, Fazio VW. Surgical treatment of recurrent complete rectal prolapse: a thirty-year experience. Dis Colon Rectum 1997; 40 (03) 270-272
• 30 Brown SR, Pearson K, Hainsworth A, Williams A. Treatment of recurrent rectal prolapse after a laparoscopic ventral mesh rectopexy. Tech Coloproctol 2022; 26 (12) 991-995
• 31 Hotouras A, Ribas Y, Zakeri S. et al. A systematic review of the literature on the surgical management of recurrent rectal prolapse. Colorectal Dis 2015; 17 (08) 657-664
• 32 Ding J-H, Canedo J, Lee SH, Kalaskar SN, Rosen L, Wexner SD. Perineal rectosigmoidectomy for primary and recurrent rectal prolapse: are the results comparable the second time?. Dis Colon Rectum 2012; 55 (06) 666-670
• 33 Laitakari KE, Mäkelä-Kaikkonen JK, Kairaluoma M. et al. Redo ventral rectopexy: is it worthwhile?. Tech Coloproctol 2021; 25 (03) 299-307