AI Article Synopsis
- Rectal prolapse surgery is primarily performed on females, but the study analyzed 978 male patients versus 11,242 female patients.
- The results indicated that males were generally younger and had a lower surgical risk profile, with differing rates of laparoscopic and perineal procedures compared to females.
- Despite differences in demographics and types of surgery, morbidity, reoperation, and readmission rates were similar between both sexes.
Article Abstract
Background: Rectal prolapse is relatively uncommon in male patients. The aim of this study was to compare males and females who underwent rectal prolapse surgery.
Study Design: Retrospective analysis of the ACS NSQIP public use file.
Results: Among 12,220 patients, 978 (8%) were male and 11,242 (92%) were female. Males were younger, 56 (38-73) vs. 71 (58-83) years, less often white (83% vs. 71%), had lower ASA scores, and underwent more laparoscopic (33% vs. 27%), more open (33% vs. 29%), and less perineal (33% vs 44%) procedures (all p < 0.05). Morbidity (9.9% vs. 10.0%), reoperation (3.4% vs. 3.1%), and readmission (5.7% vs. 6.0%) were not different for males and females. In subgroup analysis by surgical procedure type, there remained no outcome differences. Propensity matched analysis revealed no difference in the use of laparoscopic, open, or perineal procedures.
Conclusions: Males with rectal prolapse are younger, have a different racial distribution, a lower surgical risk profile, and undergo different surgical procedures than females, which appears to be driven by patient age and surgical risk assessment.
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| http://dx.doi.org/10.1016/j.amjsurg.2020.01.017 | DOI Listing |
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