Background: Although rectal prolapse is not a life-threatening condition, it can cause defecation disorders, anal incontinence, sensory abnormalities, and other problems that can seriously affect quality of life.
Aim: To study the efficacy of the modified Gant procedure for elderly women with internal rectal prolapse.
Methods: Sixty-three elderly female patients with internal rectal prolapse underwent the modified Gant procedure. The preoperative and postoperative anal symptoms, Patient Assessment of Constipation Quality of Life (PAC-QOL), Wexner incontinence score, incontinence quality of life score, and complications (massive hemorrhage, infection, anorectal stenosis, and anorectal fistula) were compared.
Results: The improvement rates of postoperative symptoms were defecation disorders (84.5%), anal distention (69.6%), defecation sensation (81.4%), frequent defecation (88.7%), and anal incontinence (42.9%) ( < 0.05). All dimensions and total scores of the PAC-QOL after the procedure were lower than those before the operation ( < 0.05). The postoperative anal incontinence score and Wexner score were significantly lower than those before the procedure ( < 0.05). The quality of life and total scores of postoperative anal incontinence were significantly higher than those before the procedure ( < 0.05). There were no serious complications and no deaths.
Conclusion: The modified Gant procedure has significant advantages in the treatment of elderly women with internal rectal prolapse.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8546830 | PMC |
| http://dx.doi.org/10.12998/wjcc.v9.i29.8702 | DOI Listing |
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