Eleven patients (nine women) with persistent faecal incontinence after rectopexy for rectal prolapse were treated by postanal repair. Follow-up data, including clinical and anorectal physiology, at 5-8 years (median 76 (range 64-95) months) were available for nine patients. At long-term follow-up, seven of the nine patients had improved continence (two were continent to solid and liquid stools, and five to solid stool). One patient required a colostomy. Median (range) physiological findings before and after postanal repair in the nine patients were: anal canal length 2.3 (1.5-3.0) versus 3.5 (2.0-5.5) cm (P < 0.05); resting anal pressure 20 (0-49) versus 35 (10-55) cmH2O (P < 0.05); perineal descent 2 (1-3) versus 0 (3 to -0.2) cm; and mean pudendal nerve terminal motor latency 2.35 (2.0-3.1) versus 2.85 (2.3-3.4) ms.
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Article Synopsis
- The study aimed to evaluate the long-term recurrence rate and risk factors for full-thickness rectal prolapse after Delorme's procedure in adult patients.
- A total of 42 patients were followed for a median of 85 months, with a 12% recurrence rate within 14 months and a 9.9% recurrence rate at five years.
- Key findings indicated that constipation and pelvic floor repair were linked to recurrence, with severe constipation significantly increasing the risk.
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