5,111 results match your criteria: "Rectal Prolapse"

Introduction:  The perineal body preserving posterior sagittal anorectoplasty (PSARP) (PPP) is a novel modification of the original PSARP for female patients with rectovestibular fistulas designed to eliminate the risk of perineal body dehiscence. This study aims to examine the outcomes following PPP.

Methods:  A retrospective, single-institution study was performed examining female patients with rectovestibular fistula who underwent PPP between January /2020 and December 2023.

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Background: This investigation investigates the anti-inflammatory and fibrinolytic effects of a cocktail of probiotics derived from traditional dairy products in a murine model of ulcerative colitis (UC).

Materials And Methods: A mix of newly isolated probiotics containing , and was characterized and orally administered to inbred eight-week-old C57BL/6 male mice (n = 6). Clinical symptoms, pathohistological changes, and inflammatory and fibrosis markers were analyzed in the existence and absence of probiotics in colitis mice.

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Unlabelled: Disorders related to defaecation are widely common in the population and are often overlooked. Patients may present with a wide variety of symptoms such as constipation, faecal incontinence, painful defaecation, incomplete defaecation, hard stools, rectal bleeding, and mass per rectum. Complete clinical examination with radiological imaging, using dynamic MR Defaecography, can help in assessing, grading, and managing posterior compartment pelvic floor disorders and complex dysfunctions.

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Feasibility of IAPWG protocol in performing high-definition three-dimensional anorectal manometry: A prospective, multicentric italian study.

Tech Coloproctol

October 2024

Gastrointestinal Unit, Department of Translational Sciences and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Background: The International Anorectal Physiology Working Group (IAPWG) suggests a standardized protocol to perform high-resolution anorectal manometry. The applicability and possible limitations of the IAPWG protocol in performing three-dimensional high-definition anorectal manometry (3D-ARM) have still to be extensively evaluated.

Methods: The IAPWG protocol was applied in performing 3D-ARM.

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Introduction: Track and field is a high-impact sport that may facilitate pelvic floor dysfunction (PFD) of females. Although increasing the information may reduce deleterious habits, the traditional workshops to date did not motivate and engage the female athletes. This study aimed to evaluate the effects of an online educational workshop about pelvic floor awareness on knowledge and habits of track and field female athletes.

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The event in which the entire thickness of the rectum protrudes through the anal canal is called rectal prolapse. This ailment is common in the elderly population and especially in females. It causes some disastrous symptoms, including incontinence to feces and flatus, constipation, and discomfort, because of the weakness in the anorectal junction, making it mandatory for surgical correction.

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Advancing the predictive accuracy of PNTML in rectal prolapse: An ongoing quest.

World J Clin Cases

October 2024

Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China.

Article Synopsis
  • Fecal incontinence often occurs in patients with rectal prolapse, and testing the pudendal nerve (PNTML) can help predict surgical outcomes.
  • There is ongoing debate about how well preoperative PNTML test results relate to postoperative fecal incontinence, indicating a need for more research.
  • The analysis aims to evaluate existing studies on PNTML testing in rectal prolapse and suggest statistical methods for better understanding the data.
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Article Synopsis
  • The research aims to show that combining Rectal wall Plication (RP) and robotic Ventral Mesh Rectopexy (VMR) is a safe and effective treatment for women with Obstructed Defecation Syndrome (ODS).
  • In a study involving 78 women, those who received the combination treatment (VMR + RP) experienced better improvements in sexual quality of life and increased sexual activity compared to those who had only VMR.
  • Both treatment groups reported significant improvements in their posterior compartment scores and bowel function, with the combined approach showing potential for enhanced overall quality of life.
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Hemorrhoidal disease is one of most common pathologies seen by colorectal and general surgeons. Although hemorrhoids themselves are a normal anatomic occurrence, development of symptomatic disease, usually due to bleeding, prolapse, or thrombosis, can cause significant patient distress. Acute presentation related to significant thrombosis or bleeding is referred to as acute hemorrhoidal crisis.

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Article Synopsis
  • * The study examined the effects of D. dendriticum egg antigen on mice with colitis induced by DSS, using various measures to evaluate the condition's severity and immune response.
  • * Results showed that D. dendriticum egg antigen notably improved colitis symptoms, enhanced the expression of beneficial cytokines, and reduced inflammatory markers, indicating its potential as a treatment for ulcerative colitis.
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Article Synopsis
  • The study investigates the connection between ulcerative colitis (UC) and pelvic floor dysfunction (PFD) in women, suggesting that those with UC experience higher rates of PFD compared to women without inflammatory bowel disease (IBD).
  • Involving 150 women with UC and 150 healthy individuals, the research utilized the Pelvic Floor Distress Inventory (PFDI-20) to evaluate pelvic floor function, finding significant associations between UC and increased distress scores across various pelvic organ inventories.
  • Aging, higher body mass index (BMI), and menopause were also found to significantly contribute to worsening PFD symptoms in women with UC, highlighting the multifactorial nature of pelvic floor issues.
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Transanal evisceration of small intestines due to chronic rectal prolapse: Still an intriguing case.

Ulus Travma Acil Cerrahi Derg

October 2024

Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul-Türkiye.

Article Synopsis
  • - A rare case of evisceration of the small intestine through the rectum occurred in an 83-year-old woman with chronic rectal prolapse who refused surgery.
  • - After a month of declining surgery, she presented with the evisceration, leading to a laparotomy and Hartmann's procedure, with no need for small bowel resection.
  • - Despite appropriate treatment, the patient did not survive, highlighting the importance of elective rectal prolapse repair to prevent such serious complications.
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Aim: Rectal intussusception (RI) and external rectal prolapse (ERP) are associated with anal sphincter dysfunction. The aim of this study was to examine sphincter function with anal acoustic reflectometry (AAR) in RI and two distinct phenotypes of ERP termed high and low "take-off".

Methods: A prospective study of patients with RI and ERP attending a tertiary pelvic floor unit.

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Modified stapled hemorrhoidopexy for lower postoperative stenosis: A five-year experience.

World J Gastrointest Surg

September 2024

Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital Songshan Branch, National Defense Medical Center, Taipei 105, Taiwan.

Background: Stapled hemorrhoidopexy (SH) is currently a widely accepted method for treating the prolapse of internal hemorrhoids. Postoperative anal stenosis is a critical complication of SH. A remedy for this involves the removal of the circumferential staples of the anastomosis, followed by the creation of a hand-sewn anastomosis.

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The "Ins and Outs" of Dynamic Magnetic Resonance Imaging for Female Pelvic Organ Prolapse.

Int Urogynecol J

November 2024

Department of Gynecologic Surgery & Obstetrics Urogynecology Division, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD, 20889, USA.

Article Synopsis
  • * Key measurements from MRI, like the pubococcygeal line (PCL), H line, and M line, help evaluate the size and function of the pelvic floor and identify abnormalities such as rectocele or rectal prolapse.
  • * Dynamic pelvic MRI is particularly valuable for patients with complex conditions or incongruent symptoms, allowing surgeons to make informed treatment decisions and effectively communicate with patients.
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Magnetic resonance defecography: Post-defecation straining detects more and maximal prolapse in the anterior and middle compartments.

Eur J Radiol

December 2024

Department of Radiology, West China Second University Hospital, Sichuan University, Chengdu, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China. Electronic address:

Article Synopsis
  • The study aimed to compare the effectiveness of pre-defecation straining without rectal gel and post-defecation straining in evaluating pelvic organ prolapse (POP) using Magnetic Resonance Defecography (MRD) images from 65 patients.
  • Findings showed that both defecation and post-defecation straining revealed higher rates and grades of prolapse compared to pre-defecation straining, with post-defecation specifically identifying more cases of cystocele and uterovaginal prolapse.
  • The study concluded that post-defecation straining is crucial for accurately assessing the severity of prolapse in the anterior and middle compartments and should be used in clinical assessments.
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Background: Resection rectopexy and ventral mesh rectopexy are widely accepted surgical options for the treatment of rectal prolapse; however, reports on long-term recurrence rates and functional outcomes are lacking.

Objective: We compared quality of life, long-term functional outcomes, and prolapse recurrence after resection rectopexy versus ventral mesh rectopexy.

Design: We retrospectively reviewed our prospectively collected rectal prolapse surgery database.

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Article Synopsis
  • - The study focuses on anorectal malformation (ARM), a common birth defect in children, highlighting a shift from a traditional three-stage repair to a more efficient single-stage procedure called ASARP for treating vestibular fistulas and perineal fistulas in females.
  • - Conducted at Government Medical College in Jammu, the research involved 60 female patients, primarily aged 1-5 years, and analyzed both intraoperative and postoperative complications, noting issues like vaginal and rectal tears.
  • - The results suggest that the single-stage ASARP procedure leads to satisfactory outcomes with fewer complications, improving both cosmetic and functional results for patients while easing the emotional and practical burden on families and healthcare providers.
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Pelvic floor disorders frequently occur as the result of excessive straining from chronic constipation or the trauma of vaginal childbirth, making them more common in women. We present a 62-year-old male with bladder prolapse through the anterior rectal wall in the setting of longstanding bladder holding behavior and excessive straining to void. We performed a novel robotic-assisted laparoscopic cystoprostosacropexy by anchoring the bladder and prostate to the sacrum to prevent bladder descent.

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[Treatment of rectal prolapse after proctoplasty in a child with rectal atresia].

Khirurgiia (Mosk)

September 2024

Main Bureau of Medical and Social Expertise in the Republic of Komi, Syktyvkar, Russia.

Rectal prolapse is a common disease in childhood and observed mainly at the age of 1-4 years old (95% of cases). If conservative treatment is ineffective, surgical correction of rectal prolapse in children without previous anorectal surgery is performed at the age of over a year. There is a single report on examination of patients aged 4-16 years after surgical correction of anorectal malformations with postoperative rectal prolapse.

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Key Clinical Message: Primary signet-ring cell carcinoma of the anal canal and rectum is an extremely rare and aggressive malignancy. The present case underscores the importance of considering primary signet-ring cell carcinoma in differential diagnoses for young patients with chronic anorectal symptoms. It highlights the need for a multidisciplinary treatment approach (including surgery, chemotherapy, and radiotherapy) and comprehensive follow-up for managing this challenging condition and improving long-term patient outcomes.

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Article Synopsis
  • The study investigated the use of transperineal ultrasound (TPUS) to diagnose various pelvic floor disorders in Chinese women with obstructed defecation syndrome (ODS) over a two-year period.
  • Results showed that TPUS had good agreement with defecation proctography (DEP) for detecting conditions like rectocele, rectal intussusception, and enterocele, with kappa statistics indicating a strong correlation.
  • TPUS was found to be a repeatable, noninvasive diagnostic alternative, with specific cutoff values of 12.05 mm and 18.50 mm for diagnosing moderate and severe rectocele.
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Unlabelled: Cystica profunda is a rare benign finding of mucous-filled cysts in the submucosa of the gastrointestinal tract, more commonly found in the rectum and colon. Risk factors include rectal prolapse, inflammatory bowel diseases, pelvic radiation and being post-appendectomy. We present a case of a female patient presenting with rectorrhagia, found to have sigmoidal colitis cystica profunda (CCP) six months post-appendectomy.

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Introduction And Importance: Rectal prolapse is the protrusion of the rectum through the anus. It is a rare condition in young adults. Strangulation is rare but it's a serious complication imposing emergency surgery.

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Article Synopsis
  • This study analyzes the outcomes of two surgical techniques - peritoneal flap vaginoplasty (PFV) and intestinal segment vaginoplasty (ISV) - in transgender or non-binary patients who experienced failed penile inversion vaginoplasty (PIV).
  • Both methods aim to restore neovaginal depth and sexual function, with 21 patients undergoing PFV and 24 patients undergoing ISV reported between December 2018 and April 2023.
  • The results show that while PFV had a higher rate of long-term complications like vaginal stenosis, ISV exhibited lower complications overall, suggesting ISV may be a more favorable option for revising vaginal stenosis after failed PIV.
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