Perineal Rectal Prolapse Repair

Perineal prolapse repair is usually reserved for elderly patients or patients with concomitant health problems, because the recurrence rate is substantially higher. The recurrence rates in different series range from 5 to more than 50% (Williams et al, 1992; Senapati et al, 1994; Tsunoda et al, 2003; Watkins et al, 2003; Frykman and Goldberg, 1969) and there is a tendency that series with longer follow-up time have higher recurrence rates. In a recent study from our institution (Kim et al, 1999), perineal rectosigmoidectomy had a recurrence rate of 16% compared with 5% after rectopexy. Functional outcomes were similar following either operation. The results suggest that perineal rectosigmoidectomy may not be the ideal operation for healthy patients due to its relatively high recurrence rate.

Most authors currently favor either perineal rectosigmoidectomy or Delorme's operation and the choice between these two types of procedures usually depends upon individual surgeon training and preference. Series comparing different perineal operations are rare.

Perineal procedures are well tolerated by most patients. The postoperative course is usually benign and most patients tolerate the procedure quite well and the postoperative stay is usually short.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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