Short-Term Outcomes of Rectal Mucosa Sleeve Resection and Transverse Perineal Support Operation for Occult Rectal Prolapse, Rectocele and Descending Perineum: A Single Center and Single Team Experience

Abstract

Occult rectal prolapse is a pathological condition that mainly affects women and is frequently associated with obstructed defecation.Numerous surgical procedures have been advocated for treating patients with obstructed defecation. In this study, we performeda retrospective analysis of the short-term surgical outcomes of combining internal mucosal resection with transverse perinealsupport in a single center with expertise in anorectal surgery. Resolution in obstruction symptoms was achieved with lowmorbidity. The use of sleeve resection of the rectal mucosa is a well-known and established procedure for occult rectal prolapse inobstructed defecation syndrome patients. Transverse perineal support operation has been recently adopted to correct defects ofthe perineum. In our preliminary experience, we report a combination in surgical techniques never described in the literature. Ourpreliminary results suggest that the technique is feasible, safe and reproducible. More patients and longer follow-up are requiredto be able to draw stronger conclusions.

Keywords

• rectal prolapse
• outlet obstruction
• delorme’s procedure
• mesh perineal support