The best surgical repair for rectal prolapse remains controversial. There are two
vastly different surgical approaches: perineal and abdominal. Although the abdominal
approach has a lower recurrence rate, perineal procedures spare the patient the pain
and complications of abdominal surgery. While the surgery performed should be tailored
to the individual patient, the question remains as to which approach is superior.
This article objectively reviews the literature and demonstrates why the perineal
proctosigmoidectomy is the better operation for repairing rectal prolapse.
Rectal prolapse - perineal proctosigmoidectomy - recurrence - morbidity - function
- costs
