Rectopexy in prolapse of the rectum

Abstract

Summary Thirty-eight adult patients with complete rectal prolapse had rectopexy by the method of Pemberton-Stalker. The 34 survivors followed for an average of 4.8 years (one to 9.5 years) had five recurrences, only two of which were pronounced—an incidence of anatomic recurrence of 13 per cent. In the majority of patients, however, there had been an improvement of sphincter function so that the incidence of symptomatic recurrence was only 3.0 per cent. These results are poorer than those reported following more recent methods which have been perceptibly extended by repair of the levator muscles or resection. Still, they are good enough to justify rectopexy in the present form in all poor-risk patients.

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