Anal encirclement with polypropylene mesh for rectal prolapse and incontinence

• Published in: Diseases of the colon & rectum Vol. 34; no. 10; p. 905
• Main Authors: Sainio, A P, Halme, L E, Husa, A I
• Format: Journal Article
• Language: English
• Published: United States 01.10.1991
• Subjects: Aged; Aged, 80 and over; Colorectal Surgery - methods; Fecal Impaction - etiology; Fecal Incontinence - complications; Fecal Incontinence - etiology; Fecal Incontinence - surgery; Female; Humans; Middle Aged; Polypropylenes; Postoperative Complications; Rectal Prolapse - complications; Rectal Prolapse - surgery; Recurrence; Reoperation; Surgical Mesh
• ISSN: 0012-3706
• DOI: 10.1007/BF02049706

Seventeen selected patients (mean age, 74 years)--14 with rectal prolapse and 3 with persisting anal incontinence after previous operations--underwent high anal encirclement with polypropylene mesh. There was no operative mortality. Prolapse recurred in 2 (15 percent) of the 13 patients followed up for 6 months or more (mean, 3.5 years). Three (27 percent) of the 11 patients with associated anal incontinence improved functionally, as did the three operated on for persisting incontinence, but only one patient regained normal continence. No breakage, cutting out, or infection related to the mesh was observed. Because of the risk of fecal impaction encountered in three of our patients, the procedure is not advocated for severely constipated patients. Despite the somewhat disappointing results regarding restoration of continence, we find this method useful in patients with rectal prolapse who are unfit for more extensive surgery, in controlling the prolapse to an acceptable degree.