Omna Younus, Maryam Ahmed, Saffa Ilyas.
External Rectal Prolapse Outcome.
Pak J Med Health Sci Jan ;12(1):558-62.

Aim: To assess the patient’s outcome with external rectal prolapse. Methods: This case series study was conducted at surgical department of Shalamar Hospital, Lahore from 22.05.2017 to 19.01.201 8. Patients above age of 12 years both males and females were included in this study with complete rectal prolapse. Patients who were below the age of twelve years, recurrent prolapse, colorectal cancer, with medical issue like renal failure, acute disease of liver were excluded from study. Twenty four patients with sign of lower gastrointestinal e.g. pain, something came out from anus, bleeding per rectum and tenesmus were examined on history basis and examination. We offer resection, rectopexy and thieresch stitch to patients. Results: In our study 24 patients were included in which 18(75%) were male patients and 6(25%) were females. All patients were remonstrated distress in perineum and feel to come out something from anus. The symptom period in three patients was <2 years, between 2 years to 4 years in fifteen patients and more than 4 years in six patients. Wells rectopexy was done in 21 patients, thieresch stitch was applied in one patient and two patients had anterior resection. The materials were used of kind prolene mesh in 13 patients, ivolone sponge in 3 patients and merslene mesh in 5 patients. Post-operative complication included pelvic abscess, constipation in 4 patients and wound infection in 2 patients. Immediate postoperative mortality was not seen. Conclusion: Technically feasible procedure is wells abdominal rectopexy with nil rate of recurrence, hospital short stay and improves continence in most of our patients.

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