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2013 | 85 | 8 | 438-445

Article title

Rectal Prolapse in Young Women

Content

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Languages of publication

EN

Abstracts

EN
Rectal prolapse belongs to the group of rare diseases of the rectum and anus. It is mostly observed in elderly multiparous women in the seventh and eighth decade. The precise cause of this pathology is not thoroughly understood that is why there are no optimal standards of treatment. The aim of the study was to present pathophysiology, diagnostics and optimal surgical procedures employed in young patients with rectal prolapse. Material and methods. Out of a 56-patient group treated in Department of General and Colorectal Surgery in the years 2006-2011 a smaller one consisting of 11 young women between the ages 20-40 was selected. According to the literature this is a very rare time of the mentioned pathology occurrence. In the studied females grade of rectal prolapse as well as faecal incontinence based on Jorge-Wexner’s (Cleveland) scale were assessed before and after the operative treatment. All of them underwent transabdominal Wells and Frikman-Goldberg prolapse procedures. Results. Transabdominal approaches repair pathologies of the pelvic floor and have promising longstanding results improving quality of life. No rectal prolapse recurrences were observed. The mean score of the Wexner’s grading system was 7.81 diminishing to 1.9 points postoperatively. Conclusions. Rectal prolapse if untreated, is a pathology that substantially changes patients’ quality of life for the worse. Individual, standardized surgical approach to each patient is necessary. Transabdominal methods carry a low risk of complications and improve quality of life of young patients enabling a relatively quick return to normal life

Publisher

Year

Volume

85

Issue

8

Pages

438-445

Physical description

Dates

published
1 - 08 - 2013
online
05 - 09 - 2013

Contributors

author
  • Department of General and Colorectal Surgery K. Marcinkowski, Medical University in Poznań
  • Department of General and Colorectal Surgery K. Marcinkowski, Medical University in Poznań
  • Department of General and Colorectal Surgery K. Marcinkowski, Medical University in Poznań
  • Department of General and Colorectal Surgery K. Marcinkowski, Medical University in Poznań
  • Department of General and Colorectal Surgery K. Marcinkowski, Medical University in Poznań
  • Department of General and Colorectal Surgery K. Marcinkowski, Medical University in Poznań

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0067
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