April 1983

Repair of Rectal Prolapse Using a Puborectal Sling Procedure

Author Affiliations

From the Surgical Service, W. J. B. Dorn Veterans Hospital and the Department of Surgery, University of South Carolina School of Medicine, Columbia.

Arch Surg. 1983;118(4):398-401. doi:10.1001/archsurg.1983.01390040010002

• Many procedures have been described for the repair of rectal prolapse. Some are associated with a high recurrence rate and do not correct associated fecal incontinence. During the last four years, we have operated on 15 patients using a puborectal sling fashioned of polypropylene mesh. Nine were women and six were men, with ages ranging from 25 to 72 years. Eight patients had fecal incontinence. During a follow-up of six months to four years, rectal prolapse did not recur. Fecal incontinence was totally resolved in all cases. The morbidity and death rates were both 0%, and no long-term problems have been associated with use of the synthetic material. This procedure is a sound alternative for patients with complete rectal procidentia and fecal incontinence, as it corrects the associated anatomic defect of the anorectal angle.

(Arch Surg 1983;118;398-401)