F.R.C.S. (Eng.), F.R.A.C.S. Honorary Surgeon.
Article first published online: 21 JAN 2008
Australian and New Zealand Journal of Surgery
Volume 49, Issue 1, pages 72–75, February 1979
How to Cite
FAILES, D., KILLINGBACK, M., STUART, M. and LUCA, C. D. (1979), RECTAL PROLAPSE. Aust. N.Z. J. Surg., 49: 72–75. doi: 10.1111/j.1445-2197.1979.tb06440.x
- Issue published online: 21 JAN 2008
- Article first published online: 21 JAN 2008
One hundred and twenty-seven patients with complete rectal prolapse have been reviewed. The condition occurred more commonly in females than males (105 to 22), and at an older age in females (mean age 55 years compared with 40 years for males). Although the diagnosis is usually obvious, the importance of recognizing occult prolapse is stressed, especially in association with benign rectal ulcer, localized proctitis and colitis cystica profunda. Examination of the patient in the squatting position may assist in showing occult prolapse. Associated incontinence occurred in 33 patients (26%).
Since 1971 the policy of this Unit has been to perform a Ripstein repair for complete rectal prolapse wherever possible. One hundred and two Ripstein repairs have now been performed. A minimum follow-up period of two years is available for 53 patients, of whom 50 (94%) have had their prolapse cured. Control of prolapse usually improves continence; however, seven (13%) remained incontinent despite surgery. The Ripstein. repair is strongly advocated as the most effective operation for cure of complete rectal prolapse.