{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T18:29:03Z","timestamp":1789064943785,"version":"build-2803163510"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Zonguldak Bulent Ecevit University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The indications and outcomes of ventral mesh rectopexy (VMR) in the treatment of rectal prolapse in males have been minimally addressed in the literature. This study aimed to evaluate the demographics, clinical characteristics, and surgical outcomes associated with VMR in male patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This nationwide retrospective cohort study included male patients who underwent VMR at centers performing pelvic floor surgery across Turkey. Clinical and surgical characteristics were obtained, and functional outcomes were evaluated using Cleveland Clinic Incontinence score (CCIS) and Altomare Obstructed Defecation Syndrome (ODS) scores at the pre- and postoperative periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty-one male patients (mean age, 45.4\u00a0years; mean BMI, 25.6\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) underwent VMR (2 open, 5 robotic, and 34 laparoscopic). The cohort comprised 11 patients with internal rectal prolapse (IRP) and 30 with external rectal prolapse (ERP). The overall complication rate was 17.1% (2.4% related to mesh), with a  12% recurrence rate. The median follow-up was 33 (6\u2013127) months. The recurrence rate was 36.4% for IRP patients and 3.3% for ERP patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014). Significant improvements were observed in the CCIS (preoperative: 6.1\u2009\u00b1\u20094.8; postoperative: 2.8\u2009\u00b1\u20093.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) and Altomare ODS (preoperative: 11.9\u2009\u00b1\u20094.6; postoperative: 7.26\u2009\u00b1\u20095.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this nationwide retrospective cohort study, VMR was associated with favorable functional outcomes in males. Recurrence rates were significantly higher in those with internal rectal prolapse. As sexual function was not systematically assessed, prospective studies with standardized patient-reported outcomes are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-026-03293-w","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T07:36:50Z","timestamp":1775201810000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Functional and surgical outcomes of ventral mesh rectopexy in male patients with rectal prolapse: a nationwide multicenter retrospective cohort study by the Pelvic Floor Working Group of the Turkish Society of Colon and Rectal Surgery (TSCRS)"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4148-5871","authenticated-orcid":false,"given":"F. A.","family":"Gultekin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Balc\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Y\u0131ld\u0131r\u0131m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c7.","family":"Arslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. F.","family":"Ya\u015far","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Bisgin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Bayraktar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Zenger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"\u015eeng\u00fcl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"\u00c7ak\u0131r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Bozb\u0131y\u0131k","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Kozan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Y.","family":"Karakayal\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. E.","family":"Canda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Bulut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"3293_CR1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001758.pub3","author":"S Tou","year":"2015","unstructured":"Tou S, Brown SR, Nelson RL (2015) Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev. https:\/\/doi.org\/10.1002\/14651858.CD001758.pub3","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"3293_CR2","doi-asserted-by":"publisher","first-page":"824","DOI":"10.1007\/s10350-004-0834-2","volume":"48","author":"LS Dvorkin","year":"2005","unstructured":"Dvorkin LS, Knowles CH, Scott SM, Williams NS, Lunniss PJ (2005) Rectal intussusception: characterization of symptomatology. Dis Colon Rectum 48(4):824\u2013831. https:\/\/doi.org\/10.1007\/s10350-004-0834-2","journal-title":"Dis Colon Rectum"},{"issue":"3","key":"3293_CR3","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1016\/j.amjsurg.2020.01.017","volume":"220","author":"JD Vogel","year":"2020","unstructured":"Vogel JD, de Campos-Lobato LF, Chapman BC, Bronsert MR, Birnbaum EH, Meguid RA (2020) Rectal prolapse surgery in males and females: an ACS NSQIP-based comparative analysis of over 12,000 patients. Am J Surg 220(3):697\u2013705. https:\/\/doi.org\/10.1016\/j.amjsurg.2020.01.017","journal-title":"Am J Surg"},{"key":"3293_CR4","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-024-03104-0","author":"M Barra","year":"2025","unstructured":"Barra M, Trilling B, Mastronicola G et al (2025) Long-term outcome of laparoscopic ventral rectopexy for full-thickness rectal prolapse: the PEXITY study. Tech Coloproctol. https:\/\/doi.org\/10.1007\/s10151-024-03104-0","journal-title":"Tech Coloproctol"},{"key":"3293_CR5","doi-asserted-by":"publisher","first-page":"1218","DOI":"10.1111\/codi.14745","volume":"21","author":"SH Emile","year":"2019","unstructured":"Emile SH (2019) How should we manage complete rectal prolapse in men? Colorectal Dis 21:1218\u20131219. https:\/\/doi.org\/10.1111\/codi.14745","journal-title":"Colorectal Dis"},{"key":"3293_CR6","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1111\/codi.12415","volume":"16","author":"MA Mercer-Jones","year":"2014","unstructured":"Mercer-Jones MA, D\u2019Hoore A, Dixon AR et al (2014) Consensus on ventral rectopexy: report of a panel of experts. Colorectal Dis 16:82\u201388. https:\/\/doi.org\/10.1111\/codi.12415","journal-title":"Colorectal Dis"},{"key":"3293_CR7","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1111\/codi.16534","volume":"6","author":"G Fagan","year":"2023","unstructured":"Fagan G, Bathgate A, Dalzell A, Collinson R, Lin A (2023) Outcomes for men undergoing rectal prolapse surgery - a systematic review. Colorectal Dis 6:1116\u20131127. https:\/\/doi.org\/10.1111\/codi.16534","journal-title":"Colorectal Dis"},{"issue":"1","key":"3293_CR8","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1007\/s10151-024-03039-6","volume":"28","author":"SH Emile","year":"2024","unstructured":"Emile SH, Wignakumar A, Horesh N, Garoufalia Z, Strassmann V, Boutros M, Wexner SD (2024) Systematic literature review and meta-analysis of surgical treatment of complete rectal prolapse in male patients. Tech Coloproctol 28(1):158. https:\/\/doi.org\/10.1007\/s10151-024-03039-6","journal-title":"Tech Coloproctol"},{"key":"3293_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-016-1528-1","author":"T Rautio","year":"2016","unstructured":"Rautio T, M\u00e4kel\u00e4-Kaikkonen J, Vaarala M et al (2016) Laparoscopic ventral rectopexy in male patients with external rectal prolapse is associated with a high reoperation rate. Tech Coloproctol. https:\/\/doi.org\/10.1007\/s10151-016-1528-1","journal-title":"Tech Coloproctol"},{"issue":"12","key":"3293_CR10","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1111\/codi.13551","volume":"18","author":"AE Owais","year":"2016","unstructured":"Owais AE, Sumrien H, Mabey K, McCarthy K, Greenslade GL, Dixon AR (2016) Laparoscopic ventral mesh rectopexy in male patients with internal or external rectal prolapse. Colorectal Dis 18(12):1189. https:\/\/doi.org\/10.1111\/codi.13551","journal-title":"Colorectal Dis"},{"key":"3293_CR11","doi-asserted-by":"publisher","first-page":"1495","DOI":"10.1016\/j.ijsu.2014.07.013","volume":"12","author":"E von Elm","year":"2014","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, G\u00f8tzsche PC, Vandenbroucke JP, STROBE Initiative (2014) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg 12:1495\u20131499. https:\/\/doi.org\/10.1016\/j.ijsu.2014.07.013","journal-title":"Int J Surg"},{"key":"3293_CR12","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1111\/j.1463-1318.2012.03183.x","volume":"15","author":"NA Wijffels","year":"2013","unstructured":"Wijffels NA, Jones OM, Cunningham C, Bemelman WA, Lindsey I (2013) What are the symptoms of internal rectal prolapse? Colorectal Dis 15:368\u2013373. https:\/\/doi.org\/10.1111\/j.1463-1318.2012.03183.x","journal-title":"Colorectal Dis"},{"key":"3293_CR13","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/BF02050307","volume":"36","author":"JMN Jorge","year":"1993","unstructured":"Jorge JMN, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77\u201397. https:\/\/doi.org\/10.1007\/BF02050307","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"3293_CR14","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1111\/j.1463-1318.2007.01262.x","volume":"10","author":"DF Altomare","year":"2008","unstructured":"Altomare DF, Spazzafumo L, Rinaldi M, Dodi G, Ghiselli R, Piloni V (2008) Set-up and statistical validation of a new scoring system for obstructed defaecation syndrome. Colorectal Dis 10(1):84\u201388. https:\/\/doi.org\/10.1111\/j.1463-1318.2007.01262.x","journal-title":"Colorectal Dis"},{"issue":"3","key":"3293_CR15","doi-asserted-by":"publisher","first-page":"165","DOI":"10.5578\/turkjsurg.4035","volume":"21","author":"TU Y\u0131lmaz","year":"2018","unstructured":"Y\u0131lmaz TU, Ta\u015f H\u0130, U\u00e7ar E, Cerit C, \u00c7elebi A, G\u00fcler SA, Utkan Z (2018) Relationship between functional constipation and anal-retentive behavior features. Turk J Surg 21(3):165\u2013170. https:\/\/doi.org\/10.5578\/turkjsurg.4035","journal-title":"Turk J Surg"},{"issue":"2","key":"3293_CR16","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1097\/SLA.0b013e3181b13ca2","volume":"250","author":"PA Clavien","year":"2009","unstructured":"Clavien PA, Barkun J, De Oliveira ML et al (2009) The Clavien\u2012Dindo classification of surgical complications: five-year experience. Ann Surg 250(2):187\u2013196. https:\/\/doi.org\/10.1097\/SLA.0b013e3181b13ca2","journal-title":"Ann Surg"},{"issue":"3","key":"3293_CR17","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1177\/145749690509400306","volume":"94","author":"MV Kairaluoma","year":"2005","unstructured":"Kairaluoma MV, Kellokumpu IH (2005) Epidemiologic aspects of complete rectal prolapse. Scand J Surg 94(3):207\u2013210. https:\/\/doi.org\/10.1177\/145749690509400306","journal-title":"Scand J Surg"},{"key":"3293_CR18","first-page":"223","volume":"16","author":"SG Yoon","year":"2000","unstructured":"Yoon SG, Lee KR, Cho KA et al (2000) Clinical and physiologic characteristics of rectal prolapse in males. Ann Coloproctol 16:223\u2013230","journal-title":"Ann Coloproctol"},{"issue":"1","key":"3293_CR19","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1055\/s-0031-1272822","volume":"24","author":"SD Goldstein","year":"2011","unstructured":"Goldstein SD, Maxwell PJ 4th (2011) Rectal prolapse. Clin Colon Rectal Surg 24(1):39\u201345. https:\/\/doi.org\/10.1055\/s-0031-1272822","journal-title":"Clin Colon Rectal Surg"},{"issue":"9","key":"3293_CR20","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.1111\/j.1463-1318.2010.02422.x","volume":"13","author":"R Hompes","year":"2011","unstructured":"Hompes R, Jones OM, Cunningham C, Lindsey I (2011) What causes chronic idiopathic perineal pain? Colorectal Dis 13(9):1035\u20131039. https:\/\/doi.org\/10.1111\/j.1463-1318.2010.02422.x","journal-title":"Colorectal Dis"},{"issue":"8","key":"3293_CR21","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1097\/DCR.0000000000000402","volume":"58","author":"C Evans","year":"2015","unstructured":"Evans C, Stevenson AR, Sileri P et al (2015) A multicenter collaboration to assess the safety of laparoscopic ventral rectopexy. Dis Colon Rectum 58(8):799\u2013807. https:\/\/doi.org\/10.1097\/DCR.0000000000000402","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"3293_CR22","doi-asserted-by":"publisher","first-page":"goac007","DOI":"10.1093\/gastro\/goac007","volume":"10","author":"B Hu","year":"2022","unstructured":"Hu B, Zou Q, Xian Z et al (2022) External rectal prolapse: abdominal or perineal repair for men? A retrospective cohort study. Gastroenterol Rep 10(1):goac007. https:\/\/doi.org\/10.1093\/gastro\/goac007","journal-title":"Gastroenterol Rep"},{"key":"3293_CR23","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.surg.2015.03.005","volume":"158","author":"T Wallenhorst","year":"2015","unstructured":"Wallenhorst T, Bouguen G, Brochard C et al (2015) Long-term impact of full-thickness rectal prolapse treatment on fecal incontinence. Surgery 158:104\u2013111. https:\/\/doi.org\/10.1016\/j.surg.2015.03.005","journal-title":"Surgery"},{"key":"3293_CR24","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/codi.13247","volume":"18","author":"A Tsunoda","year":"2016","unstructured":"Tsunoda A, Takahashi T, Ohta T et al (2016) Quality of life after laparoscopic ventral rectopexy. Colorectal Dis 18:301\u2013310. https:\/\/doi.org\/10.1111\/codi.13247","journal-title":"Colorectal Dis"},{"key":"3293_CR25","doi-asserted-by":"publisher","first-page":"376","DOI":"10.23922\/jarc.2021-024","volume":"5","author":"A Tsunoda","year":"2021","unstructured":"Tsunoda A, Takahashi T, Matsuda S, Kusanagi H (2021) Predictive factors for recurrence of external rectal prolapse after laparoscopic ventral rectopexy. J Anus Rectum Colon 5:376\u2013385. https:\/\/doi.org\/10.23922\/jarc.2021-024","journal-title":"J Anus Rectum Colon"},{"issue":"2","key":"3293_CR26","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s10151-021-02534-4","volume":"26","author":"EM van der Schans","year":"2022","unstructured":"van der Schans EM, Boom MA, El Moumni M, Verheijen PM, Broeders IAMJ, Consten ECJ (2022) Mesh-related complications and recurrence after ventral mesh rectopexy with synthetic versus biologic mesh: a systematic review and meta-analysis. Tech Coloproctol 26(2):85\u201398. https:\/\/doi.org\/10.1007\/s10151-021-02534-4","journal-title":"Tech Coloproctol"},{"issue":"5","key":"3293_CR27","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1097\/DCR.0000000000003656","volume":"1","author":"WRG Perry","year":"2025","unstructured":"Perry WRG, Christensen P, Collinson RJ, Ventral Rectopexy Working Group et al (2025) Ventral rectopexy: an international expert panel consensus and review of contemporary literature. Dis Colon Rectum 1(5):593\u2013607. https:\/\/doi.org\/10.1097\/DCR.0000000000003656","journal-title":"Dis Colon Rectum"},{"issue":"8","key":"3293_CR28","doi-asserted-by":"publisher","first-page":"2444","DOI":"10.1007\/s00464-019-06803-0","volume":"33","author":"SH Emile","year":"2019","unstructured":"Emile SH, Elfeki H, Shalaby M, Sakr A, Sileri P, Wexner SD (2019) Outcome of laparoscopic ventral mesh rectopexy for full-thickness external rectal prolapse: a systematic review, meta-analysis, and meta-regression analysis of the predictors for recurrence. Surg Endosc 33(8):2444\u20132455. https:\/\/doi.org\/10.1007\/s00464-019-06803-0","journal-title":"Surg Endosc"},{"key":"3293_CR29","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-024-03093-0","volume":"29","author":"EA Cooper","year":"2025","unstructured":"Cooper EA, Singh S, Yates C, Hodgkinson J, Cunningham C, Lindsey I (2025) High and low take-off external prolapse phenotypes can be characterised preoperatively on defaecation proctography. Tech Coloproctol 29:74. https:\/\/doi.org\/10.1007\/s10151-024-03093-0","journal-title":"Tech Coloproctol"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10151-026-03293-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03293-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03293-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T15:12:32Z","timestamp":1775574752000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10151-026-03293-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,3]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["3293"],"URL":"https:\/\/doi.org\/10.1007\/s10151-026-03293-w","relation":{},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"value":"1123-6337","type":"print"},{"value":"1128-045X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,3]]},"assertion":[{"value":"8 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None of the authors has a conflict of interest concerning this work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The study was approved by the Ethics Committee of Istanbul Medipol University (05\/07\/2024, E-10840098-202.3.02-3983).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}],"article-number":"55"}}