{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:57:39Z","timestamp":1780581459769,"version":"3.54.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2022,2,21]],"date-time":"2022-02-21T00:00:00Z","timestamp":1645401600000},"content-version":"vor","delay-in-days":51,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Guangdong Medical Research","award":["A2021171"],"award-info":[{"award-number":["A2021171"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>External rectal prolapse is a relatively rare disease, in which male patients account for a minority. The selection of abdominal repair or perineal repair for male patients has rarely been investigated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Fifty-one male patients receiving abdominal repair (laparoscopic ventral rectopexy) or perineal repair (Delorme or Altemeier procedures) at the Sixth Affiliated Hospital of Sun Yat-sen University (Guangzhou, China) between March 2013 and September 2019 were retrospectively analysed. We compared the recurrence, complication rate, post-operative defecation disorder, length of stay, and quality of life between the abdominal and perineal groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 51 patients, 45 had a complete follow-up, with a median of 48.5\u2009months (range, 22.8\u2013101.8\u2009months). A total of 35 patients were under age 40\u2009years. The complication rate associated with abdominal repair was less than that associated with perineal repair (0% vs 20.7%, P\u2009=\u20090.031) and the recurrence rate was also lower (9.5% vs 41.7%, P\u2009=\u20090.018). Multivariate analysis showed that perineal repair (odds ratio, 9.827; 95% confidence interval, 1.296\u201374.50; P\u2009=\u20090.027) might be a risk factor for recurrence. Moreover, only perineal repair significantly improved post-operative constipation status (preoperative vs post-operative, 72.4% vs 25.0%, P\u2009=\u20090.001). There was no reported mortality in either of the groups. No patient's sexual function was affected by the surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Both surgical approaches were safe in men. Compared with perineal repair, the complication rate and recurrence rate for abdominal repair were lower. However, perineal repair was better able to correct constipation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/gastro\/goac007","type":"journal-article","created":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T12:06:40Z","timestamp":1644149200000},"source":"Crossref","is-referenced-by-count":11,"title":["External rectal prolapse: abdominal or perineal repair for men? A retrospective cohort study"],"prefix":"10.1093","volume":"10","author":[{"given":"Bang","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenyu","family":"Xian","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Digestive Center, PanYu Central Hospital, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minyi","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zixu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Zhongshan School of Medicine, Key Laboratory for Tropical Diseases Control of the Ministry of Education, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keyu","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wuteng","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donglin","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"},{"name":"Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,2,21]]},"reference":[{"key":"2022032512402544700_goac007-B1","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1097\/DCR.0000000000000889","article-title":"Clinical practice guidelines for the treatment of rectal prolapse","volume":"60","author":"Bordeianou","year":"2017","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B2","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1007\/s11605-013-2427-7","article-title":"Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies","volume":"18","author":"Bordeianou","year":"2014","journal-title":"J Gastrointest Surg"},{"key":"2022032512402544700_goac007-B3","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1177\/145749690509400306","article-title":"Epidemiologic aspects of complete rectal prolapse","volume":"94","author":"Kairaluoma","year":"2005","journal-title":"Scand J Surg"},{"key":"2022032512402544700_goac007-B4","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1097\/DCR.0b013e31826ab5e6","article-title":"Is the abdominal repair of rectal prolapse safer than perineal repair in the highest risk patients? An NSQIP analysis","volume":"55","author":"Fang","year":"2012","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B5","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s10151-015-1337-y","article-title":"Comparing perineal repairs for rectal prolapse: Delorme versus Altemeier","volume":"19","author":"Elagili","year":"2015","journal-title":"Tech Coloproctol"},{"key":"2022032512402544700_goac007-B6","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s10151-015-1358-6","article-title":"Laparoscopic ventral rectopexy is the gold standard treatment for rectal prolapse","volume":"19","author":"Reche","year":"2015","journal-title":"Tech Coloproctol"},{"key":"2022032512402544700_goac007-B7","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.1007\/s00268-010-0429-0","article-title":"Comparison of perineal operations with abdominal operations for full-thickness rectal prolapse","volume":"34","author":"Riansuwan","year":"2010","journal-title":"World J Surg"},{"key":"2022032512402544700_goac007-B8","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1080\/00325481.2019.1669330","article-title":"Surgical decision-making for rectal prolapse: one size does not fit all","volume":"132","author":"Lee","year":"2020","journal-title":"Postgrad Med"},{"key":"2022032512402544700_goac007-B9","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1007\/s00464-005-0485-y","article-title":"Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients","volume":"20","author":"D'Hoore","year":"2006","journal-title":"Surg Endosc"},{"key":"2022032512402544700_goac007-B10","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1002\/bjs.1800811141","article-title":"Delorme operation for rectal prolapse","volume":"81","author":"Tobin","year":"1994","journal-title":"Br J Surg"},{"key":"2022032512402544700_goac007-B11","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1097\/00000658-197106010-00018","article-title":"Nineteen years' experience with the one-stage perineal repair of rectal prolapse","volume":"173","author":"Altemeier","year":"1971","journal-title":"Ann Surg"},{"key":"2022032512402544700_goac007-B12","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1007\/s10350-008-9319-z","article-title":"Colorectal anastomotic stenosis after elective laparoscopic sigmoidectomy for diverticular disease: a prospective evaluation of 68 patients","volume":"51","author":"Ambrosetti","year":"2008","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B13","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1055\/s-2008-1038607","article-title":"Anorectal junction stenosis: diagnosis and management","volume":"18","author":"Rashid","year":"2008","journal-title":"Eur J Pediatr Surg"},{"key":"2022032512402544700_goac007-B14","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1007\/BF02056950","article-title":"A constipation scoring system to simplify evaluation and management of constipated patients","volume":"39","author":"Agachan","year":"1996","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B15","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/BF02050307","article-title":"Etiology and management of fecal incontinence","volume":"36","author":"Jorge","year":"1993","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B16","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/0168-8510(90)90421-9","article-title":"EuroQol: a new facility for the measurement of health-related quality of life","volume":"16","author":"EuroQol Group","year":"1990","journal-title":"Health Policy"},{"key":"2022032512402544700_goac007-B17","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1111\/codi.13671","article-title":"Laparoscopic ventral rectopexy for rectal prolapse and rectal intussusception using a biological mesh","volume":"19","author":"Albayati","year":"2017","journal-title":"Colorectal Dis"},{"key":"2022032512402544700_goac007-B18","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1053\/j.gastro.2006.03.008","article-title":"The functional gastrointestinal disorders and the Rome III process","volume":"130","author":"Drossman","year":"2006","journal-title":"Gastroenterology"},{"key":"2022032512402544700_goac007-B19","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/j.amjsurg.2020.01.017","article-title":"Rectal prolapse surgery in males and females: an ACS NSQIP-based comparative analysis of over 12,000 patients","volume":"220","author":"Vogel","year":"2020","journal-title":"Am J Surg"},{"key":"2022032512402544700_goac007-B20","doi-asserted-by":"crossref","first-page":"e1002494","DOI":"10.1371\/journal.pmed.1002494","article-title":"Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: systematic review and meta-analysis","volume":"15","author":"Keag","year":"2018","journal-title":"PLoS Med"},{"key":"2022032512402544700_goac007-B21","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1080\/13697137.2021.1936484","article-title":"Menopause, aging and the failing pelvic floor: a clinician's view","volume":"24","author":"Caretto","year":"2021","journal-title":"Climacteric"},{"key":"2022032512402544700_goac007-B22","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1007\/s00384-011-1282-9","article-title":"Morphological alterations of the enteric nervous system in young male patients with rectal prolapse","volume":"26","author":"Zorenkov","year":"2011","journal-title":"Int J Colorectal Dis"},{"key":"2022032512402544700_goac007-B23","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.jss.2013.12.008","article-title":"Symptom distribution and anorectal physiology results in male patients with rectal intussusception and prolapse","volume":"188","author":"Hotouras","year":"2014","journal-title":"J Surg Res"},{"key":"2022032512402544700_goac007-B24","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1093\/gastro\/goz016","article-title":"Rectal-prolapse repair in men is safe, but outcomes are not well understood","volume":"7","author":"Poylin","year":"2019","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"2022032512402544700_goac007-B25","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1007\/s00384-018-2971-4","article-title":"Trends in the treatment of rectal prolapse: a population analysis","volume":"33","author":"Rogers","year":"2018","journal-title":"Int J Colorectal Dis"},{"key":"2022032512402544700_goac007-B26","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1007\/s10151-019-02014-w","article-title":"Robotic vs. laparoscopic ventral mesh rectopexy for external rectal prolapse and rectal intussusception: a systematic review","volume":"23","author":"Albayati","year":"2019","journal-title":"Tech Coloproctol"},{"key":"2022032512402544700_goac007-B27","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1007\/s00423-018-1728-4","article-title":"Surgical options and trends in treating rectal prolapse: long-term results in a 19-year follow-up study","volume":"403","author":"Gleditsch","year":"2018","journal-title":"Langenbecks Arch Surg"},{"key":"2022032512402544700_goac007-B28","doi-asserted-by":"crossref","first-page":"S153","DOI":"10.1016\/j.ijsu.2014.08.359","article-title":"Robot-assisted or conventional laparoscoic rectopexy for rectal prolapse? Systematic review and meta-analysis","volume":"12(Suppl 2","author":"Rondelli","year":"2014","journal-title":"Int J Surg"},{"key":"2022032512402544700_goac007-B29","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1007\/s00384-013-1736-3","article-title":"Impact of rectopexy on sexual function: a cohort analysis","volume":"28","author":"Formijne Jonkers","year":"2013","journal-title":"Int J Colorectal Dis"},{"key":"2022032512402544700_goac007-B30","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1097\/DCR.0000000000000669","article-title":"Robot-assisted sacrocolporectopexy for multicompartment prolapse of the pelvic floor: a prospective cohort study evaluating functional and sexual outcome","volume":"59","author":"van Iersel","year":"2016","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B31","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1007\/BF02081416","article-title":"Male sexual function after autonomic nerve-preserving operation for rectal cancer","volume":"39","author":"Masui","year":"1996","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B32","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1055\/s-0036-1593426","article-title":"Abdominal approaches to rectal prolapse","volume":"30","author":"Joubert","year":"2017","journal-title":"Clin Colon Rectal Surg"},{"key":"2022032512402544700_goac007-B33","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1007\/s10350-008-9353-x","article-title":"Overt rectal prolapse and fecal incontinence","volume":"51","author":"Siproudhis","year":"2008","journal-title":"Dis Colon Rectum"},{"key":"2022032512402544700_goac007-B34","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.surg.2015.03.005","article-title":"Long-term impact of full-thickness rectal prolapse treatment on fecal incontinence","volume":"158","author":"Wallenhorst","year":"2015","journal-title":"Surgery"},{"key":"2022032512402544700_goac007-B35","doi-asserted-by":"crossref","first-page":"O301","DOI":"10.1111\/codi.13247","article-title":"Quality of life after laparoscopic ventral rectopexy","volume":"18","author":"Tsunoda","year":"2016","journal-title":"Colorectal Dis"},{"key":"2022032512402544700_goac007-B36","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/SLE.0000000000000752","article-title":"Role of endoanal ultrasonography in grading anal sphincter integrity in rectal prolapse and in predicting improvement in the continence state after surgical treatment","volume":"30","author":"Emile","year":"2020","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2022032512402544700_goac007-B37","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1111\/j.1463-1318.2009.01859.x","article-title":"Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation","volume":"12","author":"Boons","year":"2009","journal-title":"Colorectal Dis"},{"key":"2022032512402544700_goac007-B38","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.amjsurg.2008.11.012","article-title":"The Delorme repair for full-thickness rectal prolapse: a retrospective review","volume":"197","author":"Lieberth","year":"2009","journal-title":"Am J Surg"},{"key":"2022032512402544700_goac007-B39","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1007\/DCR.0b013e3181f22cef","article-title":"The Altemeier procedure for rectal prolapse: an operation for all ages","volume":"53","author":"Cirocco","year":"2010","journal-title":"Dis Colon Rectum"}],"container-title":["Gastroenterology Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/gastro\/article-pdf\/doi\/10.1093\/gastro\/goac007\/43022684\/goac007.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/gastro\/article-pdf\/doi\/10.1093\/gastro\/goac007\/43022684\/goac007.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T18:57:46Z","timestamp":1648234666000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/gastro\/article\/doi\/10.1093\/gastro\/goac007\/6533066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":39,"URL":"https:\/\/doi.org\/10.1093\/gastro\/goac007","relation":{},"ISSN":["2052-0034"],"issn-type":[{"value":"2052-0034","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022]]},"published":{"date-parts":[[2022]]},"article-number":"goac007"}}