{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T10:59:50Z","timestamp":1709117990481},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2019,5,9]],"date-time":"2019-05-09T00:00:00Z","timestamp":1557360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Rectal prolapse is a condition that occurs infrequently in men and there is little literature guiding treatment in this population. The purpose of this study was to evaluate the surgical approach and outcomes of rectal-prolapse repair in men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective multicenter review was conducted of consecutive men who underwent rectal-prolapse repair between 2004 and 2014. Surgical approaches and outcomes, including erectile function and fecal continence, were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 58 men underwent rectal-prolapse repair and the mean age of repair was 52.7\u2009\u00b1\u200924.1\u2009years. The\u00a0mean\u00a0follow-up was 13.2\u2009months (range, 0.5\u2013117 months).\u00a0The majority of patients underwent endoscopic evaluation (78%), but few patients underwent anal\u00a0manometry (16%),\u00a0defecography\u00a0(9%)\u00a0or ultrasound (3%). Ten\u00a0patients\u00a0(17%) underwent biofeedback\/pelvic-floor physical therapy prior to repair. Nineteen patients (33%) underwent a perineal approach (most were perineal proctosigmoidectomy). Thirty-nine\u00a0patients (67%) underwent repair using an abdominal approach (all were suture rectopexy) and, of these, 77% were completed using a minimally invasive technique.\u00a0The overall\u00a0complication rate was 26% including urinary\u00a0retention (16%), which was more common in patients undergoing the perineal approach (32% vs. 8%, P\u2009=\u20090.028), urinary-tract infection (7%) and wound infection (3%).\u00a0The overall recurrence rate was 9%, with no difference between abdominal and perineal approaches. Information on sexual function was missing in the majority of patients \u00a0both before and after surgery (76% and 78%, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>\u00a0Rectal-prolapse repair in men is safe\u00a0and has a low recurrence rate; however, sexual function was poorly recorded across all institutions. Further studies are needed to evaluate to best approach to and functional outcomes of rectal-prolapse repair in men.<\/jats:p><\/jats:sec>","DOI":"10.1093\/gastro\/goz016","type":"journal-article","created":{"date-parts":[[2019,4,3]],"date-time":"2019-04-03T22:20:31Z","timestamp":1554330031000},"page":"279-282","source":"Crossref","is-referenced-by-count":5,"title":["Rectal-prolapse repair in men is safe, but outcomes are not well understood"],"prefix":"10.1093","volume":"7","author":[{"given":"Vitaliy Y","family":"Poylin","sequence":"first","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L","family":"Irani","sequence":"additional","affiliation":[{"name":"Brigham and Woman's Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Rahbar","sequence":"additional","affiliation":[{"name":"UNC Health Care, Raleigh, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muneera R","family":"Kapadia","sequence":"additional","affiliation":[{"name":"University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,5,9]]},"reference":[{"key":"2019080912044897200_goz016-B1","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1177\/000313480106700704","article-title":"Rectal prolapse: a search for the \u2018best\u2019 operation","volume":"67","author":"Azimuddin","year":"2001","journal-title":"Am Surg"},{"key":"2019080912044897200_goz016-B2","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s101510200024","article-title":"Perineal rectosigmoidectomy (Altemeier's procedure): a review of physiology, technique and outcome","volume":"6","author":"Zbar","year":"2002","journal-title":"Tech Coloproctol"},{"key":"2019080912044897200_goz016-B3","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1002\/bjs.1800810253","article-title":"Abdominal resection rectopexy with pelvic floor repair versus perineal rectosigmoidectomy and pelvic floor repair for full-thickness rectal prolapse","volume":"81","author":"Deen","year":"1994","journal-title":"Br J Surg"},{"key":"2019080912044897200_goz016-B4","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s10151-011-0798-x","article-title":"Focus on abdominal rectopexy for full-thickness rectal prolapse: meta-analysis of literature","volume":"16","author":"Cadeddu","year":"2012","journal-title":"Tech Coloproctol"},{"key":"2019080912044897200_goz016-B5","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/BF02052451","article-title":"Laparoscopic-assisted vs. open resection: rectopexy offers excellent results","volume":"38","author":"Baker","year":"1995","journal-title":"Dis Colon Rectum"},{"key":"2019080912044897200_goz016-B6","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s10350-004-6555-8","article-title":"Open vs. laparoscopic surgery for rectal prolapse: a case-controlled study assessing short-term outcome","volume":"46","author":"Kairaluoma","year":"2003","journal-title":"Dis Colon Rectum"},{"key":"2019080912044897200_goz016-B7","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1046\/j.0007-1323.2001.01957.x","article-title":"Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse","volume":"89","author":"Solomon","year":"2002","journal-title":"Br J Surg"},{"key":"2019080912044897200_goz016-B8","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1177\/000313480907501012","article-title":"Predictors of postoperative urinary retention","volume":"75","author":"Shadle","year":"2009","journal-title":"Am Surg"},{"key":"2019080912044897200_goz016-B9","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1007\/BF02234167","article-title":"Complete rectal prolapse: evolution of management and results","volume":"42","author":"Kim","year":"1999","journal-title":"Dis Colon Rectum"},{"key":"2019080912044897200_goz016-B10","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD001758.pub3","article-title":"Surgery for complete (full-thickness) rectal prolapse in adults","author":"Tou","year":"2015","journal-title":"Cochrane Database of Syst Rev"},{"key":"2019080912044897200_goz016-B11","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s00464-005-3012-2","article-title":"Long-term outcome after laparoscopic and open surgery for rectal prolapse: a case-control study","volume":"20","author":"Kariv","year":"2006","journal-title":"Surg Endosc"}],"container-title":["Gastroenterology Report"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/gastro\/advance-article-pdf\/doi\/10.1093\/gastro\/goz016\/28572682\/goz016.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/gastro\/article-pdf\/7\/4\/279\/29114834\/goz016.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T10:30:49Z","timestamp":1694773849000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/gastro\/article\/7\/4\/279\/5487275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,9]]},"references-count":11,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,5,9]]},"published-print":{"date-parts":[[2019,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/gastro\/goz016","relation":{},"ISSN":["2052-0034"],"issn-type":[{"value":"2052-0034","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,8]]},"published":{"date-parts":[[2019,5,9]]}}}