{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:17:41Z","timestamp":1791195461435,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,8,29]],"date-time":"2013-08-29T00:00:00Z","timestamp":1377734400000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>For any surgical treatment of full\u2010thickness rectal prolapse, little attention has been given to quality of life (<jats:styled-content style=\"fixed-case\">QoL<\/jats:styled-content>). This study prospectively evaluated continence, constipation and <jats:styled-content style=\"fixed-case\">QoL<\/jats:styled-content> after perineal rectosigmoidectomy for full\u2010thickness rectal prolapse in young and elderly patients in the long term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>From May 2003 to May 2010, consecutive patients suffering from full\u2010thickness rectal prolapse and treated with perineal rectosigmoidectomy were prospectively studied. A standardized questionnaire, including the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>leveland <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>linic <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>onstipation <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>core (<jats:styled-content style=\"fixed-case\">CCCS<\/jats:styled-content>), the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>leveland <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>linic <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ncontinence <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>core (<jats:styled-content style=\"fixed-case\">CCIS<\/jats:styled-content>) and generic [<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>uroQol five\u2010dimension (<jats:styled-content style=\"fixed-case\">EQ<\/jats:styled-content>\u20105D)] and constipation\u2010specific [<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>atient <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ssessment of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>onstipation\u2010<jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uality of Life (<jats:styled-content style=\"fixed-case\">PAC<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>)] QoL scores, was administered pre\u2010 and postoperatively. The Wilcoxon test (for <jats:styled-content style=\"fixed-case\">EQ<\/jats:styled-content>\u20105D data) and two\u2010sample Student's <jats:italic>t<\/jats:italic>\u2010test [for EuroQol visual analogue scale (<jats:styled-content style=\"fixed-case\">EQ\u2010VAS<\/jats:styled-content>), <jats:styled-content style=\"fixed-case\">CCCS<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> CCIS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PAC\u2010QOL<\/jats:styled-content> data) were used for statistical analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010three patients (47 women), 72.7 (range 30\u201389) years of age, underwent perineal rectosigmoidectomy. One patient died and one patient needed reoperation. Five full\u2010thickness recurrences occurred. Thirty\u2010seven patients completed the follow\u2010up questionnaire at a median of 49 (range, 6\u201389) months. Postoperative incontinence and constipation improved significantly (<jats:styled-content style=\"fixed-case\">CCIS<\/jats:styled-content> from 13\u00a0\u00b1\u00a07.28 to 8.7\u00a0\u00b1\u00a06.96 and <jats:styled-content style=\"fixed-case\">CCCS<\/jats:styled-content> from 8.32\u00a0\u00b1\u00a06.96 to 3.49\u00a0\u00b1\u00a04.17). Furthermore, QoL, in terms of mobility, usual activity, pain\/discomfort and anxiety\/depression and subjective state of health, were significantly better at follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). All dimensions of constipation\u2010related QoL improved (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). The results did not differ significantly between patients under or over 69\u00a0years of age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients' experience improved general and constipation\u2010related <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>oL after perineal rectosigmoidectomy, and this was independent of age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12214","type":"journal-article","created":{"date-parts":[[2013,3,25]],"date-time":"2013-03-25T11:07:02Z","timestamp":1364209622000},"page":"1000-1006","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Perineal rectosigmoidectomy: quality of life"],"prefix":"10.1111","volume":"15","author":[{"given":"M.","family":"Kim","sequence":"first","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery University Hospital Wuerzburg Wuerzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Reibetanz","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery University Hospital Wuerzburg Wuerzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Schlegel","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery University Hospital Wuerzburg Wuerzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.\u2010T.","family":"Germer","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery University Hospital Wuerzburg Wuerzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Jayne","sequence":"additional","affiliation":[{"name":"Academic Surgical Unit St James's University Hospital Leeds West Yorkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Isbert","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery University Hospital Wuerzburg Wuerzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,8,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6813"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1332-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182310f75"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.140.1.63"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050307"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02056950"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890109002087"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365520510012208"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197106010-00018"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0531-x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810253"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181f22cef"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0485-y"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2010.02242.x"}],"container-title":["Colorectal 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