{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T06:29:19Z","timestamp":1766125759790,"version":"3.48.0"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>\n                    Recurrent rectal prolapse (RRP) presents a significant clinical challenge due to the absence of standardized treatment guidelines and its impact on patients' quality of life. This retrospective study evaluates the outcomes of surgical management for RRP in a single-center cohort. We analyzed female patients (median age of 73) who underwent surgical treatment for RRP between 2014 and 2022. A total of 30 patients received either abdominal (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200912) or perineal (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200918) procedures, including ventral mesh rectopexy (VMR), resection rectopexy, Altemeier or Delorme techniques. Re-recurrence was more common following perineal procedures (39%) than abdominal approaches (25%). VMR and resection rectopexy demonstrated comparable success rates of 75%, while Altemeier and Delorme procedures showed 60% and 67% success, respectively. Functional outcomes improved significantly postoperatively, with the EQ-VAS quality of life score increasing from a median of 50 preoperatively to 75 at three years. Fecal incontinence and constipation scores (Wexner and CCCS) also showed marked improvement. Complications were minor and managed conservatively, with no cases of mesh erosion or anastomotic dehiscence reported. These findings support abdominal procedures, especially VMR and resection rectopexy, as the preferred treatment for medically fit patients with RRP. Perineal approaches remain viable for high-risk patients but are associated with higher recurrence. Although limited by its retrospective design, small sample size, and non-randomized treatment allocation, this study contributes valuable data to inform surgical decision-making in the management of RRP.\n                  <\/jats:p>","DOI":"10.3389\/fsurg.2025.1684599","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T06:25:39Z","timestamp":1766125539000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Managing recurrent rectal prolapse in women: a single-center study"],"prefix":"10.3389","volume":"12","author":[{"given":"Stanislaw","family":"Rzadkowski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Przemyslaw","family":"Ciesielski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malgorzata","family":"Kolodziejczak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"zrac018","DOI":"10.1093\/bjsopen\/zrac018","article-title":"Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis","volume":"6","author":"Pellino","year":"2022","journal-title":"BJS Open"},{"key":"B2","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1007\/s00384-024-04771-z","article-title":"Comparison between perineal and abdominal approaches for the surgical treatment of recurrent external rectal prolapse: a systematic review and meta-analysis","volume":"40","author":"Fuschillo","year":"2025","journal-title":"Int J Colorectal Dis"},{"key":"B3","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1111\/codi.12946","article-title":"A systematic review of the literature on the surgical management of recurrent rectal prolapse","volume":"17","author":"Hotouras","year":"2015","journal-title":"Colorectal Dis"},{"key":"B4","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/j.amjsurg.2019.02.010","article-title":"Getting to the bottom of treatment of rectal prolapse in the elderly: analysis of the National surgical quality improvement program (NSQIP)","volume":"218","author":"Daniel","year":"2019","journal-title":"Am J Surg"},{"key":"B5","doi-asserted-by":"publisher","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":"B6","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1007\/s00423-024-03227-w","article-title":"Ventral mesh rectopexy for recurrent rectal prolapse after Altemeier perineal proctosigmoidectomy: feasibility and outcomes","volume":"409","author":"Schabl","year":"2024","journal-title":"Langenbecks Arch Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1055\/s-0036-1584505","article-title":"Optimizing treatment for rectal prolapse","volume":"29","author":"Hrabe","year":"2016","journal-title":"Clin Colon Rectal Surg"},{"key":"B8","doi-asserted-by":"publisher","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":"B9","doi-asserted-by":"publisher","first-page":"1363","DOI":"10.3390\/jcm13051363","article-title":"Mesh rectopexy or resection rectopexy for rectal prolapse: is there a gold standard method? A systematic review and meta-analysis","volume":"13","author":"Koimtzis","year":"2024","journal-title":"J Clin Med"},{"key":"B10","doi-asserted-by":"publisher","first-page":"832","DOI":"10.1007\/BF02055442","article-title":"Management of recurrent rectal prolapse","volume":"40","author":"Fengler","year":"1997","journal-title":"Dis Colon Rectum"},{"key":"B11","doi-asserted-by":"publisher","first-page":"234","DOI":"10.4174\/astr.2022.102.4.234","article-title":"Clinical outcomes of surgical management for recurrent rectal prolapse: a multicenter retrospective study","volume":"102","author":"Hong","year":"2022","journal-title":"Ann Surg Treat Res"},{"key":"B12","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1007\/s10350-003-0035-4","article-title":"Anal sphincter morphology in patients with full-thickness rectal prolapse","volume":"47","author":"Dvorkin","year":"2004","journal-title":"Dis Colon Rectum"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1297","DOI":"10.1007\/s00268-013-1967-z","article-title":"No surgery for full-thickness rectal prolapse: what happens with continence?","volume":"37","author":"Cunin","year":"2013","journal-title":"World J Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1097\/DCR.0000000000000710","article-title":"Risk factors for recurrence after laparoscopic ventral rectopexy","volume":"60","author":"Fu","year":"2017","journal-title":"Dis Colon Rectum"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1200","DOI":"10.1007\/s10350-004-0948-6","article-title":"Recurrence rates after abdominal surgery for complete rectal prolapse: a multicenter pooled analysis of 643 individual patient data","volume":"48","author":"Raftopoulos","year":"2005","journal-title":"Dis Colon Rectum"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1684599\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T06:25:41Z","timestamp":1766125541000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1684599\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,19]]},"references-count":15,"alternative-id":["10.3389\/fsurg.2025.1684599"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1684599","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,19]]},"article-number":"1684599"}}