{"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":1789064943471,"version":"build-2803163510"},"reference-count":76,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Complete rectal prolapse (RP) is a debilitating pelvic floor disorder often accompanied by obstructed defecation syndrome (ODS), fecal incontinence, and LARS-like bowel dysfunction. Laparoscopic resection rectopexy (LRR) is an established abdominal approach; however, functional outcomes after LRR with transanal specimen extraction (LRR-TSE) are incompletely defined. Aim: To evaluate short- and long-term functional outcomes\u2014ODS, Wexner incontinence score (WIS), and LARS\u2014in patients undergoing LRR-TSE. Methods: This single-center cohort included 53 consecutive patients who underwent LRR-TSE between January 2013 and December 2019. Variables were prospectively recorded and analyzed retrospectively. ODS, WIS, and LARS scores were assessed preoperatively and at 3, 6, and 12 months. Longitudinal changes were analyzed using repeated-measures ANOVA with Greenhouse\u2013Geisser correction, polynomial contrasts when appropriate, and Bonferroni-adjusted pairwise comparisons. Results: ODS improved significantly over time (p &lt; 0.001), decreasing from 12.8 \u00b1 3.2 preoperatively to 2.4 \u00b1 2.1, 4.2 \u00b1 2.2, and 5.2 \u00b1 2.9 at 3, 6, and 12 months, respectively. LARS scores declined from 18.0 \u00b1 12.7 at 3 months to 8.8 \u00b1 6.8 at 6 months and 3.5 \u00b1 4.2 at 12 months (p &lt; 0.001). WIS showed a transient increase at 3 months (8.1 \u00b1 5.2), followed by improvement at 6 and 12 months (3.2 \u00b1 3.7 and 2.4 \u00b1 3.0; p &lt; 0.001). Sex and body mass index did not affect functional trajectories (p &gt; 0.05), whereas patients aged \u226550 years had higher postoperative LARS and WIS scores (p &lt; 0.05). Complications occurred in 5 patients (9.43%), including one anastomotic leak with a mortality rate of 1.85%. Full-thickness recurrence occurred in 2 patients (3.77%), and 3 developed mucosal prolapse managed with Delorme\u2019s procedure. Conclusions: LRR-TSE is a safe and feasible minimally invasive technique that improves constipation, continence, and LARS-related bowel dysfunction. Early postoperative impairment may overestimate long-term functional severity, highlighting the need for follow-up beyond 12 months.<\/jats:p>","DOI":"10.3390\/jcm15020718","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T14:35:38Z","timestamp":1768487738000},"page":"718","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Resection Rectopexy with Transanal Specimen Extraction for Complete Rectal Prolapse: Retrospective Cohort Study of Functional Outcomes"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2821-453X","authenticated-orcid":false,"given":"Mustafa","family":"Ates","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Inonu University, 44280 Malatya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6864-7711","authenticated-orcid":false,"given":"Sami","family":"Akbulut","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Inonu University, 44280 Malatya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5267-9068","authenticated-orcid":false,"given":"Emrah","family":"Sahin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Inonu University, 44280 Malatya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8237-9701","authenticated-orcid":false,"given":"Kemal Baris","family":"Sarici","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Inonu University, 44280 Malatya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5433-591X","authenticated-orcid":false,"given":"Ertugrul","family":"Karabulut","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Inonu University, 44280 Malatya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0021-8830","authenticated-orcid":false,"given":"Mukadder","family":"Sanli","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Faculty of Medicine, Inonu University, 44280 Malatya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s00423-004-0459-x","article-title":"Rectal prolapse: Which surgical option is appropriate?","volume":"390","author":"Schiedeck","year":"2005","journal-title":"Langenbecks Arch. 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