Anteroposterior rectopexy in the treatment of XXXX without overt rectal prolapse.

@entity1 @entity1066 @entity1142 @entity548
There is evidence that the @entity1066 is associated with rectal prolapse either overt or internal. The anterior rectal wall is affected in most cases and a modified abdominal rectopexy has been used with the aim of supporting both the anterior and posterior aspects of the rectum. Fourteen @entity1 aged 19-70 years (mean 34.2 years) in whom conservative treatment has failed, have been treated by anteroposterior rectopexy. Tenesmus, @entity548 and the passage of mucus have been abolished or greatly improved in 12, 14 and 13 @entity1 respectively. The number of attempts to defaecate per 24 h has fallen from 8.7 +/- 1.4(s.e.m.) pre-operatively to 3.4 +/- 1.0(s.e.m.) postoperatively (P less than 0.05) and the time spent in the lavatory has been reduced from 146 +/- 18(s.e.m.) min to 15 +/- 3(s.e.m.) min. Two @entity1 have developed severe @entity1142 postoperatively and two others have had persistent or recurrent tenesmus. Combined anteroposterior rectopexy has improved 12 out of 14 @entity1 with the solitary @entity1066 without external rectal prolapse when assessed at 2-48 months postoperatively.
