Akademik Veri Yönetim Sistemi
“XX. Ulusal ve III. Uluslararası Türk Kolon ve Rektum Cerrahisi Kongresi, Antalya, Türkiye, 16 - 20 Mayıs 2025, ss.21-22, (Özet Bildiri)
Objective: The indications and outcomes of ventral mesh rectopexy in the treatment of rectal prolapse in men have been minimally addressed in the literature. This study aims to evaluate the demographic, clinical characteristics, and surgical outcomes associated with VMR in male patients.
Materials-Methods: Patients from territorial centers performing pelvic floor surgery in Türkiye were included. Demographic, clinical, and surgical characteristics were obtained from prospectively maintained databases. For patients with missing prospectively recorded data, phone calls were made to inquire about recurrence, Cleveland Clinic Incontinence Score (CCIS) and Altomare scores for preoperative and postoperative periods.
Results: A total of 41 male patients underwent VMR (2 open, 5 robotic and 34 laparoscopic), with a mean age of 45.4 years and a mean BMI of 25.6 kg/m². The cohort comprised 11 patients with internal rectal prolapse (IRP) and 30 with external rectal prolapse (ERP). The overall complication rate was 17.1% (2.4% related to mesh), with a recurrence rate of 12%. Median follow-up was 33 (1-127) months. The recurrence rate was 36.4% for IRP and 3.3% for ERP patients (p=0.014). Significant improvements were observed in CCIS (preoperative: 6.1 ± 4.8; postoperative: 2.8 ± 3.3, p=0.005) and Altomare scores (preoperative: 11.9 ± 4.6; postoperative: 7.26 ± 5.8, p<0.001).
Conclusion: VMR demonstrates favorable outcomes in male patients, with significant reductions in incontinence and improved quality of life postoperatively. Recurrence rates are higher in IRP. Sexual functions were not assessed in most patients. To better evaluate patient-reported outcomes, prospective registries are needed.