Abstract
Objective. To improve the results of diagnosis and surgical treatment of rectal mucosa prolapse, complicated by the anal sphincter insufficiency.
 Materials and methods. Analysis of the diagnosis and surgical treatment results in the rectal mucosa prolapse with the anal sphincter insufficiency was done in 23 patients, ageing 31 - 65 yrs old and the age median (41.5 ± 1.8) yrs old, of them 17 women-patients.
 Results. There was revealed, that most frequently and in mostly progressive forms the rectal mucosa prolapse with the anal sphincter insufficiency occurs in women, aged more than 36 yrs old.
 Conclusion. Miniinvasive transanal operations, submucosal injection procedures and sphincteroplasty “end-to-end” were used predominantly, owing less morbidity potency (26.1%), favorable remote functional results - the recurrence rate lowering (4.3%), the fecal incontinence degree lowering (78.6%), and the patients’ quality of life improvement.
Highlights
IntroductionAnal sphincter insufficiency (ANF) occurs in 0.5–28% of cases in the general population [1, 2], accounts for 5–7% of coloproctological diseases [3], and is 6–8 times more common in women than in men [4]
Anal sphincter insufficiency (ANF) occurs in 0.5–28% of cases in the general population [1, 2], accounts for 5–7% of coloproctological diseases [3], and is 6–8 times more common in women than in men [4]. The prevalence of this severe pathology is in the range of 60–80% [5]
Most authors consider the use of these methods in the early stages of pathology, I–II [13]
Summary
Anal sphincter insufficiency (ANF) occurs in 0.5–28% of cases in the general population [1, 2], accounts for 5–7% of coloproctological diseases [3], and is 6–8 times more common in women than in men [4]. Among patients with sagging of the mucous membrane of the rectum (DB) and other layers, ASC is more common, expressed in figures of 25–80% and higher, depending on the severity of sagging, the size of the sagging body and the duration of sagging [6, 7]. The scope of application of minimally invasive methods in the surgical treatment of sagging of the mucous membrane of the rectum is expanding [8, 9]. These include circular resection of the sagging mucosa, intrarectal steppler resection of the mucous membrane, sclerotherapy with chemicals, infrared or laser photocoagulation, ligation of the mucous membrane with and without hemorrhoidal nodules, etc. Most authors consider the use of these methods in the early stages of pathology, I–II [13]
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