Prolapsus rectal en questions

Abstract

Before surgery, evaluation of the continence, bowel movements and rectal evacuation are mandatory. The perineal evaluation is really useful in its dynamic compounds but neither evaluation using fingers nor anorectal physiology gave predictive indicators of functional improvement after surgery. D’Hoore’s rectopexy seems to be increasingly preferred by surgeons because of low morbidity rates. However, evidence-based evaluation cannot validate this preferred approach. Laparoscopic or robotic guidance seems to be helpful for both patients’ recovery and surgeon’s dissection. The colonic resection associated with rectopexy is no more recommended even for patients with proven preoperative constipation. Transanal approaches may have confidential indications. Follow-up after surgery is useful because functional recovery remains somewhat uncertain.