Functional and surgical outcomes of ventral mesh rectopexy in male patients with rectal prolapse: a nationwide multicenter retrospective cohort study by the Pelvic Floor Working Group of the Turkish Society of Colon and Rectal Surgery (TSCRS).

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Functional and surgical outcomes of ventral mesh rectopexy in male patients with rectal prolapse: a nationwide multicenter retrospective cohort study by the Pelvic Floor Working Group of the Turkish Society of Colon and Rectal Surgery (TSCRS).
Συγγραφείς:	Gultekin FA; General Surgery Department, Zonguldak Bulent Ecevit University, School of Medicine, Zonguldak, Turkey. aycafgultekin@gmail.com., Balcı B; General Surgery Department, ASV Yasam Hospital, Antalya, Turkey., Yıldırım Y; General Surgery Department, Florence Nightingale Hospital, Demiroglu Bilim University, School of Medicine, Istanbul, Turkey., Arslan Ç; General Surgery Department, Istanbul Health and Technology University, School of Medicine, Istanbul, Turkey., Yaşar NF; General Surgery Department, Eskisehir Osmangazi University, School of Medicine, Eskisehir, Turkey., Bisgin T; General Surgery Department, Dokuz Eylul University, School of Medicine, Izmir, Turkey., Bayraktar A; General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey., Zenger S; General Surgery Department, VKV American Hospital, Istanbul, Turkey., Şengül N; General Surgery Department, Bolu Abant Izzet Baysal University, School of Medicine, Bolu, Turkey., Çakır M; General Surgery Department, Necmettin Erbakan University, School of Medicine, Konya, Turkey., Bozbıyık O; General Surgery Department, Ege University, School of Medicine, Izmir, Turkey., Kozan R; General Surgery Department, Gazi University, School of Medicine, Ankara, Turkey., Karakayalı FY; General Surgery Department, Baskent University, School of Medicine, Istanbul, Turkey., Canda AE; Private Clinic for Colorectal Surgery and Peritoneal Surface Malignancies, Izmir, Turkey., Öztürk E; General Surgery Department, Medicana Hospital, Bursa, Turkey., Bulut T; General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Πηγή:	Techniques in coloproctology [Tech Coloproctol] 2026 Apr 03; Vol. 30 (1). Date of Electronic Publication: 2026 Apr 03.
Τύπος έκδοσης:	Journal Article; Multicenter Study
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
Imprint Name(s):	Publication: <2001->: Milano, Italy : Springer-Verlag Italia Original Publication: Rome : UCP Club
Ιατρικοί όροι (MeSH):	Rectal Prolapse/surgery , Rectal Prolapse/physiopathology , Surgical Mesh/adverse effects , Rectum/surgery, Postoperative Complications/etiology ; Postoperative Complications/epidemiology ; Fecal Incontinence/etiology ; Fecal Incontinence/surgery ; Pelvic Floor/surgery ; Laparoscopy/methods ; Humans ; Male ; Retrospective Studies ; Middle Aged ; Treatment Outcome ; Adult ; Recurrence ; Turkey ; Colorectal Surgical Procedures ; Aged
Περίληψη:	Background: The indications and outcomes of ventral mesh rectopexy (VMR) in the treatment of rectal prolapse in males have been minimally addressed in the literature. This study aimed to evaluate the demographics, clinical characteristics, and surgical outcomes associated with VMR in male patients. Methods: This nationwide retrospective cohort study included male patients who underwent VMR at centers performing pelvic floor surgery across Turkey. Clinical and surgical characteristics were obtained, and functional outcomes were evaluated using Cleveland Clinic Incontinence score (CCIS) and Altomare Obstructed Defecation Syndrome (ODS) scores at the pre- and postoperative periods. Results: Forty-one male patients (mean age, 45.4 years; mean BMI, 25.6 kg/m²) underwent VMR (2 open, 5 robotic, and 34 laparoscopic). 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 12% recurrence rate. The median follow-up was 33 (6-127) months. The recurrence rate was 36.4% for IRP patients and 3.3% for ERP patients (p = 0.014). Significant improvements were observed in the CCIS (preoperative: 6.1 ± 4.8; postoperative: 2.8 ± 3.3, p = 0.005) and Altomare ODS (preoperative: 11.9 ± 4.6; postoperative: 7.26 ± 5.8, p < 0.001). Conclusions: In this nationwide retrospective cohort study, VMR was associated with favorable functional outcomes in males. Recurrence rates were significantly higher in those with internal rectal prolapse. As sexual function was not systematically assessed, prospective studies with standardized patient-reported outcomes are warranted. (© 2026. The Author(s).)
Competing Interests:	Declarations. Conflict of interest: None of the authors has a conflict of interest concerning this work. Consent to participate: Informed consent was obtained from all individual participants included in the study. Ethics approval: The study was approved by the Ethics Committee of Istanbul Medipol University (05/07/2024, E-10840098-202.3.02-3983).
References:	Tech Coloproctol. 2025 Mar 07;29(1):74. (PMID: 40053169) Colorectal Dis. 2016 Dec;18(12):1189. (PMID: 27911060) BMJ. 2007 Oct 20;335(7624):806-8. (PMID: 17947786) Clin Colon Rectal Surg. 2011 Mar;24(1):39-45. (PMID: 22379404) Dis Colon Rectum. 1993 Jan;36(1):77-97. (PMID: 8416784) Tech Coloproctol. 2022 Feb;26(2):85-98. (PMID: 34812970) Colorectal Dis. 2011 Sep;13(9):1035-9. (PMID: 20860714) Dis Colon Rectum. 2025 May 1;68(5):593-607. (PMID: 39882786) Colorectal Dis. 2023 Jun;25(6):1116-1127. (PMID: 36847704) Ann Surg. 2009 Aug;250(2):187-96. (PMID: 19638912) Tech Coloproctol. 2024 Nov 13;28(1):158. (PMID: 39538028) Turk J Surg. 2018 Sep 21;35(3):165-170. (PMID: 32550323) Int J Surg. 2014 Dec;12(12):1495-9. (PMID: 25046131) Dis Colon Rectum. 2015 Aug;58(8):799-807. (PMID: 26163960) Colorectal Dis. 2013 Mar;15(3):368-73. (PMID: 22823279) Tech Coloproctol. 2016 Oct;20(10):715-20. (PMID: 27641548) Colorectal Dis. 2016 Aug;18(8):O301-10. (PMID: 26709009) Surgery. 2015 Jul;158(1):104-11. (PMID: 25869649) Surg Endosc. 2019 Aug;33(8):2444-2455. (PMID: 31041515) Scand J Surg. 2005;94(3):207-10. (PMID: 16259169) J Anus Rectum Colon. 2021 Oct 28;5(4):376-385. (PMID: 34746502) Cochrane Database Syst Rev. 2015 Nov 24;(11):CD001758. (PMID: 26599079) Colorectal Dis. 2008 Jan;10(1):84-8. (PMID: 17441968) Colorectal Dis. 2014 Feb;16(2):82-8. (PMID: 24034860) Gastroenterol Rep (Oxf). 2022 Feb 21;10(1):goac007. (PMID: 35198217) Colorectal Dis. 2019 Oct;21(10):1218-1219. (PMID: 31260604) Dis Colon Rectum. 2005 Apr;48(4):824-31. (PMID: 15785903) Tech Coloproctol. 2025 Feb 14;29(1):68. (PMID: 39953171) Am J Surg. 2020 Sep;220(3):697-705. (PMID: 31987495)
Contributed Indexing:	Keywords: External rectal prolapse; Fecal incontinence; Internal rectal prolapse; Male sex; Obstructive defecation syndrome; Ventral mesh rectopexy
Entry Date(s):	Date Created: 20260403 Date Completed: 20260714 Latest Revision: 20260813
Update Code:	20260813
PubMed Central ID:	PMC13056734
DOI:	10.1007/s10151-026-03293-w
PMID:	41931157
Βάση Δεδομένων:	MEDLINE

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Περιγραφή
ISSN:	1128-045X
DOI:	10.1007/s10151-026-03293-w