Our Summary

This research compared two types of surgery used to treat rectal prolapse, a condition where the rectum slips out of place. The two surgeries are called ventral mesh rectopexy (VMR) and pelvic organ prolapse suspension surgery (POPS).

The study involved 120 women with rectal prolapse, half of whom had VMR and half had POPS. The researchers checked in with the patients 6 months after their surgeries, comparing the length of the surgeries, the patients’ pain levels afterwards, how long they stayed in the hospital, any complications from the surgery, and whether the prolapse came back.

The findings showed that the length of the POPS surgery was shorter than VMR. Both surgeries had similar results in terms of hospital stay and post-surgery pain. However, VMR was a little better at improving constipation and continence (the ability to control bowel movements). VMR also had fewer complications and lower recurrence of the prolapse than POPS.

In conclusion, the study suggests that while both surgeries are comparable in managing rectal prolapse, POPS could be a quicker and easier option for some patients. However, VMR might have fewer complications and slightly better outcomes for some symptoms.

FAQs

  1. What is the difference between Ventral Mesh Rectopexy (VMR) and Pelvic Organ Prolapse Suspension Surgery (POPS)?
  2. Which surgery between VMR and POPS has a shorter length and what are the outcomes of both surgeries?
  3. How did the surgeries affect the patients’ pain levels and hospital stays, and were there any complications or recurrence of prolapse post-surgery?

Doctor’s Tip

It is important to discuss with your doctor the benefits and risks of both VMR and POPS surgeries to determine which option is best for you. Additionally, following your doctor’s post-operative instructions and attending follow-up appointments are crucial for a successful recovery.

Suitable For

Patients who are experiencing symptoms of rectal prolapse, such as a feeling of a bulge or protrusion from the rectum, difficulty with bowel movements, and incontinence, may be recommended for rectal prolapse surgery. Additionally, patients who have not responded to conservative treatments such as dietary changes, pelvic floor exercises, and medications may also be candidates for surgery. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if surgery is the best option for their individual case.

Timeline

Before rectal prolapse surgery:

  • Patient experiences symptoms such as rectal protrusion, constipation, fecal incontinence, and pelvic pressure
  • Patient undergoes diagnostic tests such as physical examination, colonoscopy, and imaging studies to confirm the diagnosis
  • Patient discusses treatment options with their healthcare provider, including surgical options like VMR or POPS
  • Patient undergoes pre-operative preparation, which may include bowel preparation and medication adjustments

After rectal prolapse surgery:

  • Patient undergoes the surgery, either VMR or POPS, which involves repairing the rectal prolapse and securing the rectum in its correct position
  • Patient wakes up in the recovery room and is monitored for any immediate post-operative complications
  • Patient stays in the hospital for a few days for observation and pain management
  • Patient is discharged from the hospital and begins the recovery process at home, which includes taking pain medication, following a special diet, and gradually increasing activity levels
  • Patient attends follow-up appointments with their healthcare provider to monitor their progress and address any concerns
  • Patient experiences improvements in symptoms such as rectal prolapse, constipation, and fecal incontinence, with the potential for long-term success depending on the type of surgery chosen and individual factors.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rectal prolapse surgery include:

  1. What is rectal prolapse and why do I need surgery for it?
  2. What are the potential risks and complications associated with rectal prolapse surgery?
  3. How long will the surgery take and how long will I need to stay in the hospital?
  4. What is the recovery process like after rectal prolapse surgery?
  5. Will I experience any pain or discomfort after the surgery, and how will it be managed?
  6. What are the chances of the prolapse coming back after surgery?
  7. How will the surgery affect my bowel movements and continence?
  8. Are there any alternative treatment options to consider?
  9. How experienced are you in performing rectal prolapse surgery, and what is your success rate?
  10. Can you explain the difference between ventral mesh rectopexy (VMR) and pelvic organ prolapse suspension surgery (POPS), and which one do you recommend for me?

Reference

Authors: Farag A, Mashhour AN, Raslan M, Tamer M, Elbarmelgi MY. Journal: World J Surg. 2020 Sep;44(9):3158-3166. doi: 10.1007/s00268-020-05585-0. PMID: 32424455