Our Summary

The research paper discusses a new technique to treat rectal prolapse in men, a condition where the rectum (the last part of the large intestine) slips out of its normal position. The traditional method of treatment involves a type of keyhole surgery called Laparoscopic Ventral Mesh Rectopexy (LVMR). However, this method can lead to complications such as sexual dysfunction due to nerve damage and has a recurrence rate of 4-50%.

To overcome these issues, the researchers have developed a robotic surgical procedure called the Robotic Modified Orr-Loygue Rectopexy. This method involves using a robot to precisely place a mesh in the back part of the rectum and secure it to the muscle. This is more secure than the previous method of attaching the mesh to the mesorectal fat and reduces the risk of sexual dysfunction because it is more accurate.

The initial results show that the robotic method is a safe and feasible option for men with rectal prolapse. It has no more complications or recurrence than the best results from the traditional method. Therefore, it could potentially be a better alternative for treating this condition in men.

FAQs

  1. What is the traditional method of treating rectal prolapse in men?
  2. How does the Robotic Modified Orr-Loygue Rectopexy differ from the traditional Laparoscopic Ventral Mesh Rectopexy?
  3. Based on the initial results, what are the potential benefits of using the robotic method for treating rectal prolapse in men?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rectal prolapse surgery is to follow the post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include taking prescribed medications, maintaining good hygiene, avoiding strenuous activities, and following a specific diet to prevent straining during bowel movements. Additionally, attending follow-up appointments with your surgeon is important to monitor your recovery progress and address any concerns or issues that may arise.

Suitable For

Patients who are typically recommended rectal prolapse surgery are those who have tried conservative treatments such as dietary changes, pelvic floor exercises, and medications without success. They may experience symptoms such as difficulty passing stool, fecal incontinence, rectal bleeding, and a feeling of a bulge or protrusion from the anus. Additionally, patients with significant rectal prolapse that is causing discomfort, pain, or affecting their quality of life are candidates for surgery.

Timeline

Before the surgery:

  1. The patient experiences symptoms of rectal prolapse such as a feeling of a bulge or protrusion from the rectum, difficulty controlling bowel movements, and pelvic pain.
  2. The patient consults with a doctor who recommends surgery as a treatment option.
  3. Pre-operative tests and evaluations are conducted to ensure the patient is a suitable candidate for surgery.
  4. The patient undergoes pre-operative preparations such as fasting and medication adjustments.

After the surgery:

  1. The patient undergoes the robotic Modified Orr-Loygue Rectopexy procedure under general anesthesia.
  2. The patient is monitored in the recovery room and then transferred to a hospital room for post-operative care.
  3. The patient may experience some pain, discomfort, and bloating in the days following the surgery.
  4. The patient is advised to follow a specific diet and activity restrictions to promote healing and prevent complications.
  5. The patient is scheduled for follow-up appointments with the surgeon to monitor recovery and address any concerns.
  6. Over time, the patient should experience relief from the symptoms of rectal prolapse and improved bowel function.
  7. The patient may need to make lifestyle changes to maintain the results of the surgery and prevent recurrence of rectal prolapse.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rectal prolapse surgery, specifically the Robotic Modified Orr-Loygue Rectopexy, may include:

  1. What are the potential risks and complications associated with the Robotic Modified Orr-Loygue Rectopexy surgery?
  2. How does the robotic method compare to traditional Laparoscopic Ventral Mesh Rectopexy in terms of success rates and recurrence?
  3. How long is the recovery period after undergoing the Robotic Modified Orr-Loygue Rectopexy surgery?
  4. Will I experience any changes in bowel function or sexual dysfunction after the surgery?
  5. How experienced is the surgical team in performing the Robotic Modified Orr-Loygue Rectopexy procedure?
  6. Are there any specific lifestyle changes or precautions I should take before and after the surgery?
  7. What are the chances of the rectal prolapse reoccurring after undergoing the robotic surgery?
  8. How long will I need to stay in the hospital after the surgery, and what is the post-operative care plan?
  9. Are there any alternative treatment options for rectal prolapse that I should consider?
  10. What is the long-term outlook for patients who undergo the Robotic Modified Orr-Loygue Rectopexy surgery?

Reference

Authors: Siddika A, Saha S, Siddiqi S. Journal: J Robot Surg. 2017 Sep;11(3):311-316. doi: 10.1007/s11701-016-0656-y. Epub 2016 Nov 9. PMID: 27830430