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)

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dc.authorid0000-0002-4148-5871
dc.authorid0000-0002-0630-5097
dc.authorid0000-0002-2282-7207
dc.authorid0000-0002-3918-7920
dc.authorid0000-0001-7040-4228
dc.authorid0000-0003-2860-7413
dc.authorid0000-0002-3487-1264
dc.authorid0000-0003-3311-3581
dc.contributor.authorGültekin, Fatma Ayça
dc.contributor.authorBalcı, Bengi
dc.contributor.authorKuzeyli Yıldırım, Yasemin
dc.contributor.authorArslan, Çiǧdem
dc.contributor.authorYaşar, Necdet Fatih
dc.contributor.authorBisgin, Tayfun
dc.contributor.authorBayraktar, Adem
dc.contributor.authorZenger, Serkan
dc.contributor.authorŞengül, Neriman
dc.contributor.authorBulut, Türker Mehmet
dc.date.accessioned2026-04-17T10:12:35Z
dc.date.available2026-04-17T10:12:35Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractBackground 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 evalu ated 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.
dc.identifier.citationGültekin, F. A., Balcı, B., Kuzeyli Yıldırım, Y., Arslan, Ç., Yaşar, N. F., Bisgin, T., Bayraktar, A., Zenger, S., Şengül, N., & Bulut, T. M. (2026). 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). Techniques in Coloproctology, 30(1), pp. 1-9. https://doi.org/10.1007/s10151-026-03293-w
dc.identifier.doi10.1007/s10151-026-03293-w
dc.identifier.endpage9
dc.identifier.issn1123-6337
dc.identifier.issn1128-045X
dc.identifier.issue1
dc.identifier.pmidPMID: 41931157
dc.identifier.scopus2-s2.0-105035122171
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1007/s10151-026-03293-w
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1421
dc.identifier.volume30
dc.identifier.wosWOS:001734884900001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorArslan, Çiğdem
dc.institutionauthorid0000-0002-2282-7207
dc.language.isoen
dc.publisherSpringer Nature Link
dc.relation.ispartofTechniques in Coloproctology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMale Sex
dc.subjectExternal Rectal Prolapse
dc.subjectInternal Rectal Prolapse
dc.subjectFecal Incontinence
dc.subjectObstructive Defecation Syndrome
dc.subjectVentral Mesh Rectopexy
dc.titleFunctional 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)
dc.typeArticle
dspace.entity.typePublication

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