Functional and surgical outcomes of ventral mesh rectopexy in male patients with rectal prolapse: a…

Cohort studyTechniques in coloproctology· Apr 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).

F A Gultekin, B Balcı, Y Yıldırım … T Bulut

Colon & Rectal SurgeryCohort studyTreatmentQ2IF 2.2

Recurrence after rectopexy is far higher in men with internal rectal prolapse.

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).

F A Gultekin … T Bulut

Techniques in coloproctology · Apr 2026 · Q2 in Gastroenterology

Background

The indications and outcomes of ventral mesh rectopexy (ventral mesh rectopexy) in the treatment of rectal prolapse in males have been minimally addressed in the literature.

Purpose

This study aimed to evaluate the demographics, clinical characteristics, and surgical outcomes associated with ventral mesh rectopexy in male patients.

Methods

This nationwide retrospective cohort study included male patients who underwent ventral mesh rectopexy at centers performing pelvic floor surgery across Turkey.

n = 11 patients

Results

recurrence is over ten times more common with internal than external prolapse

IRP

36.4%

ERP

3.3%

More results

Forty-one male patients (mean age, 45.4 years; mean BMI, 25.6 kg/m 2 ) underwent ventral mesh rectopexy (2 open, 5 robotic, and 34 laparoscopic).

The cohort comprised 11 patients with internal rectal prolapse (internal rectal prolapse) and 30 with external rectal prolapse (external rectal prolapse).

More results

The overall complication rate was 17.1% (2.4% related to mesh), with a 12% recurrence rate.

Significant improvements were observed in the Clinic Incontinence score (preoperative: 6.1 ± 4.8; postoperative: 2.8 ± 3.3, p = 0.005) and Altomare Obstructed Defecation Syndrome (preoperative: 11.9 ± 4.6; postoperative: 7.26 ± 5.8, p < 0.001).

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Conclusion · 1 of 2

In this nationwide retrospective cohort study, ventral mesh rectopexy was associated with favorable functional outcomes in males. Recurrence rates were significantly higher in those with internal rectal prolapse.

Conclusion · 2 of 2

As sexual function was not systematically assessed, prospective studies with standardized patient-reported outcomes are warranted.

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).

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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