Short-Term Outcomes of Rectal Mucosa Sleeve Resection and Transverse Perineal Support Operation for Occult Rectal Prolapse, Rectocele and Descending Perineum: A Single Center and Single Team Experience

Occult rectal prolapse is a pathological condition that mainly affects women and is frequently associated with obstructed defecation. Numerous surgical procedures have been advocated for treating patients with obstructed defecation. In this study, we performed a retrospective analysis of the short-term surgical outcomes of combining internal mucosal resection with transverse perineal support in a single center with expertise in anorectal surgery. Resolution in obstruction symptoms was achieved with low morbidity. The use of sleeve resection of the rectal mucosa is a well-known and established procedure for occult rectal prolapse in obstructed defecation syndrome patients. Transverse perineal support operation has been recently adopted to correct defects of the perineum. In our preliminary experience, we report a combination in surgical techniques never described in the literature. Our preliminary results suggest that the technique is feasible, safe and reproducible. More patients and longer follow-up are required to be able to draw stronger conclusions.