Rectal Prolapse Repair Combined with Levatorplasty Improves Outcomes for Patients with Wide Pelvic Hiatus, Finds Research

The main aim of this study is to assess the role of combining levatorplasty -with different rectal prolapse surgeries- on recurrence rate and improvement of symptoms in patients that were treated for rectal prolapse with wide pelvic hiatus. The study is a combined retrospective and prospective cohort study which included sixty patients with rectal prolapse with wide pelvic hiatus, they were divided into two groups (each group thirty patients). One group underwent rectal prolapse repair, the other group underwent rectal prolapse repair with levatorplasty.

Results: Levatorplasty group showed improvement in Wexner score, recurrence rate in comparison to the other group. Both groups showed similar results in postoperative pain and dyspareunia. Rectal prolapse repair combined with levatorplasty in patients complaining of rectal prolapse with wide pelvic hiatus have better outcome mainly in decreasing recurrence rate.

Reference:

Elbarmelgi, M.Y., Shafik, A.A., Badee, S.F. et al. Levatorplasty’s role in rectal prolapse management for patients with wide pelvic hiatus: a cohort study. BMC Surg 25, 19 (2025). https://doi.org/10.1186/s12893-024-02693-9