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RRP occurred most commonly because of problems with the mesh, but no etiologic factor was found in the majority of patients. Abdominal operations were performed more frequently than perineal approaches for RRP. Elimination of prolapse can be obtained, but bowel dysfunction still remains in 60 percent of patients.

No preoperative data predicted functional outcome, and in contrast to other studies, postoperative anal canal length provides the best prediction of postoperative continence.