Symptom distribution and anorectal physiology results in male patients with rectal intussusception and prolapse

Laparoscopic ventral mesh rectopexy in male patients with internal or external rectal prolapse

“…Between 2002 and 2013, 68 (9.2%) of the 736 LVMR procedures were performed on men of ASA Grades I (40), II (17) or III (11). The median age of the patients was 34.5 (IQR 17.75-51.25) years and their median BMI was 26 (IQR 24-27.25) kg/m 2 .…”

“…Maximum voluntary contraction pressures are variably affected depending on the continence of the individual. Physiological assessment in men with ERP/IRP has failed to shed light on the mechanism of development; the only significant finding is that, as in women, resting pressures are lowest in ERP. Although physiological assessment is performed in 66% of men with IRP, the variability in findings does in our opinion, not support its routine use.…”

Expression of fibulin‐5 in the skin of patients with rectal prolapse

“…Serial investigation of prolapse in a large colony of Fbln5 ¡/¡ mice showed that 91% of these animals reliably progress to severe prolapse with age [27]. The observation that fibulin-5 expression is decreased in young men could explain the significantly higher recurrence rate after prolapse surgery in men compared with women reported in the literature, which was reported in one study to be 40% after 6 years following surgery [28].…”

MRI of the Male Pelvic Floor

“…Symptoms include pain, fecal incontinence, diarrhea, constipation, mucous discharge, and bleeding. Risk factors include congenital laxity of the pelvic floor, anal intercourse, and chronically increased abdominal pressure (31).…”