الفهرس 
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Abstract
The term ”external rectal prolapse” refers to a condition in which the rectal organ protrudes outside the anal canal. Permanent protrusion is possible, as is temporary manifestation during straning during faeces. Although it is seldom a medical emergency, the illness may be unpleasant and socially crippling. It’s linked to bowel incontinence and, in women, to a host of other issues with their pelvic floors. The most typical surgery for this problem in the elderly is laparoscopic procedure rectopexy combined with or without colonic resection, however perineal treatments may be utilised instead.
Forty patients (24 females and 16 men, ages 19 to 70; mean age, 31.1) participated in the research. The purpose of this study was to assess the efficacy of laparoscopic rectopexy with anterior mesh (group A; n =20) and rectopexy plus sigmoid resection (group B; n =20) for full rectal prolapse (the ratio of females to males in the whole group of patients was 3:2). (Incontinence, constipation and sexuality).
All patients in both groups had pre-operative constipation & symptoms of difficult evacuation, but to varying degrees.
There were no intraoperative problems in either group, with the exception of bleeding, which was much less common in group A than in group B. In none of the study’s groups did anybody die. One patient in group A had a postoperative chest infection, which was treated. No anastomotic leaks were found, however a minor pelvic abscess as suspected in one patient with a persistent fever after discharge. The situation was handled cautiously. Two people developed wound infections, and they were given daily dressings. A tiny incisional hernia was found in one patient 6 months after surgery in group (B), and one patient acquired postoperative wound seroma, which was emptied and controlled by daily dressing. The next step was to do surgery on her.
While no patients in Group(A) had incontinence, six patients in Group(B) did, with incidence rates ranging from 0 to 20 percent and a mean of 5.4.
The average pre- and post-test scores for constipation were 16.9 and 2.3 for group B and 10.3 and 4.3 for group A, respectively.
In neither group did sexual or urologic dysfunction occur throughout the follow-up period.
Rectal prolapse is more common in adult females than in adult men, according to the results.
When it comes to operational time and intraoperative problems, both procedures are equivalent.
Patients suffering from chronic constipation will benefit more from rectosigmoidectomy than from mesh rectopexy, according to a comparison of pre- and post-operative scores. Sexual function will be unaffected in either group. However, rectosigmoidectomy may be strongly associated with faecal incontinence, which should be taken into account before the procedure is performed.