Hannaneh Yousefi-Koma, Yassin Rahnama, Dorsa Najari, Fatemeh Fathabadi, Mojtaba Sedaghat, Alireza Kazemeini, Mohammad Reza Keramati, Amir Keshvari, Mohammad Sadegh Fazeli, Behnam Behboudi, Seyed Mohsen Ahmadi-Tafti
{"title":"Surgical outcomes on health-related quality of life in rectal prolapse: A systematic review and meta-analysis.","authors":"Hannaneh Yousefi-Koma, Yassin Rahnama, Dorsa Najari, Fatemeh Fathabadi, Mojtaba Sedaghat, Alireza Kazemeini, Mohammad Reza Keramati, Amir Keshvari, Mohammad Sadegh Fazeli, Behnam Behboudi, Seyed Mohsen Ahmadi-Tafti","doi":"10.1007/s10151-025-03198-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Rectal prolapse is a serious but not life-threatening condition. It can involve many complications, including quality-of-life changes. Surgical intervention is the standard medical treatment for these patients. In this article, we aim to investigate the quality-of-life outcomes in patients undergoing rectal prolapse surgery, compare different surgical methods, and assess different quality-of-life questionnaires to study these patients.</p><p><strong>Data sources: </strong>We conducted a systematic literature search on PubMed, Scopus, ScienceDirect, and Embase.</p><p><strong>Study selection: </strong>A total of 4916 studies were screened, resulting in a final 34 included studies, and 20 were included in the meta-analysis.</p><p><strong>Interventions: </strong>Data were extracted from studies comparing the quality of life in rectal prolapse patients before and after surgery.</p><p><strong>Main outcome measures: </strong>Except for one, all included studies reported improved quality-of-life scores. Different instruments were used to examine these patients' quality of life, but SF-36 was implemented most frequently. It comprises eight different domains, and these domains were reported in six different studies.</p><p><strong>Results: </strong>All eight domains showed better outcomes after surgery. The final analysis was based on the surgical approach (perineal or abdominal) and showed no statistically significant superiority of any of the approaches.</p><p><strong>Limitations: </strong>The high heterogeneity of the included studies.</p><p><strong>Conclusion: </strong>Surgical intervention can improve the quality of life of rectal prolapse patients. However, there is no consensus on which surgical approach achieves the best outcomes. Different instruments are used to evaluate the quality of life in these patients, but there is no specific questionnaire to assess this.</p>","PeriodicalId":51192,"journal":{"name":"Techniques in Coloproctology","volume":"29 1","pages":"159"},"PeriodicalIF":2.9000,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354557/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Coloproctology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10151-025-03198-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Rectal prolapse is a serious but not life-threatening condition. It can involve many complications, including quality-of-life changes. Surgical intervention is the standard medical treatment for these patients. In this article, we aim to investigate the quality-of-life outcomes in patients undergoing rectal prolapse surgery, compare different surgical methods, and assess different quality-of-life questionnaires to study these patients.
Data sources: We conducted a systematic literature search on PubMed, Scopus, ScienceDirect, and Embase.
Study selection: A total of 4916 studies were screened, resulting in a final 34 included studies, and 20 were included in the meta-analysis.
Interventions: Data were extracted from studies comparing the quality of life in rectal prolapse patients before and after surgery.
Main outcome measures: Except for one, all included studies reported improved quality-of-life scores. Different instruments were used to examine these patients' quality of life, but SF-36 was implemented most frequently. It comprises eight different domains, and these domains were reported in six different studies.
Results: All eight domains showed better outcomes after surgery. The final analysis was based on the surgical approach (perineal or abdominal) and showed no statistically significant superiority of any of the approaches.
Limitations: The high heterogeneity of the included studies.
Conclusion: Surgical intervention can improve the quality of life of rectal prolapse patients. However, there is no consensus on which surgical approach achieves the best outcomes. Different instruments are used to evaluate the quality of life in these patients, but there is no specific questionnaire to assess this.
期刊介绍：
Techniques in Coloproctology is an international journal fully devoted to diagnostic and operative procedures carried out in the management of colorectal diseases. Imaging, clinical physiology, laparoscopy, open abdominal surgery and proctoperineology are the main topics covered by the journal. Reviews, original articles, technical notes and short communications with many detailed illustrations render this publication indispensable for coloproctologists and related specialists. Both surgeons and gastroenterologists are represented on the distinguished Editorial Board, together with pathologists, radiologists and basic scientists from all over the world. The journal is strongly recommended to those who wish to be updated on recent developments in the field, and improve the standards of their work.
Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1965 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the Principles of Laboratory Animal Care (NIH publication no. 86-23 revised 1985) were followed as were applicable national laws (e.g. the current version of the German Law on the Protection of Animals). The Editor-in-Chief reserves the right to reject manuscripts that do not comply with the above-mentioned requirements. Authors will be held responsible for false statements or for failure to fulfill such requirements.
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