EP873 - Rectal Prolapse Repair: Long Term Patient Perspectives on Quality of Life

Monday, May 11, 2026

1:41 PM - 1:46 PM ET

ePoster Presenter(s)

Nathan Aminpour, MD

General Surgery Resident
Kaiser Permanente - Los Angeles Medical Center
Kaiser Permanente - Los Angeles Medical Center
West Hollywood, CA, United States

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Author(s)

TM

Trevor M. Marshall, B.S Molecular and Cellular Biology, UCSD

Medical Student (3rd Year)
Kaiser Permanente SOM
Pasadena, California, United States

Disclosure information not submitted.
AV

Akasha Vega, n/a

Author
Kaiser Permanente Bernard J. Tyson School of Medicine
Los Angeles, California, United States

Disclosure information not submitted.
SD

Sophia Durney, n/a

Medical Student
Kaiser Permanente Bernard J Tyson School of Medicine
Pasadena, California, United States

Disclosure information not submitted.
SS

Shamtej SinghRana, n/a

Medical Student
Kaiser Permanente Bernard J Tyson School of Medicine
pasadena, California, United States

Disclosure information not submitted.

Senior Author(s)

Elisabeth C. McLemore, MD, FACS, FASCRS

Clinical Professor, BJT KP School of Medicine
Kaiser Permanente Los Angeles Medical Center, LAMC Colorectal Surgery
Los Angeles, CA, United States

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Purpose/Background: Rectal prolapse is a benign but disabling condition that can significantly impair quality of life. Although surgical repair remains the standard of care, long-term outcomes regarding patient satisfaction and functional improvement are not well characterized. This study evaluates long-term quality of life, functional outcomes, and recurrence following rectal prolapse repair.

Methods/Interventions: A retrospective review was performed of patients who underwent rectal prolapse repair across an integrated multicenter hospital system. Patients were contacted to complete a standardized 20-item telephone survey assessing long-term satisfaction and quality of life. The survey incorporated modified components of the Fecal Incontinence Severity Index (FISI), Gastrointestinal Quality of Life Index (GIQLI), Fecal Incontinence Quality of Life Index (FIQLI), and additional questions evaluating patient satisfaction and postoperative function.

Results/Outcomes: Of 106 patients contacted, 38 (36%) participated in the study. The cohort was predominantly female (84.2%) with a mean age of 54.1 ± 4.8 years, and a mean interval from surgery to survey of 8.1 ± 4.9 years. The most common operation was laparoscopic resection rectopexy (39.5%), followed by laparoscopic ventral mesh rectopexy (31.6%), Altemeier perineal proctectomy (15.8%), laparoscopic suture rectopexy (7.9%), and open resection rectopexy (5.3%). Among respondents, 12 of 37 (32.4%) reported recurrence. Quality-of-life outcomes were favorable, with a mean FISI score of 3.19 ± 3.22 (0–16) indicating minimal incontinence severity, and a mean FIQLI score of 25.5 ± 11.5 (0–40) reflecting neutral-to-positive quality of life. Overall satisfaction remained high: 86% reported they would undergo the same operation again, 79% were very satisfied with their outcome, 80% described a smooth recovery, and 83% noted significant symptom improvement following surgery.

Conclusion/Discussion: In this multicenter cohort, rectal prolapse repair was associated with long term symptom relief, low average incontinence severity, and high patient satisfaction. Although rectal prolapse is a benign condition, these results support the effectiveness of surgical repair in improving quality of life and reinforce the importance of ongoing long-term evaluation.