Profile of Rectal Prolaps Patients at RSUD Dr. Soetomo Surabaya for the Period 2020 – 2024
Main Article Content
Rectal prolapse is a relatively rare condition, with an incidence of 2.5% per 100,000 persons annually, increasing in prevalence after the fifth decade of life. This condition is characterized by a full-thickness, circumferential protrusion of the rectum through the anus and is associated with various anatomical abnormalities, including a deep pouch of Douglas, redundant sigmoid colon, inadequate rectal fixation, diastasis of the levator ani muscle, and patulous anus. This research aims to analyze the clinical characteristics, risk factors, and treatment outcomes of rectal prolapse patients to provide a better understanding of the condition in the Indonesian population. A retrospective descriptive design was employed, utilizing medical records of patients diagnosed with rectal prolapse at Dr. Soetomo Regional Hospital, Surabaya, from 2020 to 2024. The collected data included patient demographics, clinical features, and identified risk factors. The research included 20 patients, and findings revealed that rectal prolapse significantly impacts patients' quality of life. Female multiparity was identified as a major contributing risk factor for the increased incidence of rectal prolapse. These results highlight the importance of early diagnosis and timely intervention, particularly for high-risk populations, to improve clinical outcomes. The implications of this research suggest the need for further research to develop standardized screening protocols and preventive strategies, particularly targeting populations at higher risk. The findings also provide valuable insights for clinicians in optimizing patient management and enhancing treatment approaches for rectal prolapse in Indonesia.
Catanzarite, T., Klaristenfeld, D. D., Tomassi, M. J., Zazueta-Damian, G., & Alperin, M. (2018). Recurrence of rectal prolapse after surgical repair in women with pelvic organ prolapse. Diseases of the Colon & Rectum, 61(7), 861–867.
DeSantis, N., Supples, C., Phillips, L., Pigot, J., Ervin, J., & Wade, T. (2025). Leveraging AI for enhanced alignment of national biodiversity targets with the global biodiversity goals. Nature-Based Solutions, 7, 100198. https://doi.org/10.1016/j.nbsj.2024.100198
D’Hoore, A., & Jones, O. M. (2018). Rectal prolapse and associated pelvic organ prolapse syndromes. In Keighley & Williams’ Surgery of the Anus, Rectum and Colon, Fourth Edition (pp. 378–423). CRC Press.
Else, K. J., Keiser, J., Holland, C. V, Grencis, R. K., Sattelle, D. B., Fujiwara, R. T., Bueno, L. L., Asaolu, S. O., Sowemimo, O. A., & Cooper, P. J. (2020). Whipworm and roundworm infections. Nature Reviews Disease Primers, 6(1), 44.
Forero, R., Nahidi, S., De Costa, J., Mohsin, M., Fitzgerald, G., Gibson, N., McCarthy, S., & Aboagye-Sarfo, P. (2018). Application of four-dimension criteria to assess rigour of qualitative research in emergency medicine. BMC Health Services Research, 18, 1–11.
Hidayatulloh, A., Firdausy, A. F., Mahyuddin, M. H., Atsira, O. P., Priandhini, S. A., Ibtisam, N., & Ibrahim, R. R. (2023). Giant Bladder stone and rectal prolapse complication in pediatric patient: Case report and literature review. International Journal of Surgery Case Reports, 111, 108740. https://doi.org/10.1016/j.ijscr.2023.108740
Hunter, N., Dempsey, N., Tbaishat, F., Jahanzeb, M., Al-Sukhun, S., & Gralow, J. R. (2020). Resource-stratified guideline-based cancer care should be a priority: Historical context and examples of success. American Society of Clinical Oncology Educational Book, 40, 217–226.
Newman, R., Campbell, P. C., Gooneratne, M. L., Lowenstein, L., Mu, G., Qureshi, A. A., & Krychman, M. (2018). Genito pelvic vaginal laxity: classification, etiology, symptomatology, and treatment considerations. Current Sexual Health Reports, 10, 222–236.
Rahadiani, N., Habiburrahman, M., Abdullah, M., Jeo, W. S., Stephanie, M., Handjari, D. R., & Krisnuhoni, E. (2022). Analysing 11 years of incidence trends, clinicopathological characteristics, and forecasts of colorectal cancer in young and old patients: a retrospective cross-sectional research in an Indonesian national referral hospital. BMJ Open, 12(9), e060839.
Raju, R., & Linder, B. J. (2021). Evaluation and Management of Pelvic Organ Prolapse. Mayo Clinic Proceedings, 96(12), 3122–3129. https://doi.org/10.1016/j.mayocp.2021.09.005
Rautio, T., Mäkelä-Kaikkonen, J., Vaarala, M., Kairaluoma, M., Kössi, J., Carpelan-Holmström, M., Salmenkylä, S., Ohtonen, P., & Mäkelä, J. (2016). Laparoscopic ventral rectopexy in male patients with external rectal prolapse is associated with a high reoperation rate. Techniques in Coloproctology, 20, 715–720.
Suri, C., Pande, B., Sahu, T., Sahithi, L. S., & Verma, H. K. (2024). Revolutionizing Gastrointestinal Disorder Management: Cutting-Edge Advances and Future Prospects. Journal of Clinical Medicine, 13(13), 3977.
Toprak, S., Koçak, Ü., Misirlioglu, E., Sanli, C., Albayrak, M., & Basar, H. (2016). Remembering the Importance of an Old Friend: History Taking in Preoperative Evaluation of Healthy Children: A Single Center Experience. Gazi Medical Journal, 27(3).
Tuncer, A., Akbulut, S., Ogut, Z., & Sahin, T. T. (2021). Management of irreducible giant rectal prolapse: A case report and literature review. International Journal of Surgery Case Reports, 88, 106485.
