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The current status of FTRP care 

Introduction

In attempt to advance rectal prolapse surgical care, it is essential to understand the current state of surgery for full thickness rectal prolapse (FTRP) and  the current practices of surgeons who treat these patients.   

We have therefore complied the following survey.   We hope that you will consider answering these questions and  help us  understand what surgery is currently being performed for rectal prolapse.  We hope to use the survey data to tailor future educational efforts within the ASCRS.

Thank you again for your assistance
Estimated completion time <10 minutes.
1.Please state your practice location
2.Current age
3.Sex
4.How many years in have you been in practice?
5.What is your practice setting?
6.Do you treat patients with rectal prolapse?
7.How many cases of rectal prolapse surgery do you do in a year on average?
8.FTRP Evaluation.  If a patient presents with a reducible FTRP on exam, do you evaluate for concomitant pelvic organ prolapse? (all that apply)
9.FTRP Evaluation.  If a patient presents with reducible FTRP, do you evaluate with anorectal physiology testing (anorectal manometry, EMG, or PNTML)?
10.Operative decisions. 60 y/o female with reducible 4cm FTRP, previous abdominal hysterectomy, no significant constipation or fecal incontinence.
11.Operative decisions. 40 y/o female with reducible 4cm FTRP, no previous hysterectomy, on miralax BID for constipation.
12.Operative decisions. 80 y/o independent, active female with reducible 4cm FTRP, previous abdominal hysterectomy, mild constipation on fiber, weak anal resting tone
13.Operative decisions. 80 y/o female with moderate dementia, lives in care facility with reducible 4cm FTRP, previous abdominal hysterectomy, mild constipation on fiber, weak anal resting tone
14.Recurrent prolapse – 60 y/o female ~4 years s/p robotic suture rectopexy, now with 3 cm of recurrent prolapse, occasional PRN laxative use
15.If you answered suture, posterior, or resection rectopexy to any of the above questions, do you add an anterior dissection?
16.If you answered posterior mesh rectopexy to any of the above questions,  where do you place the mesh?
17.If you answered ventral rectopexy to any of the above questions, what type of support do you routinely use?
18.If you answered perineal approach to any of the above questions, do you routinely perform which operation?
19.When performing abdominal surgery for rectal prolapse is your preference to perform surgery
20.Education – would you be interested in further skill development about surgery for rectal prolapse?
21.Education -- which operation would you like to learn more about? (check all that apply)
22.Education – what do you envision to be the most beneficial way to gain new skills regarding these operations? (check all that apply)
23.Education – would you be willing to submit a de-identified case video for review?
Current Progress,
0 of 23 answered