Modified Gant procedure for treatment of internal rectal prolapse in elderly women

Table 1 Patient characteristics

Characteristics	n
Age (yr)
60–69	36
70–79	25
≥ 80	2
Preoperative complication of serious disease
Coronary atherosclerotic heart disease	2
Chronic obstructive pulmonary disease	1
Liver cirrhosis	1
Diabetes	2
Oxford Rectal Prolapse Grade (ORPG)
ORPG-1 (High rectal)	1
ORPG-2 (Low rectal)	6
ORPG-3 (High anal)	25
ORPG-4 (Low anal)	31

Table 2 Five common symptoms of intrarectal prolapse, n (%)

Symptoms	Proportion		Improvement rate (%)	χ2	P
	Before procedure (n = 63)	After procedure (n = 63)
Defecation disorder	58 (92.1)	9 (14.3)	84.5	76.531	0.000
Anal distension	56 (88.9)	17 (27.0)	69.6	49.537	0.000
Inexhaustible sense of defecation	59 (93.7)	11 (17.5)	81.4	74.057	0.000
Frequent defecation	53 (84.1)	6 (9.5)	88.7	61.050	0.000
Anal incontinence	35 (55.6)	20 (31.7)	42.9	7.260	0.007

Table 3 Comparison of PAC-QOL, dimensions, and total scores of anal incontinences (mean ± SD)

	Before procedure (n = 63)	After procedure (n = 63)	t	P
PAC-QOL score
Physiology (4 items)	8.41 ± 2.18	5.48 ± 1.41	8.966	0.000
Social psychology (8 items)	18.79 ± 4.05	12.16 ± 3.23	10.157	0.000
Worry (11 items)	20.58 ± 5.59	15.49 ± 4.35	5.672	0.000
Satisfaction (5 items)	16.87 ± 4.39	11.52 ± 3.24	7.788	0.000
Total score	64.63 ± 14.05	44.65 ± 10.60	9.012	0.000
Wexner score of anal incontinence	8.54 ± 3.19	5.70 ± 3.33	3.129	0.003
Quality of life score of anal incontinence
Lifestyle (10 items)	26.83 ± 7.23	31.25 ± 8.81	-2.013	0.049
Coping/behavior (9 items)	20.06 ± 6.06	25.05 ± 5.52	-3.032	0.004
Depression/self-perception (7 items)	14.91 ± 5.79	18.10 ± 4.24	-2.149	0.036
Awkward (3 items)	5.46 ± 1.82	6.85 ± 1.76	-2.764	0.008
Total score	67.26 ± 13.56	81.25 ± 13.95	-3.644	0.001

PAC-QOL: Patient Assessment of Constipation Quality of Life.

Table 4 Postoperative complications

Complications	n	Incidence rate
Massive hemorrhage	0	0
Infection	0	0
Anorectal stenosis	0	0
Anorectal fistula	0	0