• Sandeep Singh, Keshara Ratnatunga, Roel Bolckmans, Naeem Iqbal, Oliver Jones, Ian Lindsey, Kim Gorissen, and Chris Cunningham.
• Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
• Ann. Surg. 2022 Nov 1; 276 (5): e459-e465.

ObjectiveTo assess patients' long-term outcome and satisfaction after laparoscopic ventral mesh rectopexy (LVMR).Summary Of Background DataData on the long-term outcome and satisfaction of patients undergoing LVMR are limited.MethodsPatients who underwent LVMR between 2004 and 2017 were identified from a prospectively maintained database. We attempted to contact all patients by telephone for an interview using a standardized questionnaire to record pre-LVMR symptoms, long-term outcome, and overall satisfaction.ResultsTotal number of patients who underwent LVMR was 848 and 99(12%) were deceased at follow-up. In the end, 544 (64%) patients were contacted successfully and 478 (56%) were able to complete the questionnaire. Median time elapsed since surgery was 7 years and mean age was 62 years. Patients' reported preoperative symptoms were obstructed defecation syndrome in 40%, fecal incontinence in 22%, combination of obstructed defecation syndrome and fecal incontinence in 21% and other conditions in 17%. Bowel symptoms were reported as improved by 69% of patients and worse by 12%. Pelvic pain was reported to be improved in 47% of the patients after LVMR but new onset of pelvic pain appeared in 15%. Sexual function was reported to be better and worse with equal frequency. Overall, 63% of the patients were satisfied with the outcome and 76% would recommend this procedure to others with similar symptoms.ConclusionLVMR offers acceptable long-term outcomes and satisfaction. There is a mixed impact on pelvic pain and sexual function which requires careful consideration in counseling patients for this procedure.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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