Colorectal
Signal score, how each part rates
ActionabilityPrevalenceStakesEvidence strengthNovelty
See the full rubric →Cost-effectiveness and patient-reported outcomes of combined versus isolated robotic rectal and pelvic organ prolapse repair: A multicentre prospective cohort study.
Clinical takeawayFor women with symptomatic multicompartment prolapse (both rectal and pelvic organ), consider combined robotic repair due to superior symptom improvement and cost-effectiveness over staged procedures.
What it foundCombined robotic rectal and pelvic organ prolapse repair (rRP + rPOP) showed greater improvement in bowel, bladder, and prolapse-related symptoms than isolated robotic repairs (rRP or rPOP alone) at 12 months.
ContextHighlights the potential benefits of a combined approach for multicompartment prolapse, aligning with the need for multidisciplinary surgical planning.
Emergingsuggested applicable standard· World Journal of Gastroenterology, "Solitary rectal ulcer syndrome: clinical features, pathophysiology, diagnosis and treatment strategies", 2014
Decision at stakethe decision to perform surgical rectopexy for rectal prolapse
World Journal of Gastroenterology, "Solitary rectal ulcer syndrome: clinical features, pathophysiology, diagnosis and treatment strategies", 2014 · reviewed 2026-07-23 ↗Manage solitary rectal ulcer syndrome primarily with behavioral measures: stop straining, biofeedback/pelvic floor physical therapy for dyssynergic defecation, bulk fiber (psyllium) plus osmotic laxatives, and sucralfate enemas, with topical 5-ASA as a limited-evidence adjunct. Confirm the diagnosis with endoscopy plus mandatory biopsy to exclude malignancy; use anorectal manometry and defecography selectively, not routinely in every patient, to identify dyssynergia and intussusception and guide therapy. Reserve surgical rectopexy for documented internal/external rectal prolapse that has failed conservative therapy, and treat coexistent psychological factors.
Wallace SL … Gurland BH · Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland · IF 3.2 · PubMed ↗