en تخصصي Special مقالات اصيل Original Article <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Background:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> The Altemeier procedure for rectal prolapse offers excellent results in all age groups with minimal complications and allows for short hospital stays and recovery periods. We aimed to evaluate the results of transperineal surgery for rectal prolapse.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> In this case series study, 74 patients underwent perineal rectal prolapse surgery using Altemeier method and coloanal anastomosis at Ayottollah Taleghani Hospital, Tehran from 2013 to 2023 were enrolled.&nbsp; </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Results: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Overall, 48 ​​patients were female (64.8%) and the mean age was 52 years (range 18 to 80). Common symptoms were constipation (62.1%), fecal incontinence (76.95%), rectal bleeding (41.85%), and difficult defecation (9.45%). The Jorge and Wexner incontinence score before and after the operation was 13.5 and 5.5, respectively, and no statistically significant difference was observed (<i>P</i>=0.41). No mortality was reported after surgery.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> The long-term recurrence rate after Altemier&#39;s procedure was low. This method has a reasonable recurrence rate compared to other techniques, and is a good option for younger patients without underlying disease. Further multicenter studies with larger sample sizes are needed to evaluate the outcomes of transperineal surgery for rectal prolapse.</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> &nbsp; Altemeier, Rectal prolapse, Fecal incontinence, Recurrence 122 125 http://wjps.ir/browse.php?a_code=A-10-1103-4&slc_lang=en&sid=1 Alireza Ariapour 100319475328460017068 100319475328460017068 Yes Colorectal division of surgical ward, Taleghani hospital, Shahid Beheshti University of Medical Science. Tehran. Iran Adel Zeinalpour 100319475328460017069 100319475328460017069 No Colorectal division of surgical ward, Taleghani hospital, Shahid Beheshti University of Medical Science. Tehran. Iran Mohammadreza Nikshoar m93chinghua@gmail.com 100319475328460017070 100319475328460017070 No Colorectal division of surgical ward, Taleghani hospital, Shahid Beheshti University of Medical Science. Tehran. Iran Mohammad Hosein Dashti Rahmatabadi 100319475328460017071 100319475328460017071 No Colorectal division of surgical ward, Taleghani hospital, Shahid Beheshti University of Medical Science. Tehran. Iran Mohammad Pishgahi 100319475328460017072 100319475328460017072 No Colorectal division of surgical ward, Taleghani hospital, Shahid Beheshti University of Medical Science. Tehran. Iran Seyed Mohsen Towliat 100319475328460017073 100319475328460017073 No Colorectal division of surgical ward, Taleghani hospital, Shahid Beheshti University of Medical Science. Tehran. Iran Fakhri Anaraki Firooz 100319475328460017074 100319475328460017074 No Colorectal division of surgical ward, Taleghani hospital, Shahid Beheshti University of Medical Science. Tehran. Iran