Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2024; 12(29): 6266-6270
Published online Oct 16, 2024. doi: 10.12998/wjcc.v12.i29.6266
Advancing the predictive accuracy of PNTML in rectal prolapse: An ongoing quest
Jin Meng, Zhi-Gang Wang, Li-Mei Zhang, De-Yu Chen, Ying Wang, Hai-Xia Bai, Cheng-Chun Ji, De-Long Liu, Xiao-Fei Zhao, Yuan Liu, Bo-Yang Li, Lei Wang, Tian-Fu Wang, Wei-Gang Yu, Zhi-Tao Yin
Jin Meng, Zhi-Gang Wang, De-Yu Chen, Hai-Xia Bai, Cheng-Chun Ji, De-Long Liu, Xiao-Fei Zhao, Yuan Liu, Bo-Yang Li, Lei Wang, Tian-Fu Wang, Wei-Gang Yu, Zhi-Tao Yin, Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China
Li-Mei Zhang, Department of Neurology, Central Hospital of Dalian University of Technology, Dalian 116001, Liaoning Province, China
Ying Wang, Department of Acupuncture and Tuina college, Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning Province, China
Author contributions: Yin ZT designed the study; Meng J wrote the paper; Wang ZG, Zhang LM, Chen DY, Wang Y, Bai HX, Ji CC, Liu DL, Zhao XF, Liu Y, Li BY, Wang L, Wang TF, and Yu WG collated the literature; all authors read and approved the final manuscript.
Supported by The Shenyang Science and Technology Plan Project of 2022, No. 22-321-33-79; The Shenyang Science and Technology Plan Project of 2023, No. 23-408-3-01; and The Natural Science Foundation of Liaoning Province, No. 2022-MS-435.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Tao Yin, MM, Chief Doctor, Department of Anorectal Disease, Shenyang Coloproctology Hospital, No. 9 Nanjing North Street, Shenyang 110000, Liaoning Province, China. yinzitao@163.com
Received: May 25, 2024
Revised: June 28, 2024
Accepted: July 10, 2024
Published online: October 16, 2024
Processing time: 94 Days and 23.6 Hours
Abstract

Fecal incontinence is a common symptom among patients with rectal prolapse. Pudendal nerve terminal motor latency (PNTML) testing can serve as a reference indicator for predicting the outcomes of rectal prolapse surgery, thereby assisting surgeons in formulating more appropriate surgical plans. The direct correlation between preoperative PNTML testing results and postoperative fecal incontinence in patients with rectal prolapse remains a contentious issue, necessitating further clarification. Thus, we analyze the existing publications from both clinical and statistical perspectives to comprehensively evaluate the accuracy of preoperative PNTML testing in rectal prolapse and provide some feasible statistical solutions.

Keywords: Rectal prolapse; Fecal incontinence; Anal manometry; Pudendal nerve terminal motor latency; Diagnosis; Surgical procedures

Core Tip: Precise diagnostic planning would help in choosing the most appropriate surgical procedure, which would help achieve better outcomes. We will comprehensively evaluate literatures on pudendal nerve terminal motor latency from both clinical and statistical perspectives and provide viable statistical solutions.