Durai The Surgeon

Rectal Prolapse

Rectal prolapse occurs when the rectum (the last section of the large intestine) falls from its normal position within the pelvic area and sticks out through the anus. (The word “prolapse” means a falling down or slipping of a body part from its usual position.)

The term “rectal prolapse” can describe three types of prolapse:

Dr Durai Ravi Surgeon for Rectal prolapse

Rectal prolapse is common in older adults who have a long-term history of constipation or a weakness in the pelvic floor muscles. It is more common in women than in men, and even more common in women over the age of 50 (postmenopausal women) but occurs in younger people too. Rectal prolapse can also occur in infants – which could be a sign of cystic fibrosis – and in older children.


Causes for Rectal Prolapse
Dr Durai Ravi Surgeon Apollo Chennai
Symptoms for Rectal prolapse


Diagnosis And Test

Management And Treatment

Surgery is the gold standard treatment for prolapse.

Abdominal Repair Approaches

Abdominal procedure refers to making an incision in the abdominal muscles to view and operate in the abdominal cavity. It is usually performed under general anaesthesia and is the approach most often used in healthy adults.

Treatment for Rectal Prolapse

Rectal (perineal) repair approaches

Altemeyer procedure: In this procedure — also called a perineal proctosigmoidectomy — the portion of the rectum extending out of the anus is cut off (amputated) and the two ends are sewn back together. The remaining structures that help support the rectum are stitched back together to provide better support.

Delorme procedure: In this procedure, only the inner lining of the fallen rectum is removed. The outer layer is then folded and stitched, and the cut edges of the inner lining are stitched together so that rectum is now inside the anal canal.

Risks/complications after rectal prolapse surgery

Post op Recovery

The average length of hospital stay is 2 to 3 days, but this varies depending on a patient’s other health conditions. Complete recovery can usually be expected in a month; however, patients should avoid straining and heavy lifting for at least 6 months. In fact, the best chance for preventing prolapse from returning is to make a lifetime effort to avoid straining and any activities that increase abdominal pressure.