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MBBS, MS (IMS BHU), FMAS, FALS, FIAGES, EFIAGES, FACRSI, FISCP
General Surgeon
Experienced surgeon with a proven track record of delivering exceptional patient care and surgical outcomes. Skilled in performing a wide range of complex su…
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Rectal prolapse is a medical condition in which the rectum moves out of its normal position and pushes through the anus. The rectum is the last part of the large intestine, where stool is stored before leaving the body. When the supporting muscles and tissues become weak, the rectum can slip down and come outside the anus.
This condition can cause symptoms such as a visible bulge from the anus, discomfort, difficulty during bowel movements, and sometimes leakage of stool. Some people may also experience constipation or a feeling that the bowel does not empty completely.
Rectal prolapse is more common in older adults and women, but it can affect people of any age. In many adults, surgery is the main treatment because the condition usually does not improve on its own.
With proper treatment, most people experience improvement in symptoms and better bowel function after recovery.
Doctors may recommend rectal prolapse treatment for people who have symptoms such as:
● A visible bulge or tissue coming out of the anus
● Difficulty controlling bowel movements
● Chronic constipation or difficulty passing stool
● Rectal bleeding or discomfort
● Pain or pressure in the anal area
● Repeated infections or irritation around the anus
● Difficulty emptying the bowels completely
If the condition becomes severe or affects daily life, doctors may suggest rectal prolapse surgery.
There are several methods used in rectal prolapse treatment. The surgeon selects the best option depending on the patient’s condition.
1. Abdominal Rectopexy
In this procedure, the surgeon repairs the rectum through the abdomen. The rectum is moved back into its normal position and attached to the pelvic wall using stitches or sometimes a mesh support. This helps keep the rectum from slipping out again.
2. Perineal Rectosigmoidectomy (Altemeier Procedure)
In this approach, the surgeon operates through the anus. The prolapsed part of the rectum is removed, and the remaining rectum is connected to the colon. This method is often used for older patients or those who cannot undergo abdominal surgery.
3. Delorme Procedure
This surgery is usually done for smaller prolapses. The surgeon removes the inner lining of the rectum and folds the muscle layer to shorten and strengthen the rectum. This helps hold the rectum in place.
Each method has its own benefits, and doctors decide the most suitable technique after medical evaluation.
A rectal prolapse procedure is usually performed in a hospital under anesthesia. This means the patient will not feel pain during the surgery.
First, the surgeon prepares the patient and gives anesthesia. Then the surgery begins using either the abdominal or perineal approach, depending on the chosen method.
In abdominal surgery, the surgeon makes small or large cuts in the abdomen to reach the rectum. The rectum is then moved back into its normal position and secured to the pelvic wall with stitches or surgical mesh.
In perineal surgery, the surgeon works through the anus. The prolapsed portion of the rectum may be removed, and the remaining part is reconnected to the colon.
The procedure usually takes a few hours. After the surgery, the patient is monitored in the hospital for recovery. The hospital stay may vary depending on the type of surgery and the patient’s health.
Recovery after rectal prolapse treatment takes time and proper care. Most patients stay in the hospital for a few days after surgery so doctors can monitor bowel function and healing.
After returning home, patients may experience mild pain, swelling, or discomfort near the surgical area. These symptoms usually improve gradually.
Doctors often recommend the following steps during recovery:
● Drink plenty of water
● Eat a high-fiber diet to prevent constipation
● Take stool softeners if recommended
● Avoid straining during bowel movements
● Avoid heavy lifting for several weeks
● Attend follow-up appointments with the doctor
Most people can return to normal daily activities within four to six weeks, depending on the type of surgery and individual healing.
In some cases, pelvic floor therapy may also help strengthen the muscles that support the rectum.
Like any surgical procedure, rectal prolapse surgery may involve certain risks. However, serious complications are uncommon when the procedure is performed by experienced surgeons.
Possible complications may include:
● Infection at the surgical site
● Bleeding during or after surgery
● Damage to nearby organs or nerves
● Constipation after surgery
● Bowel obstruction
● Recurrence of rectal prolapse
● Leakage at the site where the bowel is reconnected
In some cases, patients may also develop fistulas or changes in bowel function.
Doctors usually explain these risks before the procedure so patients can make an informed decision about treatment.
Rectal prolapse is a condition where the rectum slips down and comes out through the anus. It may cause a visible bulge, discomfort, and difficulty during bowel movements.
Rectal prolapse can occur due to weak pelvic muscles, chronic constipation, aging, childbirth, or long-term straining during bowel movements. These factors weaken the tissues that normally hold the rectum in place.
In adults, surgery is usually the main treatment because the condition often worsens over time. Without treatment, symptoms such as bowel leakage and constipation may become more severe.
The procedure usually takes a few hours depending on the type of surgery. After the operation, patients may stay in the hospital for several days so doctors can monitor recovery.
Most people start feeling better within a few weeks. Many patients return to normal activities within four to six weeks, although complete healing may take longer.
Yes, in some cases the condition may return. However, recurrence is not common and depends on the surgical method and the patient’s overall health.
