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Rectal Prolapse Repair

Surgical correction of full-thickness protrusion of the rectum through the anus.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Rectal Prolapse Repair?

Rectal prolapse is the protrusion of the full thickness of the rectum through the anus. It is more common in older women and is associated with chronic constipation, prior pregnancy and pelvic floor weakness. Surgery is the only definitive treatment.

Surgical options are divided into abdominal and perineal approaches. Abdominal options include suture rectopexy, mesh rectopexy and ventral rectopexy (Orr-Loygue, D'Hoore). Perineal options include the Altemeier (perineal rectosigmoidectomy) and Delorme procedures.

Choice of surgery is based on patient age, comorbidity, prolapse size and surgeon experience. Laparoscopic ventral mesh rectopexy (LVMR) has lower recurrence and good functional outcomes.

Symptoms

Prolapsing tissue from the anus
Constipation/incontinence
Mucous discharge
Anal pain
Sense of pelvic pressure
Bleeding
Sense of incomplete evacuation

Risk Factors

Advanced age and female sex
Multiparity
Chronic constipation
Pelvic floor surgery history
Connective tissue disease
Cystic fibrosis (in childhood)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Tissue protruding from the anus
  • New-onset incontinence
  • Pelvic pressure and pain
  • Bleeding/mucous discharge
  • Persistent constipation
  • Inability to perform manual reduction

Treatment Methods

01
Laparoscopic ventral mesh rectopexy (LVMR)
02
Suture/mesh rectopexy
03
Altemeier procedure
04
Delorme procedure
05
Pelvic floor physiotherapy (postoperative)
06
Long-term recurrence follow-up

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.