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Rectal Prolapse

Rectum is last part of the intestine where feces or stools is stored before being passed. When the rectum lining becomes weak or detached from the body, rectum starts protruding from the anus, a condition called as rectal prolapse.

Types of rectal prolapse

There are two types of rectal prolapse:

  • 1. Partial thickness prolapse (also called internal intussusception).
  • 2. Full-thickness prolapse (also called external prolapse).

Partial thickness rectal prolapse is a condition when only the innermost lining of rectum or mucosa protrudes only. Since the prolapse is not complete or full thickness, the amount of prolapse is quite small.

Majority of patients with partial prolapse present with constipation or feeling of incomplete evacuation.

Full thickness rectal prolapse is when the entire wall of rectum becomes so loose that it completely falls out of anus while passing stools.

Partial thickness rectal prolapse is usually less than 2 cm and produces radial folds.

Full thickness rectal prolapse is 3-5 cm and produces concentric rings.

Causes of Rectal Prolapse

  • Advancing age
  • Multiple pregnancies leading to repeated trauma of pelvic floor.
  • Chronic or long-term constipation
  • Chronic cough
  • Neurological conditions like multiple sclerosis, spinal cord tumors

Symptoms of rectal prolapse

  • The most common symptom is lump coming out of anus. In the initial stages, it happens only while passing stools but as the time passes by, it may happen while coughing, sitting or walking.
  • In the early course of disease, the lump can be pushed back into the anus after defecation but latter the prolapse can be permanent.
  • Mucous discharge from the anus or occasional bleeding.
  • In case of partial prolapse, there is feeling of incomplete emptying after bowel motion.
  • About 50% of patients complain of constipation.

Complications Due to Untreated Rectal Prolapse

Initially prolapse is reducible but it might become permanent as the disease progresses

Long standing rectal prolapse can cause permanent damage to anal sphincter muscles, leading to loss of control over bowel movement.

It may cause multiple ulcers in prolapsed rectum, leading to infection & bleeding.

The rectum may become permanently thickened and unhealthy.

Cancer of Gall Bladder: When the gall bladder stones are present for a long time , it can even lead to gall bladder cancer.

Best Treatment for Rectal Prolapse

Although a few numbers of patients, especially with partial rectal prolapse can be managed conservatively and certain dietary and life style modifications, majority of patients will require some form of surgical intervention for permanent cure of this disease.

Surgical management of rectal prolapse can have two approaches:

  • Abdominal approach - Through the belly.
  • Perineal approach - Through the bottom or anus.

Although there are several procedures, but the type of surgery and approach depends on patients age, existing health problems, extent of the prolapse and his general health.

The abdominal approach has always better outcome. If patient is fit and healthy, it must undergo laparoscopic surgery as the results are far satisfying and long lasting

The various procedures conducted by our surgical team include:

STARR Procedure (Stapled Trans Anal Rectal Resection):

The procedure is performed through the anal canal (trans anal approach).

It is an innovative, technically safe and minimally invasive procedure useful in carefully selected and well-informed patients having partial or internal prolapse.

The procedure resects the internal rectal prolapse by means of staplers inserted into the anal canal.

No surgical incision, minimal pain, same day discharge and rapid recovery make this procedure an attractive option in appropriate patients.

Other Perineal Procedures:

  • Mucosal Sleeve Resection (Delorme Procedure) & Perineal Proctosigmoidectomy ( Altemeier Procedure) are the other two perineal or trans anal procedures performed by our team.
  • Only done in selected group of patients especially elder patients not fit for transabdominal or laparoscopic surgery due to associated medical illness.
  • Each procedure has got its own indication, benefits and proper selection of patients is a must for achieving best outcomes.

Laparoscopic or Minimally Invasive Rectopexy With Possible Bowel Resection

The procedure of choice for complete rectal prolapse in patients fit to undergo general anesthesia

It is associated with best functional outcomes and minimal chance of recurrence.

3 tiny incisions of 0.5 cm are created on the belly and the rectum is pulled upwards and secured to the sacrum (back wall of the pelvis) either with the help of sutures directly or using a Mesh.

The basic purpose is to hold the rectum in its normal anatomical position until such a time as scarring occurs.

When patients complain of chronic or long-term constipation, removal of a part of colon may be necessary to improve bowel function (recto sigmoidectomy).

Advantages of laparoscopic surgery

  • Long lasting results
  • Almost zero percent chance of recurrence
  • Rapid recovery
  • Early and easy mobility
  • Less tissue trauma and less post-operative pain
  • Less Dependence on pain reliever tablets
  • Low risk of infection
  • Almost no risk of hernia

Why Choose us

Focus on Quality

Quality is our first concern when it comes to your health and wellness

Approachable Staff

Our friendly staff is here to answer any questions you may have

Experience Comfort

Comfort is key to making sure you are happy with the process and outcome

Health Benefits

We offer classes to help you maintain a healthy lifestyle after surgery


There are no medicines that can cure rectal prolapse. However, certain dietary precautions and lifestyle changes can delay the progression of the disease.

Mild rectal prolapse can usually be treated with specific exercises, avoiding constipation or straining while passing stools. These modalities might not cure rectal prolapse but certainly, halt the progression of the disease, and you may not require surgery for another few years.

The majority of the patients at our center get discharged within 24-36 hours of surgery. The surgery is done laparoscopically with a reduced ports technique; hence you can expect a speedier recovery.

There are many surgical procedures for treating rectal prolapse. These surgeries can be carried out either through the anal route or through your abdomen. Regarding the efficacy and results, laparoscopic surgery provides the best results. You must consult a specialist who can assess your condition and offer you the best possible treatment in your case.

Laparoscopic surgery carried out by experienced hands is associated with rapid recovery and produces long-lasting relief from symptoms. There is hardly any bed rest required after surgery. Patients can walk for long distances after 24 hours of surgery. You can start taking a bath from the following day of surgery. You can join back your work and start driving in a week.

The chances of reoccurrence depend upon the procedure chosen, the expertise of the surgeon, and your dietary habits. According to Dr. Kapil Agrawal, one of the best laparoscopic surgeons for rectal prolapse, choice of procedure and patient's lifestyle plays a significant role in determining the success of the surgery.

Worried about the pricing

  • Option for a budget friendly Hospital
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  • Substantial discounts on investigations
  • Free post-surgical consultations

Patients testimonial

Best Surgeon for Rectal Prolapse

Our surgeons use latest and most advanced endoscopic techniques to treat rectal prolapse.

Our team provides honest and unbiased opinion with strict adherence to international guidelines while offering treatment options to the patient.

Our highly experienced team offer a complete range of procedures to help relieve uncomfortable and embarrassing symptoms and improve your quality of life.

Our team encompasses nutritionists, dieticians and physicians to offer specialized and customized dietary plans as well as take care of co-existing medical illnesses for a smooth recovery.

We take great care to provide discreet, comfortable diagnosis and treatment and make outstanding care accessible to you.

You can contact us on +91-9910024564, +91-9999456455