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).