Rectal Prolapse

The diagnosis of rectal prolapse typically begins with a thorough medical history and physical examination by a proctologist or colorectal specialist. During the consultation, the doctor may ask about symptoms such as a bulging sensation from the anus, discomfort during bowel movements, fecal incontinence, or rectal bleeding. A visual inspection of the anal area is often sufficient to identify a full-thickness prolapse, especially if the prolapse is external and visible. In some cases, the doctor may ask the patient to strain as if having a bowel movement to better assess the prolapse. To confirm the diagnosis and evaluate the extent of the condition, additional tests such as defecography (an X-ray or MRI test performed during simulated bowel movements), colonoscopy (to rule out other bowel diseases), or anorectal manometry (to assess muscle function) may be recommended. These diagnostic tools help the doctor determine the severity of the prolapse and choose the most appropriate treatment plan. Early and accurate diagnosis is crucial to prevent complications and to guide timely surgical or non-surgical intervention.

At T.R.U.E. Hospitals, we specialize in advanced surgical solutions for rectal prolapse. Our team of experienced proctologists provides personalized care to help patients recover quickly and regain comfort and normal bowel function.

Surgical Treatment Options for Rectal Prolapse

Surgical treatment for rectal prolapse is often necessary to provide long-term relief and prevent recurrence, especially in moderate to severe cases. The most common surgical approach is rectopexy, performed through the abdomen under general anesthesia. In this procedure, the surgeon makes an abdominal incision to access the rectum, carefully separates it from surrounding tissues, and then secures it to the sacrum (a bone in the lower spine) using sutures or mesh to hold it in place. This helps restore normal positioning and function of the rectum.

Rectopexy is known for its high success rate and is effective in preventing the rectum from prolapsing again. For patients who may benefit from a less invasive option, laparoscopic rectal prolapse surgery is another effective technique. Instead of a large incision, this minimally invasive method uses small keyhole cuts through which a laparoscope and surgical instruments are inserted. The rectum is repositioned and fixed similarly to open rectopexy, but with the advantages of smaller scars, reduced postoperative pain, quicker recovery, and lower risk of complications.

Most patients who undergo laparoscopic surgery can return to daily activities within a couple of weeks. Both surgical options require proper post-operative care, including dietary changes and activity modifications, to support healing and minimize the risk of recurrence.