Rectal prolapse is a full thickness protrusion of the rectum which can be present only intermittently or continuously. This often results in discomfort, bleeding, difficulty with hygiene or incontinence. Surgical repair is required to eliminate rectal prolapse.
Perineal Resection (no abdominal incision)
Perineal resection is a surgical option for the repair of rectal prolapse. In this procedure, the redundant prolapsing rectum is resected through the anus and an anastamosis is performed. This avoids an abdominal incision and results in less discomfort and faster recovery than an abdominal procedure. Perineal resection has a higher long-term recurrence rate compared to abdominal procedures.
Rectal prolapse may also be repaired via an abdominal approach. The transabdominal rectopexy may also be combined with removal of the lower colon if it is redundant. This approach may give better long-lasting results especially in younger patients.