Rectal Prolapse Treatment

Advanced Diagnosis & Comprehensive Treatment for Rectal Prolapse

Rectal prolapse is a condition where the rectum (the last part of the large intestine) slips out through the anus due to weakness of the pelvic floor muscles and supporting ligaments. Although it is less common than piles, fissures, or fistulas, rectal prolapse can significantly affect bowel function, daily activities, and overall quality of life.

At Dr. Nishant Shah, our dedicated colorectal specialists bring over 18 years of expertise in diagnosing and treating both simple and complex rectal prolapse with advanced, patient-specific surgical techniques.

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What is Rectal Prolapse ?

The rectum is the final part of the large intestine that stores stool before bowel movements. Normally, it is held securely in place by the pelvic floor muscles and supporting tissues. When these structures become weak, the rectum may gradually protrude through the anal opening, resulting in rectal prolapse.

Initially, the prolapse may occur only during bowel movements and return on its own. As the condition progresses, it may require manual repositioning and, in severe cases, protrude even while standing or walking.

Common Symptoms of Rectal Prolapse

  • A fleshy mass protruding through the anus
  • Difficulty passing stools
  • Feeling of incomplete bowel evacuation
  • Leakage of stool or mucus
  • Rectal bleeding
  • Chronic constipation
  • Controlling bowel movementDifficulty s (fecal incontinence)
  • Discomfort or heaviness in the pelvic region

Who is at Risk?

  • Elderly individuals, especially above 60 years
  • People suffering from chronic constipation
  • Women after multiple childbirths
  • Patients with weakened pelvic floor muscles
  • Individuals with chronic neurological disorders
  • Children (usually managed conservatively)

Our assessment may include:

  • Proctoscopy
  • Colonoscopy
  • Defecography
  • Pelvic floor assessment
This comprehensive evaluation helps our colorectal specialists determine the most appropriate treatment for each individual patient.

Personalized Treatment Approach

  • Age
  • Severity of prolapse
  • Pelvic floor strength
  • Anal sphincter function
  • Associated pelvic organ prolapse
  • Overall health condition

Minimally Invasive Solutions for Rectal Prolapse

At Chirag Global Hospitals, we specialize in minimally invasive perineal (through the anal opening) procedures such as Delorme’s Procedure and Perineal Rectosigmoidectomy (Altemeier Procedure) for suitable patients. These techniques avoid abdominal incisions, allowing:
  • Minimal pain
  • Faster recovery
  • Early return of bowel function
  • Short hospital stay
  • Early return to normal activities
For selected patients, abdominal laparoscopic or robotic rectopexy may also be recommended based on individual needs.