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Rectal Prolapse (cont.)

Surgery

The goal of all of the surgical techniques involved in correcting a prolapsed rectum is to attach or secure the rectum to a backside (or posterior)part of the inner pelvis. Surgery is performed through either the abdomen or the perineum.

  • Surgery through the abdomen
    • Typically performed in younger or healthier people
    • Type of abdominal surgery usually determined by severity of associated constipation
    • Associated with higher morbidity rate than perineal approach but lower recurrence rate of prolapse
    • Performed under general anesthesia
    • Usually involves a hospital stay of 3-7 days
  • Perineal approach
    • Typically performed in elderly people or people in poor health
    • Approach for people who cannot tolerate general anesthesia
    • Associated with higherrecurrence rate than abdominal approach
    • Usually involves short hospital stay

For people too weak for surgery, a doctor can prevent a prolapse by inserting a wire or plastic loop to hold the sphincter closed.

Medically Reviewed by a Doctor on 5/21/2014
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