Rectal Prolapse
Expert Surgical Management

— What is Rectal Prolapse?

Understanding Rectal Prolapse

Rectal prolapse occurs when part or all of the rectum slides out of the body through the anus. It affects women more than men and is more common in older adults. Although not usually a medical emergency, it causes significant discomfort, embarrassment and can affect bowel control.

Mr Kumar offers both minimally invasive and open surgical repair, tailored to the patient’s age, fitness, severity of prolapse and any associated bowel symptoms such as constipation or incontinence.

— Recognising Rectal Prolapse

Symptoms

🔴

Visible Protrusion

A lump or bulge protruding from the anus, initially only on straining, later permanently present.

💧

Mucus or Bleeding

A mucous or blood-stained discharge from the prolapsed bowel lining.

🚽

Incontinence

Difficulty controlling wind or stool due to stretching of the sphincter mechanism.

🔵

Sensation of Incomplete Emptying

A persistent feeling that the bowel has not emptied fully after defaecation.

🌡

Discomfort

Aching or dragging discomfort in the perineum, particularly after prolonged standing.

— Diagnosis

Investigation

1

Clinical Examination

Mr Kumar will perform a full anorectal assessment. You may be asked to strain to demonstrate the full extent of the prolapse.

2

Flexible Sigmoidoscopy / Colonoscopy

To assess the mucosa and exclude any co-existing pathology.

3

Physiological Assessment

Anorectal manometry or defaecating proctogram may be arranged to evaluate sphincter function and bowel motility prior to surgery.

— Surgical Options

Treatment

Abdominal Approach

Minimally Invasive Rectopexy

The rectum is mobilised and fixed to the sacrum (with or without mesh) using either robotic or laparoscopic surgery. Associated with excellent long-term results for full-thickness prolapse, smaller scars and rapid recovery.

Perineal Approach

Perineal Procedures

Delorme’s or Altemeier’s procedures are performed through the perineum and are suitable for higher-risk or elderly patients who cannot tolerate abdominal surgery.

— Why Choose a Specialist?

Why Choose Mr Kumar?

Rectal prolapse surgery requires detailed knowledge of pelvic anatomy and bowel function. Mr Kumar’s specialist colorectal training ensures the most appropriate operation is selected to achieve lasting cure while optimising bowel function and continence.

Book a Consultation

Specialist opinion when it matters

Appointments typically within 3–5 working days.

Emergency Advice