An abdominal perineal resection (APR) includes the resection of the sigmoid colon, rectum, and anus (figure 1), and the construction of a permanent end colostomy.
Benign and malignant conditions that can be treated by APR include, but are not limited to:
●Crohn’s proctitis with anal disease
●Ulcerative colitis, not a candidate or amenable to an ileal pouch anal anastomosis
●Fecal incontinence, not amenable to sphincter sparing procedures