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Surgical approach to rectal procidentia (rectal prolapse)

Madhulika G Varma, MD
Scott R Steele, MD, FACS, FASCRS
Section Editor
Martin Weiser, MD
Deputy Editor
Wenliang Chen, MD, PhD


Rectal procidentia (rectal prolapse) is a disabling condition that mostly affects older adults, particularly women [1-4]. Surgical repair is the treatment of choice for operative candidates who have a full-thickness rectal procidentia. Multiple procedures exist for the repair of rectal procidentia; however, there is no consensus as to which procedure is most effective in regard to recurrence rate, bowel function, and risk [4-13].

Concomitant pelvic organ prolapse can be present in up to one-third of patients who present with rectal prolapse. In patients who have a combined rectal/pelvic organ prolapse, an evaluation by a multidisciplinary team (ie, surgeon, gynecologist, urologist) for a combined surgical repair procedure may be required, depending upon the symptoms and patient risk profile.

This topic will discuss various surgical approaches to treating rectal procidentia. The clinical manifestations, diagnostic evaluation, and medical management of rectal procidentia are reviewed separately. (See "Overview of rectal procidentia (rectal prolapse)".)

The repair of other forms of pelvic organ prolapse (eg, rectocele, enterocele, or cystocele) in women is discussed in separate topics:

(See "Pelvic organ prolapse in women: Choosing a primary surgical procedure".)

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Literature review current through: Nov 2017. | This topic last updated: Oct 23, 2017.
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