• Joel Bauer MD
  • Stephen Gorfine MD
  • David Chessin MD
  • Daniel Popowich MD

Procedures for Rectal Prolapse

Procedures for Rectal Prolapse

Manhattan Colorectal Surgeons

Rectal prolapse is protrusion of the rectum through the anus. Symptoms include incontinence, fecal and mucus soiling, and a sensation of fullness and tissue protruding from the anus. Surgery is often recommended as a treatment, and may involve an abdominal operation or surgery through the anus.

Your surgeon will discuss the options for treatment with you during your consultation. Contact Manhattan Surgical Associates today at 646.798.4606.


Rectal prolapse is diagnosed using a history and physical examination. In certain cases, other studies such as colonoscopy and endorectal ultrasound may be recommended.

Based upon your age and medical history, you may be asked to have the following before an operation:

  • Blood tests
  • An electrocardiogram
  • Chest X-ray
  • Physical examination by a specialist

Treatment Options

The treatment of rectal prolapsed often involves surgery. In properly selected patients, a colon resection and rectopexy is recommended. In this procedure the redundant colon is remove and the two ends reconnected. The rectum is then suture to the bony sacrum to prevent recurrent prolapse. A colon resection and rectopexy is an abdominal surgery. In select patients, it may be performed laparoscopically.

Our Manhattan colorectal surgeons can perform any of the following procedures:

In some cases an abdominal surgery is not recommended. For these patients, the surgery is performed through the anus. A commonly performed procedure is call a perineal rectosigmoidectomy, also known as an Altemeier procedure. In this surgery, the prolapsed rectum is surgically excised through the anus. After removal of the prolapsed segment, the two ends are sutured together.

To learn more about your medical options, send Manhattan Surgical Associates an email anytime.

Contact Us

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