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

Perineal Rectosigmoidectomy (Altemeier Procedure)

Perineal Rectosigmoidectomy

Manhattan Surgeons Skilled in Altemeier Procedures

At Manhattan Surgical Associates, our skilled surgeons offer a range of procedures for rectal prolapse. This includes perineal rectosigmoidectomy, also known as an Altemeier procedure. This can greatly help you when you are seeking treatment.

Call 646.798.4606 to speak with a Manhattan colorectal surgeon about your medical options. You can also send us an email any time.

Preparation for Surgery

The night prior to the procedure, you will be instructed to eat or drink nothing after midnight. You may also be prescribed a bowel preparation. If ordered by your surgeon, the preparation should be taken as instructed.

There is more than one option for anesthesia for an Altemeier procedure. This includes:

  • General anesthesia, in which you are completely asleep
  • Local anesthesia injections for postoperative pain control
  • Spinal anesthesia, where the anesthesiologist places a catheter (tube) in your back to make the region of the hemorrhoids numb
  • Intravenous sedation where you are breathing on your own and your surgeon to give local anesthesia in the area of the surgery

Your surgeon and anesthesiologist will discuss the anesthetic options for you at the time of your procedure.


After anesthesia is established, the prolapsed rectum will be identified from the anus. The prolapsed rectum will be excised and the two ends reconnected. You will have a dressing placed over the operative site.

Postoperative Care

Following an Altemeier procedure, you will be admitted to the hospital. You will receive pain medication and intravenous fluid. Often, patients are able to be discharged a day or two following surgery. You will be given a prescription for pain medication and scheduled for a follow up consultation one to two weeks following surgery.

Always contact Manhattan Surgical Associates if you have any questions or concerns. We are here to help you through your entire procedure and the healing process.

Contact Us

We look forward to seeing you! Fill out the following form or call (646) 798-4606 and a helpful member of our team can return your inquiry shortly.

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