Rectal Prolapse Treatment in Nashik

By Dr. Jaideep Somvanshi  |  Panacea Clinic, Nashik  |  +91 9112220247

What Is Rectal Prolapse?

Rectal prolapse is a condition in which part or all of the rectum slides out of its normal position and protrudes through the anus. It can range from a partial (mucosal) prolapse involving only the rectal lining, to a complete (full-thickness) prolapse where the entire thickness of the rectal wall protrudes outside the anus. Rectal prolapse is more common in elderly women and young children, but can occur in both sexes and all ages.

Symptoms include a visible reddish-pink mass protruding from the anus (especially during straining or walking), mucus or bloody discharge, sensation of incomplete evacuation, difficulty controlling bowel movements (fecal incontinence), and chronic constipation. Rectal prolapse is a significant quality-of-life issue and requires surgical treatment in most adult patients.

Types of Rectal Prolapse Treatment

Dr. Jaideep Somvanshi at Panacea Clinic Nashik offers comprehensive, individualised treatment for rectal prolapse based on the type, severity, patient age, and associated conditions:

• STARR Surgery (Stapled Transanal Rectal Resection): For internal rectal prolapse (intussusception) with ODS — minimally invasive, performed through the anus, same-day or overnight stay
• Delorme's Procedure: A perineal approach involving stripping of the mucosal layer and plication of the muscle — preferred for elderly patients with high surgical risk
• Altemeier's Perineal Rectosigmoidectomy: Complete resection of the prolapsed bowel through the perineum — for full-thickness prolapse
• Laparoscopic Ventral Rectopexy: Abdominal approach to fix the rectum to the sacrum using mesh — excellent long-term results with low recurrence for younger patients

Conservative Management for Rectal Prolapse

In children under 3 years, rectal prolapse is often managed conservatively with dietary modifications (high-fibre diet, stool softeners) and toilet training to reduce straining. Conservative treatment alone is usually insufficient for adult patients, especially with complete prolapse. Dr. Somvanshi evaluates each patient and recommends the most appropriate surgical approach for the best outcome.

Associated Conditions and Complications

Rectal prolapse is often associated with fecal incontinence (due to chronic stretching of the anal sphincter), pelvic floor disorders, uterine prolapse, and cystocele in women. If left untreated, the prolapsed tissue can become ulcerated, bleed, or become irreducible (incarcerated) — a surgical emergency. Surgery not only corrects the prolapse but also improves continence in many patients.

Recovery After Rectal Prolapse Surgery

Recovery depends on the surgical procedure performed. Perineal procedures like Delorme's and Altemeier's have shorter recovery times (5–10 days). STARR surgery is day-care or overnight. Laparoscopic ventral rectopexy requires 2–3 days of hospital stay and 2–3 weeks of recovery. Dr. Somvanshi provides detailed post-operative instructions and close follow-up to ensure optimal healing and bowel function.