Rectal prolapse is a debilitating condition with both functional and anatomic sequelae. There are a myriad of surgical options to repair rectal prolapse with low-quality evidence directing the best approach. Surgeons treating rectal prolapse should be familiar with both abdominal and perineal surgery for both primary and secondary prolapse procedures and individualize the treatments. There is a trend toward more durable abdominal procedures for elderly and infirm patients. Multidisciplinary evaluation and surgical repair can be performed safely in patients with both vaginal and rectal prolapse.
KeywordsRectal prolapse Perineal surgery Rectopexy Elderly Laparoscopic surgery Robotic surgery
Delorme procedure (MP4 228387 kb)
Altemeier procedure (MP4 251184 kb)
Rectopexy (MP4 161075 kb)