Rectal Prolapse

  • Brooke GurlandEmail author
  • Massarat Zutshi


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 towards 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.


Rectal prolapse Perineal surgery Rectopexy Elderly Laparoscopic surgery Robotic surgery 

Supplementary material

Video 60.1

Delorme procedure (WMV 207357 kb)

Video 60.2

Perineal rectosigmoidectomy (Altemeier procedure) (WMV 228700 kb)

Video 60.3

Rectopexy for rectal prolapse (WMV 106278 kb)


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Authors and Affiliations

  1. 1.Department of Colorectal SurgeryCleveland Clinic, Lerner College of MedicineClevelandUSA

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