Surgery for Rectal Prolapse: Functional Outcome from the Perineal Approach — An Overview

  • Steven D. Wexner
  • Amit Khanna


Numerous approaches to the treatment of rectal prolapse have been described throughout the history of medicine. Rectal prolapse is often associated with functional disorders such as constipation and/or incontinence [1]. Recognition of this association and careful evaluation of baseline function is critical to providing appropriate therapy. Both abdominal and perineal variants of rectal prolapse repair have been examined in a growing body of literature. These reports have intended to determine both short- and long-term functional outcomes associated with a multitude of approaches to rectal prolapse surgery. This overview provides evidence to aid the clinician in surgical decision making when faced with the patient in need of operative repair. Surgical therapy of rectal prolapse is often not standard, but rather, tailored after careful consideration of the patient’s operative risk, life expectancy, associated functional disorders, and previous operative history.


Rectal Prolapse Squeeze Pressure Perineal Approach Pudendal Nerve Terminal Motor Latency Perineal Descent 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Steven D. Wexner
    • 1
    • 2
  • Amit Khanna
    • 3
  1. 1.Department of Colorectal SurgeryOhio State UniversityUSA
  2. 2.Department of Surgery, University of South Florida College of MedicineCleveland Clinic FloridaWestonUSA
  3. 3.Department of Colorectal SurgeryCleveland Clinic FloridaWestonUSA

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