Surgical correction of rectal prolapse using proven abdominal and perineal techniques.
Rectal prolapse occurs when part or all of the rectum slips down and protrudes through the anus, most often affecting older adults and those with chronic straining or weakened pelvic floor support. Dr. Krishna Pada Saha selects between abdominal (often laparoscopic rectopexy) and perineal repair techniques based on the patient's age, prolapse severity, and overall fitness for surgery.
Choosing between an abdominal (rectopexy) and a perineal approach for rectal prolapse is one of the more individualised decisions in colorectal surgery, because it depends heavily on the patient's overall fitness for anaesthesia, the severity and length of the prolapse, and whether there are associated pelvic floor issues such as incontinence. Dr. Saha discusses these trade-offs openly at consultation — laparoscopic rectopexy generally offers more durable, long-term results for fitter patients, while a perineal approach avoids an abdominal operation altogether for older or higher-risk patients, prioritising safety without compromising outcome.
Recognising these early can help you seek timely, effective treatment.
Every patient is different — Dr. Saha recommends the safest, least invasive option that will give lasting results.
A clear, step-by-step path from consultation to full recovery.
A detailed history and clinical examination to accurately assess your condition and rule out other anorectal issues.
Based on the severity and your overall health, Dr. Saha recommends the most appropriate — and least invasive — treatment path.
The procedure is performed under local, spinal or general anaesthesia as appropriate, most often on a day-care basis.
Recovery depends on the technique chosen; laparoscopic rectopexy generally allows a faster return to activity than more extensive perineal procedures.
Abdominal versus perineal approach is chosen based on your fitness, prolapse severity and goals.
Minimally invasive abdominal repair for durable, long-term results in suitable patients.
Perineal repair techniques available for those less fit for a larger abdominal operation.
Attention to associated continence or evacuation issues as part of the overall treatment plan.
Yes, in almost all cases — rectal prolapse does not resolve on its own and surgery is needed for a durable repair.
Laparoscopic rectopexy generally gives more durable results and is preferred for fitter patients, while perineal repair is often chosen for older or higher-risk patients.
Many patients notice a meaningful improvement in continence and bowel function after successful prolapse repair, though this can vary by case.
Most patients are back to light routine activity within 2–3 weeks, with full recovery from the laparoscopic approach generally quicker than open surgery.
Conservative measures like pelvic floor exercises may help mild cases or symptoms temporarily, but surgery is the only definitive treatment for true rectal prolapse.
Yes — perineal repair techniques are specifically well-suited to older or higher-risk patients, offering a safer option than a full abdominal operation.
Share your symptoms with our team and get guidance on the right next step.
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