Rectal Prolapse

  • Brooke Gurland
  • Massarat ZutshiEmail author


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.


Rectal prolapse Perineal surgery Rectopexy Elderly Laparoscopic surgery Robotic surgery 

Supplementary material

Video 60.1

Delorme procedure (MP4 228387 kb)

Video 60.2

Altemeier procedure (MP4 251184 kb)

Video 60.3

Rectopexy (MP4 161075 kb)

Copyright information

© ASCRS (American Society of Colon and Rectal Surgeons) 2019

Authors and Affiliations

  1. 1.Colorectal SurgeryStanford UniversityStanfordUSA
  2. 2.Department of Colorectal SurgeryLerner College of Medicine, Cleveland ClinicClevelandUSA

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