Surgical Treatment of Rectal Prolapse - Current Concepts

The best surgical technique for management of complete rectal prolapse remains unknown. Due to very low incidence, it is very difficult to achieve a representative number of cases, and there are no large prospective randomized trials to test the superiority of one operation over another. We had experienced 4 cases of complete rectal prolapsed in 2 years. Young adults underwent abdominal rectopexy and elderly one underwent perineal surgery. The post-operative recovery was uneventful and discharged satisfactorily and resumed their routine activities within 2 weeks. Further monthly follow ups didnt reveal any recurrence. Abdominal and perineal procedures are used to manage complete rectal prolapse with safety and good long-term results. Age, associated medical conditions, and symptoms of faecal incontinence or constipation are the main features that one should bear in mind in order to choose the best surgical approach.