Clinical Overview
Rectal Prolapse is a structural condition where the tissues supporting the rectum weaken, causing the rectum to slip out of its normal position and protrude through the anus. It causes pain, rectal discharge, bleeding, and severe bowel incontinence. Dr. Janak Malu specializes in advanced laparoscopic and robotic rectopexy, which suspends and secures the rectum back to the sacrum bone, providing a permanent cure.
Rectal prolapse is a condition where the rectum loses its normal internal attachments and protrudes or slips out through the anus. It causes discomfort, bleeding, and bowel incontinence. Dr. Janak Malu specializes in advanced laparoscopic and robotic rectopexy, which suspends the rectum back into its correct position using mesh or sutures, ensuring long-term structural repair.
Symptoms & Indications
If you are experiencing any of the following symptoms, a consultation with Dr. Janak Malu is highly recommended to explore your options:
The Surgical Process
Here is a step-by-step breakdown of how the advanced minimal access procedure is performed:
Diagnostic Exam
Thorough clinical evaluation, defecography, or sigmoidoscopy to evaluate prolapse severity.
Laparoscopic Suspension
Small incisions are made. The rectum is mobilized and pulled back into the pelvis.
Sacral Fixation
The rectum is securely anchored to the sacrum bone (using sutures or a mesh scaffold) to prevent future slipping.
Combined Resection (If Constipated)
If the patient has severe chronic constipation, a segment of redundant colon may be removed (resection-rectopexy).
Laparoscopy vs Open Surgery
Understand the clinical differences and benefits of minimal access keyhole surgery compared to conventional methods:
| Feature | Laparoscopic/Robotic Rectopexy | Perineal Approach (Altemeier/Delorme) |
|---|---|---|
| Approach | Abdominal (keyhole camera) | Bottom-up (through the anus) |
| Recurrence Rate | Very low (less than 2-5%) | Higher (up to 15-20%) |
| Hospital Stay | 2 to 3 days | 3 to 5 days |
| Ideal For | Fit patients seeking permanent cure | Very elderly or high-risk patients |
Why Choose Laparoscopic Approach?
- Laparoscopic and robotic suspension (rectopexy) provides a durable, permanent repair.
- Minimally invasive keyhole access eliminates large, painful abdominal cuts.
- Improves or fully restores bowel control and fecal continence.
- Extremely low recurrence rate compared to perineal (bottom-up) surgery.
Recovery Timeline & Post-Op Guidelines
Patient mobilization and customized home-care directives facilitate safe and prompt healing:
Hospital stay. Pain control. Soft diet and early walking to prevent constipation.
Discharge. Avoid straining during bowel movements; stool softeners are prescribed. Avoid lifting >5 kg.
Safe to increase physical activity. Complete rectal healing is achieved.
Frequently Asked Questions
Find answers to common concerns regarding the procedure, safety, and hospital directives:
Q: Is rectal prolapse the same as piles (hemorrhoids)?▼
Q: Can rectal prolapse heal without surgery?▼
Q: What is laparoscopic rectopexy?▼
Q: Does rectal prolapse surgery improve bowel control?▼
Request Consultation
Consult with Gold Medalist surgeon Dr. Janak Malu regarding Rectal Prolapse diagnostics, cashless insurance, and surgery costs at Janahit Hospital.
Expert Surgeon
Dr. Janak Mahesh Malu
Gold Medalist Surgeon
MBBS, MS (Surgery), FNB-MAS (Minimal Access Surgery)