Rectal Prolapse is relatively uncommon. The rectum loses attachment to the sacral pelvis and subsequently protrudes out of the anus. The longer this condition is present the more chance for fecal incontinence.
The Altemeier procedure is usually preferred for higher risk elderly patients. This operation is a very safe operation with minimal discomfort. It is performed via the rectum. The prolapsing bowel is pulled through and removed. The remaining bowel is sutured back together. Recurrence approaches 10-15%. Hospitalization length is 3-4 days.
Presacral Rectopexy is usually done in younger individuals and is via an abdominal approach. This frequently is done laparoscopically with a somewhat better result as when compared to the Altemeier procedure. Occasionally resection of the sigmoid colon is indicated. Recurrence is around 5%
For more information please visit:
The American Board of Colon and Rectal Surgeons