Rectal Prolapse Surgery in Turkey

Rectal prolapse occurs when the rectum (the last section of the large intestine) loses its normal attachments and slides through the anal opening. It can range from internal prolapse (where the rectum folds inward but does not protrude) to full-thickness external prolapse (where a visible mass protrudes from the anus).

There are two main surgical approaches. Abdominal rectopexy (usually performed laparoscopically) involves accessing the rectum through the abdomen, pulling it back into position, and securing it to the sacrum (lower spine) with sutures or mesh. This approach has high success rates and is preferred for most patients.

Perineal approaches (such as the Delorme or Altemeier procedure) access the prolapse through the anus without abdominal incisions. These may be recommended for elderly patients or those unsuitable for abdominal surgery.

Your surgeon will recommend the most appropriate technique based on the type and severity of your prolapse, your age, and your overall health.

You may be suitable for surgery if you have a diagnosed rectal prolapse that is affecting your quality of life.

You may be a good candidate if:

• You have external rectal prolapse (tissue protruding from the anus)
• You have internal prolapse causing significant symptoms
• You experience faecal incontinence related to the prolapse
• Conservative management has not been effective
• You are in reasonable health for surgery

Important considerations:

• Your surgeon will assess the type and severity of prolapse
• Pre-operative tests may include colonoscopy, anorectal physiology testing, and defaecating proctogram
• Your overall fitness and any other health conditions are factored into the surgical plan

Before your procedure

A detailed consultation reviews your symptoms, examines the prolapse, and discusses surgical options. Pre-operative investigations help your surgeon plan the best approach.

On the day

You are admitted to hospital. The procedure takes 1-3 hours under general anaesthesia. Your surgeon repositions the rectum and secures it using the chosen technique.

Hospital stay (3 nights)

You are monitored for pain, bowel function, and healing. Diet progresses from liquids to normal food. Gentle mobilisation is encouraged from day 1.

Hotel and home

After discharge, you rest at your hotel before travelling home. Detailed aftercare instructions cover diet, activity, and bowel management.

Days 1-3 (hospital): Abdominal discomfort (if abdominal approach) managed with pain relief. Bowel function may take a few days to return. Gentle walking encouraged.

Days 4-7: Pain reduces. Bowel function gradually normalises. Soft, high-fibre diet helps prevent straining.

Weeks 2-4: Increasing activity. Avoid heavy lifting and straining. Most patients return to desk work within 2-3 weeks.

Weeks 4-6: Progressive return to normal activities. Bowel function continues to improve.

Long-term: Pelvic floor exercises help maintain the repair. Avoid chronic straining and maintain a healthy, high-fibre diet.

Rectal prolapse surgery is a well-established procedure, but all surgeries carry some risk.

Common effects:

• Abdominal discomfort
• Temporary change in bowel habits
• Constipation (managed with diet and medication)

Less common risks:

• Infection (rare)
• Bleeding
• Recurrence of prolapse (approximately 5-10% over time)
• New-onset constipation (more common with some repair techniques)
• Faecal incontinence may persist (if the anal sphincter was significantly weakened before surgery)
• Mesh-related complications (if mesh is used)

Your surgery is performed in a government-licensed hospital by an experienced colorectal surgeon.