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Surgery for rectal prolapse

Delorme's procedure

Minimally invasive surgery to repair a prolapsed rectum

About

A rectal prolapse is when the lower part of the bowel (rectum) becomes weakened and part of the wall of the rectum drops through the anus. Depending on the severity of the condition, you may require surgery. Delorme's procedure is a minimally invasive operation to repair your rectum.

Need to know

  • What happens icon plus

    The procedure is usually carried out under a general anaesthetic, so you'll be asleep. Your surgeon can reach the prolapse through the anal canal, so they won't need to make any cuts. They'll start by stripping away the lining from the prolapse, which exposes the muscle of the bowel wall. They'll then gather part of this muscle together and use stitches to hold it in place to strengthen the area and remove the prolapse. After trimming any excess wall lining, they'll reattach it to the muscle using stitches. The entire procedure usually takes around 60 minutes.
  • How to prepare icon plus

    Your consultant will explain the procedure to you and answer any questions you may have. They may suggest that you increase the amount of fibre in your diet, and to drink plenty of fluid, ahead of your operation which can help you produce softer stools that are easy to pass. They'll also advise how long you need to avoid eating and drinking immediately before surgery. You may have an enema around an hour before the procedure to clear the lower part of the bowel.
  • Afterwards icon plus

    If you had a catheter fitted during the procedure to help you pass urine, it is usually removed after 24 hours. You can expect to stay in hospital for three to five days, and you may need mild pain relief. It's important not to strain after the procedure. You should stay mobile and you may be given laxatives to avoid constipation. You might notice a few spots of blood once you start opening your bowels. This is normal, but inform your consultant at once if this becomes heavier. Your consultant will advise when you can return to your normal lifestyle. You can expect to drive again in around two weeks, and become more active after six weeks.
Consultant with patient

Our consultants

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

  • facility-pgh-hero-579x579

    The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 3131 7216
    Enquiries 020 3130 6833

  • London Bridge Hospital Facility

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments and Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773
    Switchboard 020 7407 3100

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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