Surgery for rectal prolapse

Need to know

• What happens during surgery? icon plus

  The procedure is usually carried out under a general anaesthetic. 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.
  
  Your consultant will 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. 

• 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.
  
  Your consultant will 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.

• After surgery 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.