Sushruta Clinic - Rectal Prolapse

Rectal prolapse is a circumferential prolapse of rectal mucosa through anal orifice during defecation, which is replaced it self or digitally. Generally it occurs during child hood and persists through out the life. Both sexes and allege groups of patients may be affected of the disease.

Causes :-

Faulty habit of defecation during childhood, chronic constipation with long straing at stool, attack of diarrhoea, dysentery and irregular stool.

Treatment Operative :-

1. Anterior resection
2. Rectopexy

The operative results of rectal prolapse are not satisfactory. Recurrences, repeated desire to stool and phycological disturbances are common post operative complaints of the patients.

Thiersch’s Suture :-

A pursestring future is applied under deep subcutaneous perianal tissues. The dilated anal outlet is narrowed. The Suturing materials used are stainless steel wire or prolene. The rectal prolapse is stopped.

Drawbacks of Sutures :-

Some times the wire is break up and prolene knot is slipped which needs further suturing. I have treated 27 cases of rectal prolapse by using the silk surgical thread during the last 29 years with good results. 90% cases were cured. In 10% cases the suture teared within 6 months. The partial prolapse reoccurred but the patients were satisfied as compared to the prolapse before suture.