Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Proctology · Pelvic Floor
Rectal Prolapse Treatment in Hyderabad: Advanced Surgery at Lux Hospitals
Rectal prolapse is when the rectum loses its attachments and slides down through the anus. It is distressing, it worsens over time, and unlike many bowel complaints it does not settle with diet alone.
Surgery is what corrects it, and modern surgery does so through keyhole incisions. Our colorectal surgeons at Lux Hospitals, HITEC CITY perform laparoscopic rectopexy and perineal procedures, choosing the approach that fits your age, fitness and the degree of prolapse.
- Laparoscopic & Minimally Invasive
- Improved Bowel Control
- Quick Recovery
What is Rectal Prolapse?
Rectal prolapse occurs when the rectum, the last part of the large intestine, loses the support that holds it in place and telescopes down and out through the anus. What appears outside is a red, moist tube of bowel with concentric rings on its surface.
It comes in three degrees. An internal prolapse, or intussusception, stays inside and causes a blocked, incomplete feeling rather than a visible lump. A partial prolapse involves only the lining. A complete prolapse, or procidentia, is the full thickness of the rectum coming through, and is the one that needs surgical repair.
Rectal prolapse is often confused with piles, and the distinction matters because the treatments are entirely different. Prolapsed piles appear as separate lobes with grooves between them; a rectal prolapse is a single continuous tube with rings running around it.
Causes of Rectal Prolapse
Prolapse is a failure of support. The ligaments that anchor the rectum stretch, the pelvic floor weakens, and sustained downward pressure does the rest.
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Chronic constipation and straining
Years of pushing hard against a closed pelvic floor stretches the rectal attachments until they no longer hold.
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Weak pelvic floor muscles
The muscular sling that supports the pelvic organs weakens, and the rectum descends through the gap it leaves.
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Childbirth
Vaginal delivery, especially prolonged or instrumental, stretches and can damage the pelvic floor and its nerves.
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Ageing
Ligaments loosen and sphincter tone falls with age, which is why prolapse is commonest in women over fifty.
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Nerve damage
Injury to the nerves supplying the pelvic floor (from surgery, spinal disease, diabetes or a difficult delivery) weakens the whole support system.
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Previous pelvic surgery
Operations in the pelvis can divide or scar the tissues that would otherwise anchor the rectum.
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Chronic cough or heavy lifting
Anything that repeatedly raises abdominal pressure pushes the rectum downward day after day.
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Anatomical predisposition
A deep pouch of Douglas, a redundant sigmoid colon, or a naturally loose rectal attachment all make prolapse more likely.
Almost all of these come back to the same thing: sustained downward pressure meeting weakened support. That is why surgery restores the anchor, and why the diet advice afterwards is not optional.
Symptoms of Rectal Prolapse
The early stages come and go with bowel movements. Left untreated, the prolapse comes down more easily and stays out longer, until eventually it does not go back at all.
What you notice
- A visible bulge or protrusion of the rectum through the anus
- A lump that appears on straining and reduces afterwards, at first on its own and later only by hand
- A feeling of incomplete emptying after a bowel movement
- Mucus discharge or soiling of underwear
- Bright red bleeding from the exposed bowel lining
As it progresses
- Faecal incontinence: leakage of stool or difficulty holding wind
- Constipation and increasing difficulty passing stool
- Discomfort or pain during and after bowel movements
- A prolapse that will no longer go back in
- A prolapse that becomes dark, swollen and painful: a surgical emergency
A prolapse that cannot be pushed back and has turned dusky or very painful may be strangulated. That is an emergency and needs attention immediately, not an appointment.
How Rectal Prolapse is Diagnosed
A full-thickness prolapse is obvious once it is visible: the difficulty is that it often will not appear on demand in a consulting room. Confirming it sometimes takes a little ingenuity.
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Clinical examination
Inspection of the anus, and asking you to strain as if passing stool, often while squatting or seated, to bring the prolapse down where it can be seen.
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Digital rectal examination
Assesses sphincter tone and squeeze pressure, which predicts how much continence is likely to recover after repair.
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Proctoscopy & sigmoidoscopy
Views the rectal lining directly, looking for a solitary rectal ulcer and ruling out a tumour as the lead point.
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Defecating proctogram
An X-ray or MRI study taken while you empty the bowel. It is the test that shows an internal prolapse, which no examination can see.
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Anorectal manometry
Measures sphincter pressures and rectal sensation, guiding whether pelvic floor rehabilitation should accompany surgery.
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Colonoscopy
Advised in older patients and where there is bleeding, to exclude a polyp or cancer acting as the lead point of the prolapse.
If the prolapse only appears at home, a clear photograph taken on your phone is genuinely useful and saves a great deal of investigation.
Treatment Options for Rectal Prolapse
Conservative measures control symptoms and are worth doing, but a full-thickness prolapse in an adult does not resolve without surgery. The choice of operation turns on your fitness rather than on the prolapse alone.
Non-surgical
Non-surgical management
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Diet and lifestyle changes
More fibre and fluid to prevent constipation and eliminate straining: the pressure that caused the prolapse and that would undo any repair.
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Pelvic floor exercises
Supervised physiotherapy strengthens the muscular sling supporting the rectum. Most effective for early or internal prolapse.
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Biofeedback therapy
Retrains the coordination between abdominal push and pelvic floor relaxation, so emptying no longer requires straining.
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Stool softeners and laxatives
Make bowel movements effortless, which controls symptoms and protects the repair afterwards.
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Manual reduction
Gently pushing the prolapse back after each bowel movement. It relieves the immediate problem but treats nothing: a holding measure, not a solution.
Surgical
Surgical treatment for rectal prolapse
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Laparoscopic rectopexy
The standard repair. Through a few keyhole incisions the rectum is mobilised, lifted back into position and fixed to the sacrum, usually with a mesh. Excellent long-term results and a quick recovery.
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Ventral mesh rectopexy
A refinement in which the mesh is placed only on the front of the rectum, avoiding the nerves at the back. It corrects the prolapse with far less risk of post-operative constipation.
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Robotic-assisted rectopexy
The same operation with robotic instrumentation, giving greater precision deep in the pelvis where the working space is narrow.
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Resection rectopexy
Fixation combined with removal of a redundant length of sigmoid colon. Chosen where severe constipation accompanies the prolapse.
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Perineal procedures
Delorme’s and Altemeier’s operations are performed entirely through the anus, with no abdominal incision. Well suited to elderly or high-risk patients who would not tolerate an abdominal operation.
Abdominal repairs have the lowest recurrence rate and are preferred for fit patients. Perineal repairs are gentler and are the right answer for those who are frail: the decision is made with you, on your overall health.
What Laparoscopic Rectopexy Involves
A keyhole operation taking around ninety minutes to two hours. Three or four small incisions, a one to two night stay, and a repair that holds.
Laparoscopic ventral mesh rectopexy
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Pre-operative assessment
Bloods, an ECG, an anaesthetic review, and bowel preparation. A defecating proctogram is reviewed to confirm the pattern of prolapse.
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Anaesthesia and access
General anaesthetic. The abdomen is inflated with carbon dioxide and three or four ports of five to twelve millimetres are placed.
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Mobilising the rectum
The rectum is freed from its surroundings down to the pelvic floor. In a ventral repair, dissection is kept to the front so the nerves behind are left untouched.
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Placing the mesh
A strip of mesh is secured to the front of the rectum and then to the sacral promontory, lifting the rectum back to its proper position and holding it there.
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Closing the peritoneum
The peritoneum is closed over the mesh so it is not left in contact with the small bowel: the step that prevents adhesions later.
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Bowel resection, where needed
Where a redundant sigmoid colon is contributing to severe constipation, it is resected and rejoined in the same sitting.
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Recovery & discharge
Overnight observation, eating and walking the next morning, and home after one to two nights with a follow-up date.
Fixing the prolapse also improves continence in most patients, because the sphincter is no longer being stretched open by bowel sitting in it. That improvement continues over several months rather than arriving at once.
Why Choose Lux Hospitals for Rectal Prolapse Treatment in Hyderabad?
Prolapse surgery is pelvic floor surgery, and it rewards experience with the anatomy. Here is why patients trust us:
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Expert team
Specialists including Dr. Samhitha Reddy, a member of the American Society of Colon & Rectal Surgeons, with a dedicated colorectal practice.
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Advanced technology
Laparoscopic and robotic-assisted rectopexy, so the repair is done through keyhole incisions rather than an open one.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Keyhole surgery means you are up and walking the next day. The internal repair, however, takes about three months to become fully strong, and that is what the lifting restrictions are for.
- Day 0–1
Overnight in the ward. Sips of fluid the same evening, walking and light diet the next morning.
- Days 2–3
Home once you are eating, walking and comfortable on oral painkillers. Bowels usually open by day two or three.
- Week 1–2
Gentle walking daily. Stool softeners continue so nothing is strained against. First follow-up review.
- Weeks 2–4
Desk work resumes and most normal activity returns. Driving from around two weeks, once you can brake without hesitating.
- Weeks 6–12
Full activity, gym and heavy work resume progressively. Continence continues improving over this period and beyond.
Aftercare
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No straining, ever again
This is the whole point. Straining is what stretched the attachments the first time, and it will stretch a repair just as effectively.
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Fibre, fluid and softeners
Keep stools soft and regular for the long term, not just for the first few weeks. Take the softeners for as long as advised.
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No heavy lifting for 6 weeks
Nothing above five kilos for six weeks, and build back gradually after that. The mesh needs time to integrate.
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Pelvic floor exercises
Restart once your surgeon clears you. They are what consolidate the improvement in continence after the anatomy is fixed.
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When to call us
Fever, worsening abdominal pain, vomiting, no bowel movement with a distended abdomen, or the prolapse reappearing.
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Long-term follow-up
Reviews at six weeks, three months and a year. Recurrence, when it happens, is usually late, which is what late reviews are for.
Recurrence rates after laparoscopic rectopexy are low, in the region of five to ten per cent over the long term, and are lowest in patients who genuinely stop straining.
When Should You Consider Treatment?
Book a consultation if any of the following apply.
- A lump that comes out of the anus on straining.
- Symptoms that persist despite diet changes and pelvic floor exercises.
- Leakage of stool, mucus or difficulty holding wind.
- Bleeding or recurrent infection from the prolapsed tissue.
- A prolapse that will not go back in: seek help the same day.
Cost of Rectal Prolapse Treatment in Hyderabad
Cost tracks the operation performed and the length of stay. These are the ranges our patients fall into.
| Procedure | Estimated Cost |
|---|---|
| Consultation & conservative management Out-patient, including biofeedback sessions | ₹2,000 – ₹15,000 |
| Perineal procedure (Delorme’s) One to two nights’ stay | ₹65,000 – ₹1,00,000 |
| Laparoscopic rectopexy Two nights’ stay, mesh included | ₹1,20,000 – ₹1,90,000 |
| Robotic-assisted rectopexy Two to three nights’ stay | ₹1,80,000 – ₹2,80,000 |
| Resection rectopexy Three to five nights’ stay | ₹1,60,000 – ₹2,50,000 |
What changes the estimate
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Abdominal or perineal approach
A keyhole abdominal repair and a perineal repair differ substantially in theatre time, consumables and stay.
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Whether bowel is resected
Adding a sigmoid resection means a stapler, a longer operation and a longer stay.
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Mesh used
Biological and synthetic meshes differ considerably in price, and the choice is made on your tissue and history.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Benefits of Rectal Prolapse Treatment at Lux Hospitals
What patients treated here can expect:
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Quick recovery
Keyhole surgery with a one to two night stay and a fast return to routine.
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Symptom relief
The prolapse, the discomfort and the mucus discharge resolve together.
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Better bowel control
Continence improves in most patients over the months after repair.
Other Proctology Treatments
Our Surgeons
Rectal Prolapse Specialists at Lux Hospitals
The colorectal and pelvic floor surgeons who treat rectal prolapse at our HITEC CITY hospital.
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Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
8 years experience
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Dr. Abhishek Katha
Consultant General & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
17 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for prolapse, piles and colorectal conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Samhitha Reddy on prolapse, piles and colorectal health.
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Best Piles Doctor in Hyderabad: What to Look For
Dr. Samhitha Reddy
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Which Grade of Piles Needs Surgery?
Dr. Samhitha Reddy
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Signs of Colorectal Problems That Need Medical Attention
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Frequent Stomach Discomfort? Signs You May Have IBS
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Everything You Need to Know About Irritable Bowel Syndrome
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Got Questions?
Frequently Asked Questions
Common questions about rectal prolapse, its surgery, and what treatment costs at Lux Hospitals.
What does rectal prolapse look like?
Rectal prolapse appears as a visible bulge or protrusion of the rectum through the anus, especially during bowel movements. It looks like a red, moist tube with rings running around it. In advanced cases the rectum stays outside until it is pushed back by hand.
What is the difference between rectal prolapse and piles?
Prolapsed piles appear as separate lobes with grooves between them, and are usually more purple. A rectal prolapse is a single continuous tube of bowel with concentric rings on its surface. The distinction matters because the operations are entirely different.
Is rectal prolapse dangerous?
If left untreated, rectal prolapse can lead to chronic pain, ulceration, bleeding, infection and worsening incontinence. A prolapse that cannot be pushed back can become strangulated, which is a surgical emergency needing immediate attention.
Can rectal prolapse correct itself?
Mild cases, particularly in children, may resolve on their own as the pelvic floor strengthens. In adults, a full-thickness prolapse does not correct itself: conservative measures control symptoms, but surgery is what repairs the anatomy.
Is rectal prolapse common in toddlers?
It can occur in toddlers, usually because of weak pelvic floor muscles or conditions such as chronic diarrhoea, malnutrition or cystic fibrosis. In most cases it resolves as the child grows and the muscles strengthen, and surgery is rarely needed.
What kind of doctor should I consult for rectal prolapse?
A proctologist or colorectal surgeon is the right specialist. At Lux Hospitals, Dr. Samhitha Reddy leads the colorectal team. General surgeons with expertise in gastrointestinal and pelvic floor disorders also treat this condition.
Will surgery fix my incontinence too?
In most patients continence improves substantially after repair, because the sphincter is no longer being held open by prolapsing bowel. The improvement builds over three to twelve months rather than arriving immediately, and pelvic floor exercises help consolidate it.
What is the recovery time for rectal prolapse surgery?
Recovery typically takes two to four weeks for a return to normal activity, depending on the procedure and your general health. Laparoscopic surgery means a one to two night stay and a faster recovery than open surgery, though the internal repair takes around three months to become fully strong.
What is the cost of rectal prolapse treatment at Lux Hospitals?
Cost depends on the procedure, from about ₹65,000 for a perineal repair to ₹2,80,000 for a robotic-assisted rectopexy. A written, fixed-cost estimate is shared with you after your consultation and before treatment begins.
How can I book an appointment for rectal prolapse treatment at Lux Hospitals?
You can book an appointment by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book Your Rectal Prolapse Consultation in Hyderabad
Laparoscopic and robotic rectopexy by experienced colorectal surgeons, with a fixed-cost estimate shared before treatment begins.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032