Rectal prolapse occurs when part of the large intestine's lowest section (rectum) slips outside the muscular opening at the end of the digestive tract (anus). The prolapsed rectum can cause fecal incontinence. Surgery is usually needed to treat rectal prolapse.

  • Comprehensive care. People with rectal prolapse also often have other types of pelvic organ prolapse. Mayo Clinic's integrated practice gives you rapid access to all the experts needed to solve your problems. If you need surgery, Mayo specialists work together so that in most cases you have only one procedure.
  • Advanced techniques. State-of-the-art technology helps your doctor see moving images of the entire pelvis and determine the most appropriate treatment for you.
  • Intensive physical therapy. Mayo offers comprehensive biofeedback treatment to increase pelvic floor muscle strength.

Mayo Clinic in Rochester, Minn., ranks #1 for digestive disorders in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., is ranked among the Best Hospitals and Mayo Clinic in Jacksonville, Fla., is ranked high performing for digestive disorders by U.S. News & World Report.

At Mayo Clinic, we assemble a team of specialists who take the time to listen and thoroughly understand your health issues and concerns. We tailor the care you receive to your personal health care needs. You can trust our specialists to collaborate and offer you the best possible outcomes, safety and service.

Mayo Clinic is a not-for-profit medical institution that reinvests all earnings into improving medical practice, research and education. We're constantly involved in innovation and medical research, finding solutions to improve your care and quality of life. Your doctor or someone on your medical team is likely involved in research related to your condition.

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Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Specialists in colon and rectal surgery usually manage care for adults who have rectal prolapse.

For appointments or more information, call the Central Appointment Office at 800-446-2279 (toll-free) 8 a.m. to 5 p.m. Mountain Standard Time, Monday through Friday or complete an online appointment request form.

Specialists in colon and rectal surgery usually manage care for adults who have rectal prolapse.

For appointments or more information, call the Central Appointment Office at 904-953-0853 8 a.m. to 5 p.m. Eastern time, Monday through Friday or complete an online appointment request form.

Specialists in colon and rectal surgery usually manage care for children and adults who have rectal prolapse. Mayo offers an intensive two-week program of biofeedback therapy to treat rectal prolapse.

For appointments or more information, call the Central Appointment Office at 507-538-3270 7 a.m. to 6 p.m. Central time, Monday through Friday or complete an online appointment request form.

See information on patient services at the three Mayo Clinic locations, including transportation options and lodging.

At Mayo Clinic, colorectal surgeons examine the entire pelvis to determine the extent of your rectal prolapse and whether you need surgery. One test that is particularly helpful in diagnosis is:

  • Dynamic MRI. This noninvasive test scans the entire pelvis during a bowel movement and produces a video of the pelvic muscles and pelvic organs at work. Dynamic MRI also reveals prolapse in other pelvic organs, such as the bladder or vagina.

In its early stages, rectal prolapse may be treated with stool softeners, suppositories and other medications. But most people need surgery to repair rectal prolapse.

At Mayo, colorectal surgeons work with other specialists as needed to treat any other pelvic organ prolapse you have. In most cases only one surgery is needed.

The type of surgery you have depends on the extent of the rectal prolapse. Mayo surgeons use these procedures:

  • Perineal proctectomy (Altemeier or modified Delorme procedure). The surgeon removes the prolapsed rectum via an incision in the protruding rectum. Perineal proctectomy can be performed using a regional anesthetic, which reduces the risk of complications and speeds your recovery.
  • Sigmoid resection and rectopexy. The surgeon makes an incision in the abdomen and removes the sigmoid colon, the part of the large intestine closest to the rectum and anus. The rectopexy procedure anchors the rectum to a bony structure attached to the lower spine and pelvis (sacrum). In most cases it is possible to perform this operation using minimally invasive surgery, which results in smaller incisions and a shorter hospital stay than does conventional surgery.

Children

In children, rectal prolapse can usually be managed with stool softeners or other medication. If surgery is needed, Mayo Clinic surgeons have special experience in minimally invasive techniques.

Children with rectal prolapse should be screened for cystic fibrosis, since rectal prolapse can be a sign of that disease.

Biofeedback

Mayo offers intensive outpatient biofeedback therapy. Specially trained physiotherapists teach simple exercises that can increase anal muscle strength. People learn how to strengthen pelvic floor muscles, sense when stool is ready to be evacuated and contract the muscles if evacuation is inconvenient. Biofeedback therapy doesn't eliminate the need for surgery, but it can make surgery more successful by helping to prevent rectal prolapse recurrence.

Insurers vary in their coverage of biofeedback therapy. Check your coverage before scheduling treatment.

Mayo Clinic specialists are continually developing new methods for diagnosing and treating rectal prolapse. Mayo surgeons have made many advances in minimally invasive colorectal surgery to treat rectal prolapse. These procedures usually result in smaller incisions, less bleeding, quicker recovery and shorter hospital stays than does traditional surgery.

Mayo publications

See a list of publications by Mayo Clinic doctors on rectal prolapse on PubMed, a service of the National Library of Medicine.

Nov. 20, 2012