Treatments for an early or minor rectal prolapse commonly involve the use of stool softeners and manually pushing fallen tissue back into the anus with the hand, notes Cleveland Clinic. Several surgical treatments are often necessary to repair the prolapse. Two types of prolapse repair surgeries are abdominal and rectal.
According to Cleveland Clinic, abdominal and rectal surgeries are the most common chosen by doctors to treat rectal prolapse. Healthy adults often receive abdominal repair surgery, and the doctor may elect to perform a rectoplexy or resection repair. Patients with severe constipation are more likely to have a resection. The second most common surgery is a rectal repair, which requires an epidural or spinal anesthesia. Doctors performing rectal surgery elect to do an altemeier or delorme procedure. The altemeier procedure involves cutting off the extended portion of the anus and stitching the two ends together. The delorme procedure involves removing the inner lining of the fallen rectum, folding the outer layer and stitching both parts so they sit inside the rectum.
As noted by Cleveland Clinic, surgery for a rectal prolapse produces a successful remedy for most patients, although there is less risk of the prolapse returning for patients who have the abdominal procedure. Recovery from surgery can take up to three months.