Management of Rectal Prolapse: A Report of Three Cases and Review of the Literature

prolapsing hemorrhoids. Patients with rectal prolapse typically have protruding concentric rings of everted rectum, which is different from prolapsed hemorrhoids. This disturbing anorectal condition can be worsened by faulty bowel habits and aging, and surgical repair is required for correction. Conditions associated with rectal prolapse include weakening of pelvic muscles and ligaments, loss of fixation of the rectum, and an abnormally deep Douglas pouch. Because rectal prolapse can be due to a number of different conditions, there are varied operations that have been reported to treat this disorder. The definitive treatment options are all surgical, and are comprised of either transperineal or transabdominal (including laparoscopic) approaches. Herein, we report three cases of rectal prolapse treated surgically. The first patient underwent a perineal Altemeier repair. The second and the third patients received a low anterior resection and pre-sacral rectopexy.