Treatment of Short (<5 cm) Full-Thickness Rectal Prolapse

This protocol addresses patients presenting with a short segment of full-thickness rectal prolapse — specifically, cases where the prolapsed segment measures less than 5 cm. The limited extent of the prolapse defines both the diagnosis and the appropriate surgical approach.

Patients with a short (<5 cm) full-thickness rectal prolapse form a distinct subgroup for whom a specific perineal surgical approach is appropriate. The short length of the prolapsed segment is the key criterion that guides procedure selection in this setting.

The established intervention for this presentation involves a perineal approach with circumferential resection of the mucosal layer as a central component of the technique.

The complete procedural steps, clinical decision algorithm, and technical details are available in the full structured regimen below.

The primary objectives are elimination of the rectal prolapse and improvement of associated symptoms, including constipation and fecal incontinence.