How is internal rectal prolapse (IRP) treated?

Updated: Nov 12, 2018
  • Author: Jaime Shalkow, MD, FACS; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Surgical correction for IRP is possible through a transabdominal or transanal approach. Commonly performed procedures include laparoscopic ventral rectopexy (LVR) and stapled transanal rectal resection (STARR). LVR corrects the intussusception of the rectum and reinforces the rectovaginal septum with a mesh, which suspends the rectum and vaginal vault to the sacral promontory. During the STARR procedure, a stapled resection of the redundant rectal wall is performed. The optimal procedure is difficult to select since no comparative studies exist to date. [43]


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