Does A Prolapse Require Surgery?

Does A Prolapse Require Surgery?

Learn About Prolapsed Rectum In Detail For Better Knowledge

Rectal prolapse means complete rectal prolapse where the rectal walls have prolapsed to a gradation where they obtrude out of the anus and are perceptible outside the body.


The diverse categories of prolapse are as:

  • Internal prolapse (internal intussusception). A full thickness or a fractional rectal wall is affected but the prolapsed tissue does not conk out of the anus.
  • External Prolapse- If they obtrude from the anus and are perceptible outwardly. Full thickness, circumferential, true intussusception of the rectal wall which overhangs from the anus and is perceptible outwardly.
  • Full-thickness rectal prolapse- A full thickness of the rectal wall obtrudes via the anus.
  • Mucosal prolapse- Protrusion of only the rectal mucosa (not the whole wall) from the anus.
  • Circumferential- Where the entire circumference of the rectal wall prolapse.
  • Segmental- Where only portions of the circumference of the rectal wall prolapse.


Grades of prolapse

  • Grade I: Non-relaxation of the sphincter mechanism
  • Grade II: Minor intussusception
  • Grade III: Temperate intussusception
  • Grade IV: Severe intussusception
  • Grade V: Rectal prolapse



  • Pelvic floor dysfunction
  • Parasitic infections such as amoebiasis, schistosomiasis
  • Pregnancy
  • Cystic fibrosis
  • Pertussis (howling cough)
  • Neurologic complaints – Previous lower back or pelvic trauma/lumbar disk ailment, cauda equina syndrome, spinal tumors, multiple sclerosis
  • Topsy-turvy defecation (stool withholding)
  • Preceding surgery
  • Diarrhea
  • Benign prostatic hypertrophy
  • Chronic obstructive pulmonary disease (COPD)

If you ask does a prolapse require surgery, the answer would be no, it can be treated via Ayurvedic medications and herbal approach. Our clinic can offer these medicines to you.

About Us

Myself Dr. H.B Shandilya,Graduate in Ayurvedic Medicine (Bachelor of Ayurveda with Mordern Medicine & Surgery ) from Govt. Ayurvedic College Lucknow under Lucknow University. I have also completed my P.G Diploma in Anorectal diseases from PG Institute of medical Sciences Varanasi(BHU).I have 35 Years of Experience for Treating Anorectal Diseases.

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