Rectal prolapse is a condition in which protrusion of full thickness of rectum of 4 cm or more occurs through the anal canal. Though worldwide literature shows that it is more common in females with a weak pelvic floor, incidence of this condition is seen more in males in India. This report is a retrospective study of cases who underwent perineal proctosigmoidectomy (Altemeier’s procedure) for the rectal prolapse presented as an emergency irreducible rectal prolpse
as well as recurrent reducible rectal prolapse during the period of two and half yrs. (January 2016 to June 2018). The study was done on 12 operated patients. The procedure was done in 4 patients as an emergency. The patients were followed up for immediate complications like bleeding, suture dehiscence, infections or abscess. They were also periodically assessed for delayed complications like constipation
and recurrence. None of the complications were reported during the Follow-up period, except in one patient. He was having recurrent prolapse.
Keywords: Rectal prolapse; Perineal proctosigmoidectomy; Altemeier’s procedure; Perineal procedures; Defaecation pressure; Obstructive defaecation.