Rectal Prolapse Surgery: When Do You Need Rectopexy and Who Is the Best Surgeon in Cairo?
Rectal prolapse is a distressing condition that affects both physical comfort and emotional well-being. It occurs when the rectum—the final section of the large intestine—slips out of its normal position and protrudes through the anus. While mild cases may respond to conservative treatment, advanced or recurrent prolapse often requires surgical intervention. Among the most effective procedures is rectopexy, a technique that restores and secures the rectum in its proper anatomical location.
In Cairo, patients have access to world-class surgical expertise, and one name stands out in this field: Dr. Ashraf Salem, a leading consultant in colorectal and minimally invasive surgery.
What Is Rectal Prolapse?
Rectal prolapse is the full or partial descent of the rectal wall through the anal opening. It may begin as an internal prolapse (intussusception) and progress to external protrusion. The condition is more common in elderly individuals and women with a history of multiple childbirths, but it can also affect younger patients with chronic constipation, pelvic floor dysfunction, or neurological disorders.
Symptoms That Indicate Surgical Need
While some cases can be managed with dietary changes, pelvic floor exercises, or medications, surgery becomes necessary when:
- The prolapse is visible and persistent.
- There is difficulty controlling bowel movements (fecal incontinence).
- The patient experiences chronic constipation or straining.
- There is bleeding, mucus discharge, or ulceration.
- The prolapse interferes with daily activities or causes emotional distress.
- Previous non-surgical treatments have failed.
What Is Rectopexy?
Rectopexy is a surgical procedure that repositions the rectum and secures it to the sacrum (lower spine) using sutures or a mesh. It can be performed through:
- Open surgery: via a traditional abdominal incision.
- Laparoscopic surgery: using small incisions and a camera for minimal invasiveness.
- Robotic-assisted surgery: offering enhanced precision and faster recovery.
The goal is to restore normal anatomy, improve bowel function, and prevent recurrence. In many cases, rectopexy is combined with sigmoid resection if constipation is a major concern.
Who Is the Best Surgeon in Cairo?
When it comes to rectal prolapse surgery, Dr. Ashraf Salem is widely recognized as one of Cairo’s top experts. His credentials include:
- Over 30 years of experience in general and colorectal surgery.
- Fellowship of the Royal College of Surgeons (UK).
- Director of the Surgical Hospital at Kobri El-Qobba Medical Complex.
- Founder of Hemocure Center for advanced anorectal treatments.
- Pioneer in laser and laparoscopic techniques for rectal and anal disorders.
Dr. Salem is known for his meticulous surgical technique, personalized patient care, and high success rates in treating complex cases of rectal prolapse. His approach combines clinical excellence with empathy, making patients feel safe and supported throughout their treatment journey.
Final Advice
Rectal prolapse is not just a physical condition—it affects dignity, confidence, and quality of life. If you or a loved one is experiencing symptoms, don’t delay seeking expert help. Surgical treatment like rectopexy can offer lasting relief and restore normal function. In Cairo, Dr. Ashraf Salem stands out as a trusted name in this field, offering advanced care with compassion and precision.