“What is the fix for rectal prolapse?”

Consult GI for a proper work up and may require Surgery

Rectal prolapse is the protrusion of all layers of the rectum through the anus, it is a disorder of the pelvic floor and typically occurs in older women. The risk factors are older age, multi- parity, chronic constipation and cystic fibrosis. In office it can be induced by having the patient bear down as to simulate defecation as most patient will give a history of manually reducing the anal protrusion. Surgery is either via a trans abdominal procedure or via perineal procedure. The perineal procedure can be can be performed without general anesthesia and has less pain but has a higher recurrence rate. The redundant rectum is prolapsed and a full thickness circumferential incision is made and a hand sewn colo-anal connection is with made with non-absorbable suture.
The abdominal procedure involves mobilizing the rectum, resecting a portion of the distal colon (if necessary ) and then fixation of the rectum to the tailbone either with mesh or non-absorbable suture (rectopexy).
Early ambulation and eating is encouraged with both procedures. And an aggressive bowel regimen to avoid constipation and excessive straining is utilized, with most patients going back to normal activity in four to six weeks. Heavy left and staining of abdominal and perineal muscles is to avoided for a few months post op to allow for full healing.
You will need to discuss with your surgeon which procedure is best for you.