PUNE: One night, while at work, Shantanu, a software professional, felt an excruciating pain in his lower abdomen. He ran into the bathroom, hoping for some relief. But to his surprise, he noticed something unusual. Part of his rectum had prolapsed and slipped out of his anus.
Fearful and unsure of what was happening, he began changing his diet and continued to delay treatment, thinking it would heal on its own.
As the weeks turned into months, Shantanu, 44, realized that working night shifts was taking a toll on his health. Irregular sleep patterns, lack of physical activity, and unhealthy eating habits were beginning to affect him. He began experiencing digestive problems, especially chronic constipation. The constant straining during his bowel movements further worsened his condition, known as rectal prolapse.
“Every time I go to the toilet, about 12cm of my rectum protrudes through my anus. Fearing the effects of anal surgery, I tried home remedies and alternative treatments,” Shantanu said.
The combination of chronic constipation and the strain of defecating weakened the muscles and ligaments that support the rectum, causing the rectum to protrude outside the anus.
It has been more than two years since Shantanu underwent the innovative minimally invasive surgery at a hospital in the city. “Chronic constipation and rectal prolapse disappeared postoperatively,” he said.
Dr. Shantanu participated in an observational study that followed long-term, over 24 months, 91 patients with rectal prolapse who underwent surgery using a minimally invasive approach. These patients were from India, with a few patients from Western countries as well.
“This study shows that our minimally invasive technique, transanal rectal prolapse surgery with circular stapler (TRRPCS), is an innovative approach to effectively address rectal prolapse and associated functional problems, resulting in bowel/anal incontinence. “We have shown that we can cure patients without causing known complications of the surgery,” says the colorectal surgeon, healing hands clinic.
This research World Journal of Colorectal Surgery “This is the largest case series ever published, consisting of 91 patients with a minimum of two years of long-term follow-up,” said Dr. Porwal, the study’s principal investigator. said. Other surgeons who were co-investigators on the study were Dr. Paresh Gandhi and Dr. Deepak Kulkarni.
“Various surgical treatments for rectal prolapse have been attempted in the past, but with poor results and failures. We decided to evaluate the new TRRPCS technique we developed. We conducted this study for this purpose,” said Dr. Porwal.
Compared to other surgical treatments, this procedure is minimally invasive. He added that the treatment can be performed on patients of any age group.
Dr. Girish Hatarkal, a Mumbai-based colorectal surgeon, said, “I have started the TRRPCS method and the results are promising.”

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