I've been diagnosed with rectal prolapse and my doctor mentioned two surgery options STARR and laparoscopic rectopexy. What's the difference between them, and which one is usually better? Also, what kind of risks or complications should I be aware of with each procedure?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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Adults with rectal prolapse need surgery to put rectal tissue that slips into their anus back where it belongs. Rectal prolapse surgery (rectopexy) may take place through your abdomen or perineum (a perineal rectosigmoidectomy).

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Answered 14/08/2025

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I'm experiencing this strange pain in my bottom when I sit for a long time. It really burns, but interestingly, when I stand, run, or sleep, the pain goes away. I don't feel any pain or see blood when I go to the toilet, although I am dealing with a little constipation. There's no blood or pus in my stool either. Some people are telling me it might be piles, others say it could be fissures or maybe even a fistula. I'm really confused and would appreciate some guidance on what this might be.

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I had a fistula surgery 8 months ago which went well but now I have a small fissure again. My surgeon checked with a finger test and just advised me to eat a balanced diet and keep my stool soft. My question is - is it okay if I only clean the outside after passing stool and not put my finger inside to clean like doctors do during the anal exam? I'm worried that inserting a finger might cause infection in the fissure and lead to another fistula

Post-fistula surgery fissure cleaning externally is sufficient.Resisting internal cleaning is okay;if symptoms worsen,consult your surgeon.

Answered by 1 Apollo Doctors

I've got grade 3 and grade 4 piles but they don't hurt, and there's no bleeding when I use the bathroom. However, after I'm done, I have to push the grade 3 piles back in. I'm wondering if there's any medication that can actually cure hemorrhoids. Is that possible?

It will reduce, sometimes surgery also needed.

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.