الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Rectal prolapse is a condition that has fascinated surgeons for a long time. To date , no single ideal surgical treatment has been identified. The aetiology of rectal prolapse remains highly controversial, but it is recognized that associated functional problems, such as incontinence and constipation, are common. The pathophysiology, and controversies surrounding continence and constipation, remain topic of debate. Many surgical techniques for rectal prolapse were described during the last century; none has been shown to be ideal. The procedure chosen is usually based on the fitness of the patient and the surgeon’s familiarity and preference for a particular surgical approach. The functional aspects of rectal prolapse should also be considered in order to treat a patient with rectal prolapse optimally. The surgical management of rectal prolapse has evolved from the historic Thiersch anal encirclement procedure to the present laparoscopic rectopexy. Selection of the most appropriate surgical operation continues to be problematic for surgeons. At this institution we prefer a laparoscopically assisted resection rectopexy, especially in the young and fit patient with a significant history of constipation. A perineal procedure, such as Delorme or perineal rectosigmoidectomy, is usually reserved for the