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EPISODE · Jun 9, 2026 · 25 MIN

Rectal Prolapse

from Colorectal Surgery Review · host Allen Kamrava, MD MBA FACS FASCRS

Reviews the Broden and Snellman theory of rectal prolapse as a progressive internal intussusception. The episode clarifies the misnomer of solitary rectal ulcer syndrome—where true ulcers only appear in 23% of cases—and outlines its precise operative indications. Crucially, it highlights registry data showing that perineal approaches (Altemeier, Delorme) carry a four-times greater relative mortality risk in frail elderly patients compared to minimally invasive abdominal rectopexy, upending decades of surgical dogma.

What this episode covers

Reviews the Broden and Snellman theory of rectal prolapse as a progressive internal intussusception. The episode clarifies the misnomer of solitary rectal ulcer syndrome—where true ulcers only appear in 23% of cases—and outlines its precise operative indications. Crucially, it highlights registry data showing that perineal approaches (Altemeier, Delorme) carry a four-times greater relative mortality risk in frail elderly patients compared to minimally invasive abdominal rectopexy, upending decades of surgical dogma.

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Rectal Prolapse

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Frequently Asked Questions

How long is this episode of Colorectal Surgery Review?

This episode is 25 minutes long.

When was this Colorectal Surgery Review episode published?

This episode was published on June 9, 2026.

What is this episode about?

Reviews the Broden and Snellman theory of rectal prolapse as a progressive internal intussusception. The episode clarifies the misnomer of solitary rectal ulcer syndrome—where true ulcers only appear in 23% of cases—and outlines its precise...

Can I download this Colorectal Surgery Review episode?

Yes, you can download this episode by clicking the download button on the episode player, or subscribe to the podcast in your preferred podcast app for automatic downloads.
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