Delorme Procedure
A perineal approach to rectal prolapse - the redundant rectal mucosa is stripped and the muscle wall plicated through the anal opening, with no abdominal incisions. Preferred for elderly or high anaesthetic-risk patients.
What is Delorme Procedure?
The Delorme Procedure is a perineal repair of rectal prolapse performed entirely through the anal opening - without any abdominal incision. The redundant prolapsed rectal mucosa is stripped from just above the dentate line to the apex of the prolapse. The exposed muscular wall is then plicated (gathered with sutures) to shorten and reinforce it, and the mucosal ends are sutured together.
Dr. Samhitha Reddy performs the Delorme Procedure at Lux Hospitals, Hyderabad for patients with full-thickness rectal prolapse who have significant comorbidities making abdominal surgery less appropriate. As part of the comprehensive rectal prolapse treatment in Hyderabad programme, it provides meaningful functional improvement and symptom relief for elderly patients who cannot safely undergo laparoscopic rectopexy.
The Delorme Procedure has higher recurrence rates (15-20% at 5 years) than abdominal rectopexy. It is primarily indicated when abdominal surgery carries unacceptable risk. For fit patients, laparoscopic rectopexy remains the preferred option.
How the Procedure Works
Prolapse Eversion
Under spinal or general anaesthesia, the prolapsed rectum is fully everted and held in position. The dentate line is identified as the starting point.
Mucosal Stripping
The mucosa is incised circumferentially just above the dentate line and stripped from the underlying muscle cylinder up to the apex - removing a circumferential mucosal tube.
Muscle Plication
The denuded muscle cylinder is plicated with 6-8 non-absorbable sutures placed circumferentially - folding and shortening the muscle wall.
Mucosal Anastomosis
The proximal and distal mucosal ends are sutured together with an absorbable running suture. The plicated muscle reinforces the anastomosis.
Recovery
Hospital stay 1-2 days. High-fibre diet and stool softeners prescribed. Post-operative pelvic floor physiotherapy recommended.
Outcomes
Who Needs This Treatment?
- →No abdominal incisions - entirely perineal approach through the anal canal
- →Safe for elderly patients and those with significant cardiovascular or respiratory comorbidities
- →Shorter anaesthetic time than abdominal rectopexy
- →Can be combined with sphincter repair if incontinence is present
- →1-night stay - minimal hospital time
- →Available at Lux Hospitals, Hyderabad as part of the comprehensive rectal prolapse programme
The Delorme Procedure is a clever perineal solution to a significant problem. For elderly patients with large prolapse who cannot safely undergo abdominal surgery, it provides meaningful functional improvement and symptom relief - with a recovery measured in days, not weeks.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Delorme Procedure Cost in Hyderabad
The cost of Delorme procedure in Hyderabad depends on the extent of rectal prolapse, length of the prolapsed segment, patient’s age and health condition, investigations required, and the care needed before and after surgery.
For patients with short-segment rectal prolapse, especially elderly patients, the approximate cost of Delorme procedure ranges between ₹70,000 and ₹1,40,000.
| Procedure | Approximate Cost Range |
|---|---|
| Delorme Procedure | ₹70,000 – ₹1,40,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Delorme Procedure Cost
The overall cost may depend on:
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Severity and extent of rectal prolapse: The length of the prolapsed segment, severity of symptoms, and associated bowel conditions may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures for associated conditions, bowel function management, or additional prolapse-related treatments are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, bowel care, and follow-up requirements may influence the final estimate.
Is Delorme Procedure Covered by Insurance?
Delorme procedure may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether Delorme procedure is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.