Thiersch Procedure
Encirclement of the anus with suture or synthetic material to mechanically prevent rectal prolapse protrusion - a palliative or bridging measure for frail patients unsuitable for definitive surgical repair.
What is Thiersch Procedure?
The Thiersch Procedure places a suture, silicone sling, or synthetic encircling material around the anal sphincter at the subcutaneous level - creating a mechanical barrier that prevents the prolapsed rectum from exiting the anal canal. It does not correct the underlying prolapse but provides symptomatic control with minimal anaesthetic risk.
Dr. Samhitha Reddy uses the Thiersch Procedure at Lux Hospitals, Hyderabad as a palliative or bridging measure for patients with rectal prolapse who are medically frail, have extensive comorbidities precluding definitive surgery, or require short-term prolapse control before definitive repair can be performed under improved medical conditions.
The Thiersch Procedure is a palliative or bridging measure - not a curative treatment. Complications include faecal impaction and infection of the encircling material. It is selected only for patients where definitive surgery is not possible.
How the Procedure Works
Assessment of Candidacy
Selected for medically frail patients with symptomatic full-thickness prolapse where definitive surgical repair is not feasible.
Local Anaesthesia
Local anaesthetic is infiltrated circumferentially around the anal verge. The procedure can be performed under local alone in very frail patients.
Material Placement
Two small incisions at 3 and 9 o'clock allow passage of a non-absorbable suture, silicone sling, or similar material circumferentially around the anus.
Tightening
The material is tied to appropriate tension - sufficient to prevent prolapse protrusion but not causing obstruction to faecal passage.
Post-operative Management
Regular digital examination at follow-up to assess position and tension. Stool softeners prescribed to prevent faecal impaction.
Outcomes
Who Needs This Treatment?
- →Simple procedure performable under local anaesthesia in very frail patients
- →Provides symptomatic control of prolapse protrusion without major surgery
- →Bridging measure to control prolapse while medical optimisation occurs
- →Minimal anaesthetic risk - important for elderly patients with significant comorbidities
- →Quick to perform - completed in under 20 minutes
- →Available at Lux Hospitals, Hyderabad as part of the complete rectal prolapse management programme
The Thiersch Procedure occupies a specific, important niche - for the very frail patient with distressing prolapse who cannot tolerate definitive surgery, it provides practical symptomatic relief with minimal risk. It is about matching the procedure to the patient, not the other way around.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Thiersch Procedure Cost in Hyderabad
The cost of Thiersch procedure in Hyderabad depends on the severity of rectal prolapse, the patient’s overall health condition, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring a high-risk or palliative approach, the approximate cost of Thiersch procedure ranges between ₹40,000 and ₹80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Thiersch Procedure | ₹40,000 – ₹80,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Thiersch Procedure Cost
The overall cost may depend on:
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Severity and type of rectal prolapse: The extent of prolapse, recurrence, symptoms, and suitability for a palliative approach 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 such as management of associated bowel conditions or additional prolapse 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 Thiersch Procedure Covered by Insurance?
Thiersch 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 Thiersch 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.