Altemeier Procedure
Perineal resection for rectal prolapse — the prolapsed segment is removed through the anus and the bowel is reconnected — ideal for longer prolapses in elderly or frail patients.
What is Altemeier Procedure?
The Altemeier Procedure (perineal proctosigmoidectomy) is a perineal operation for full-thickness rectal prolapse in which the prolapsed segment is removed entirely through the anus and the healthy bowel ends are reconnected. Like the Delorme, it avoids abdominal surgery and is well-suited for elderly or frail patients, but is particularly effective for longer prolapses where Delorme alone may not be enough. Dr. Tejasree Vengala performs the Altemeier procedure at Lux Hospitals, Hyderabad, with careful attention to safe resection and durable healing.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or general anaesthesia. The patient is positioned for perineal access.
Prolapse Delivery
The prolapsed bowel is gently delivered through the anus to expose the entire prolapsed segment.
Resection
The redundant rectum and sigmoid colon are carefully resected, with attention to preserving healthy bowel ends.
Anastomosis
The healthy bowel ends are joined together using a hand-sewn or stapled anastomosis, restoring continuity.
Recovery & Discharge
Patients are mobilised the next day and started on soft diet. Most are discharged in 2–3 days with structured follow-up.
Outcomes
Who Needs This Treatment?
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No abdominal incisions — entirely from below
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Suitable for longer prolapses
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Effective option for elderly or frail patients
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Removes redundant bowel completely
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Quick recovery without major abdominal surgery
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Improves dignity and quality of life
Altemeier is a thoughtful, kind operation — it deals with a long, troublesome prolapse from below, without putting an elderly patient through a major abdominal procedure. The relief it gives is profound, and it does so with remarkably little surgical stress.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Altemeier Procedure Cost in Hyderabad
The cost of the Altemeier procedure in Hyderabad depends on the type and extent of rectal prolapse, bowel involvement, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring perineal rectosigmoidectomy for suitable rectal prolapse, the approximate cost ranges between ₹1,20,000 and ₹2,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Altemeier Procedure | ₹1,20,000 – ₹2,20,000 |
The final cost may vary depending on your individual condition, findings during evaluation, extent of prolapse, bowel resection requirements, and whether any additional procedures are required.
Factors That Influence Altemeier Procedure Cost
The overall cost may depend on:
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Type and severity of rectal prolapse: The extent of prolapse, bowel involvement, pelvic floor function, and associated colorectal conditions may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, colonoscopy or other investigations, imaging when needed, blood tests, and medical assessments before surgery may affect the overall cost.
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Bowel resection requirements: The length of rectum or sigmoid colon requiring removal and the type of anastomosis performed may influence the surgical cost.
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Additional procedures: If levatorplasty or other pelvic floor or colorectal interventions are required along with the Altemeier procedure, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, wound care, and follow-up requirements may influence the final estimate.
Is Altemeier Procedure Covered by Insurance?
The Altemeier procedure may be covered by health insurance when it is performed for a medically necessary rectal prolapse. 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 surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether the Altemeier procedure is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.