Anorectal: rectal prolapse surgery: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Anorectal: rectal prolapse surgery

Sample item

A fit 45-year-old woman has full-thickness rectal prolapse. Which operation gives the lowest recurrence?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Abdominal rectopexy

Abdominal rectopexy, with or without resection, fixes the rectum to the sacrum and has the lowest recurrence in fit patients. Perineal procedures such as Delorme or Altemeier are chosen in elderly or unfit patients. The Thiersch wire is a palliative option.

Option by option

  • A. Injection sclerotherapy

    Sclerotherapy is not effective for complete prolapse.

  • B. Thiersch wire encirclement

    Thiersch wire has high failure and complications.

  • C. Abdominal rectopexy (correct)

    Correct. Rectopexy is the preferred operation in fit patients.

  • D. Haemorrhoidal banding

    Banding treats piles.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Abdominal rectopexy. Abdominal rectopexy, with or without resection, fixes the rectum to the sacrum and has the lowest recurrence in fit patients.

Why is "Injection sclerotherapy" not the answer?

Sclerotherapy is not effective for complete prolapse.

Why is "Thiersch wire encirclement" not the answer?

Thiersch wire has high failure and complications.

Why is "Haemorrhoidal banding" not the answer?

Banding treats piles.

What concept does this question test?

It tests Anorectal: rectal prolapse surgery in General Surgery. Perineal procedures such as Delorme or Altemeier are chosen in elderly or unfit patients. The Thiersch wire is a palliative option.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Anorectal: rectal prolapse surgery?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.