This page provides educational images and medical illustrations to help patients understand rectal prolapse, including its anatomy, associated symptoms, and diagnostic and surgical evaluation.
Visual guides can improve understanding of how rectal prolapse differs from hemorrhoids and other anorectal conditions, and why symptoms such as tissue protrusion, mucus drainage, constipation, or stool leakage may require specialist evaluation.
These diagrams are intended for educational purposes and support clinical understanding of symptoms, diagnosis, and treatment pathways.
Rectal Prolapse Overview
Rectal prolapse develops when the normal support structures of the rectum weaken, allowing rectal tissue to descend or protrude through the anus.
Rectal prolapse occurs when the rectum loses its normal support and descends downward, sometimes protruding through the anus. It may present as:
Internal prolapse
Mucosal prolapse
Full-thickness external prolapse
Patients may notice a visible bulge, rectal pressure, bleeding, mucus drainage, or difficulty with bowel movements.
Symptoms of Rectal Prolapse
Symptoms of rectal prolapse may include protruding tissue, rectal fullness, bleeding, mucus discharge, constipation, incomplete evacuation, or stool leakage.
Rectal prolapse may present in several ways depending on severity and whether the prolapse is internal or external:
Tissue protruding from the anus
Rectal pressure or fullness
Mucus drainage
Rectal bleeding
Constipation or incomplete emptying
Stool leakage or fecal incontinence
Persistent or worsening symptoms require medical evaluation.
Diagnostic and Surgical Procedures for Rectal Prolapse
Rectal prolapse evaluation may include anorectal examination, defecography, anorectal manometry, and surgical repair depending on the severity of symptoms.
Evaluation of rectal prolapse may include:
Anorectal Examination – initial office assessment
Defecography – dynamic imaging of prolapse and pelvic floor dysfunction
Anorectal Manometry – evaluation of muscle coordination and continence function
Rectopexy or Perineal Repair – surgical treatment for persistent or full-thickness prolapse
These procedures help confirm the diagnosis and guide appropriate treatment.
When to Be Concerned About Rectal Prolapse
While some prolapse symptoms may begin gradually, certain features require prompt evaluation:
Prolapse that becomes more frequent or harder to reduce
Associated bleeding or mucus drainage
Stool leakage or worsening constipation
Severe pain or rapidly increasing swelling
Tissue that becomes dark, dusky, or difficult to push back in
Early evaluation is essential to prevent complications and determine whether conservative care or surgery is appropriate.
Learn when rectal prolapse is not an emergency, when symptoms require urgent medical evaluation, and which warning signs suggest possible incarceration or impaired blood supply.
Learn what recovery after rectal prolapse surgery may involve, including healing time, bowel function changes, activity restrictions, and the risk of recurrence.
Learn when rectal prolapse symptoms may be managed without surgery, which non-surgical treatments may help, and when specialist evaluation is still important.
Learn how to tell the difference between rectal prolapse and hemorrhoids, including symptoms, appearance, causes, and when protruding rectal tissue should be evaluated.
Learn what causes rectal prolapse, including chronic constipation, straining, pelvic floor weakness, aging, and other common risk factors.
Expert Colorectal Care
Expert Rectal Prolapse Care in Phoenix
Dr. Aisha Akhtar, MD provides expert evaluation and treatment of rectal prolapse, including assessment of associated constipation, pelvic floor dysfunction, and fecal incontinence. She offers individualized care ranging from symptom-directed conservative management to advanced surgical repair when indicated.
“The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I...The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I never felt like she was rushing my exam.”
Jaime Peters
★★★★★
“Dr. Akhtar and the entire team made what could have been a very stressful experience feel comfortable, reassuring, and genuinely cared for from sta...Dr. Akhtar and the entire team made what could have been a very stressful experience feel comfortable, reassuring, and genuinely cared for from start to finish. Dr. Akhtar was professional, compassionate, and took the time to thoroughly explain everything before my procedure, which immediately put me at ease. The procedure itself went smoothly, and I truly felt I was in excellent hands the entire time. The office staff was also kind, organized, and attentive throughout the process. I’m incredibly grateful for the level of care, patience, and professionalism I received. I would absolutely recommend Dr. Akhtar to anyone looking for a skilled doctor who truly cares about their patients and their comfort.”
Michelle Abby
★★★★★
“I cannot express the how thankful I am for Dr. Akhtar. I had been to 4 other colorectal doctors, 3 gastro doctors before seeing Dr. Akhtar. I was c...I cannot express the how thankful I am for Dr. Akhtar. I had been to 4 other colorectal doctors, 3 gastro doctors before seeing Dr. Akhtar. I was crying in her office when she met me the first time. That didn't deter her. Not only that but she located the issue on my first visit. She is kind, caring, thorough and incredibly knowledgeable. She listens, spends time with you and doesn't talk over you. I've needed extra time to discuss my case many times and she has always taken the time that I needed. I've brought to her research I've read, and she always already knows about the publications. The staff are kind and helpful. I dont know what I would have done without finding her. Another health care provider recommended her highly as do I.”
Lorena Zeilman
★★★★★
“Best colorectal surgeon I’ve ever met. Dr. Akhtar is compassionate, gentle, warm, and caring. I came to her in Glendale after having a horrific exp...Best colorectal surgeon I’ve ever met. Dr. Akhtar is compassionate, gentle, warm, and caring. I came to her in Glendale after having a horrific experience with a general surgeon in Flagstaff (where I live). The Flagstaff surgeon caused a hemorrhage that almost cost me my life, and then I developed stenosis after the emergency room surgeon “fixed” the hemorrhage. Dr. Akhtar was kind enough to take me as a patient (most surgeons will not take a patient who has already been operated by another surgeon due to liability). She was very respectful and gentle in the examination, and was even able to fit me in for an outpatient procedure under sedation the very same day (knowing that I drove over 2 hours to see her). I could not be happier with her. She took the time to personally call me the next day to check on my progress. You do not see this type of doctor very often anymore. She is someone who is in it for the patient, and you can tell. I will continue to drive over 4 hours there and back to receive her high quality care and expertise. Cannot recommend her highly enough.”
Brianna Stabler
★★★★★
“Dr. Akhtar is THE BEST provider I have ever seen, period. She is incredibly knowledgeable, informative, and above all so kind. I have not met...Dr. Akhtar is THE BEST provider I have ever seen, period. She is incredibly knowledgeable, informative, and above all so kind. I have not met many people who have as comforting a bedside manner as she does. I was educated properly every step of the way and felt confident doing so because of her caring demeanor. Her PA Moses is also so friendly and upbeat, helping to ease any tension you may be feeling prior to the exam. The energy both Dr. Akhtar and Moses bring was paramount to how excellent my experience was here. Given their specialty, it would be easy to have an uncomfortable experience. However, they go the extra mile to make sure you are comfortable and reassured before anything is done. I cannot recommend this practice enough. Thank you Dr. Akhtar for the genuine concern and care you provided to me! Both my body and my outlook on my health outcomes are better off because of you.”
Kevin P
★★★★★Jul 3, 2026
“So glad I found Dr Akhtar. I just had my 1st banding hemorrhoid treatment. She takes the time to explain everything and answers any questions you may have. Highly recommend Dr Akhtar!”
Renee Wolf
★★★★★Jun 2, 2026
“The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I...The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I never felt like she was rushing my exam.”
Susan Denise
★★★★★May 29, 2026
“I have never met a Dr. As Brilliant, Kind and Compassionate as Dr. Ahktar! I even told her I wish she could be my primary physician. Just beyond...I have never met a Dr. As Brilliant, Kind and Compassionate as Dr. Ahktar! I even told her I wish she could be my primary physician. Just beyond lovely inside and out. I feel very blessed to be in her care!! There is no amount of stars that would be adequate enough to express how extraordinary she is!!!!”
Kathryn Hassett
★★★★★May 28, 2026
“Dr. Akhtar listens and cares about her patients, she is having new staff trained, please be patient. I have all the convenient she will ask help me.”
Michael Brown
★★★★★May 21, 2026
“Doctor Akhtar is very respectful and kind when dealing with difficult medical issues. I really appreciate her.”