Perineal repair of procidentia recti with a silastic sling.

Several operations have been proposed to correct complete rectal prolapse (1, 2, 3, 4). Perineal approaches in patients with rectal prolapse are recognized as less strenuous on the general health of the patient than abdominal methods of repair. This has led to the use of perineal procedures for elderly and debilitated patients. In our text we describe a perineal repair with a silastic sling. In general this technique is designed to treat the prolapse by narrowing of the anal outlet and suspension of the rectum.