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Abdominoperineal resection
ANAL OR RECTAL CANCER SURGERY
If you've been diagnosed with rectal cancer, we'll assess you to see if you need immediate chemotherapy or radiotherapy, or whether you can go straight to surgery.
What is an abdominoperineal resection?
An abdominoperineal resection (APR) is a surgical procedure that involves completely removing the distal colon, rectum, and anal sphincter, by using both anterior abdominal and perineal surgical incisions. This procedure can be undertaken if the cancer is very low in the rectum.
Need to know
An abdominoperineal resection can be carried out as an open procedure or as a laparoscopic procedure (keyhole surgery). The surgeon will use this procedure to remove your anus, rectum and part of your colon (bowel). They may also remove lymph nodes near your anus and groin.
During the operation, we may insert a catheter (flexible tube) into your bladder to help you pass urine. We'll remove this 24-48 hours after the operation.
Your consultant will explain the APR surgery to you and answer any questions you might have. The procedure is carried out under general anaesthetic.
You may be asked to limit what you eat or drink in the hours leading up to your procedure. You'll also receive medication to clean out your bowel.
After your operation, you'll be transferred to a recovery ward, where our dedicated team of consultants and nurses will care for you. You can expect to stay with us for up to a week. During this time, we may put you on a drip to keep you hydrated. Your consultant will let you know when you can leave hospital and talk you through getting back to your normal routine.
In the meantime, the part of the bowel that was removed during the operation will be sent for analysis. Your results will be available within approximately two weeks and your consultant will go through your results in a follow-up consultation.
Abdominoperineal resection Consultants
Mr Charles Evans
General Surgery
Mr Haney Youssef
General Surgery
Miss Caris Grimes
General Surgery
Mr Shashank Gurjar
General Surgery
Our locations
The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
The Shard Outpatients
The Shard, 32 St Thomas Street SE1 9BS London
London Bridge Hospital
27 Tooley Street SE1 2PR London
Patient stories
Yvette's story: From back pain to hip replacement surgery
Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
A new hip and straight back into the spin of things
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.