What is an abdominoperineal resection?
An abdominoperineal resection (APR) removes the whole rectum, the anus and the surrounding sphincter muscles.
Who is it recommended for?
It is needed when a rectal cancer is very low in the pelvis and grows into, or too close to, the sphincter muscles to remove it safely while keeping them.
How the procedure is done
Removal
The rectum, anus and sphincter muscles are removed through the abdomen and the perineum (the area where the anus was).
Permanent colostomy
Because the natural exit is closed, the end of the colon is brought out through the abdominal wall to form a stoma, where stool collects in a pouch.
Recovery timeline
- In hospital
You usually stay 5 to 8 days. A stoma nurse teaches you how to care for your colostomy before and after surgery.
- First weeks
You have two healing areas, on the abdomen and the perineum, and sitting may be uncomfortable for several weeks.
- Long term
Most people adapt well to life with a colostomy and return to work, travel and exercise.
Risks and side effects
Possible risks and side effects include:
- Slow healing of the perineal wound
- Phantom rectum sensations
- Stoma problems such as skin irritation or a hernia
- Bladder or sexual function changes due to nearby pelvic nerves
Your surgeon will explain the specific risks for your case before you give consent.
What the Abdominoperineal Resection package includes
-
Hospital and medical care
Your private hospital room, nursing care, pre-operative tests, consultations with your surgeon, anaesthesia, the operation itself and the medication you take home.
-
VIP transfers
A private driver meets you at the airport and takes you between the airport, your hotel and the hospital.
-
Translator and companion
A medical translator at the hospital, and a companion can travel with you at no extra cost.
-
Meals and comfort
Daily meals for you and your companion throughout your stay.
-
24/7 patient coordinator
A dedicated coordinator answers your questions before, during and after your trip, in your language.
Abdominoperineal Resection FAQ
Is the colostomy permanent?
Yes. After an APR the stoma is permanent, but with good support most people live full, active lives.
Who will teach me to manage the stoma?
A specialist stoma nurse works with you before and after surgery until you feel confident caring for it yourself.
