APR Surgery in Solapur | Dr. Praveenkumar Surpur

Have you been diagnosed with low rectal cancer and advised that sphincter-preserving surgery may not be possible?

Dr. Praveenkumar Surpur, Consultant Surgical Oncologist at Yashodhara Super Speciality Hospital, Solapur, performs Abdominoperineal Resection (APR), a specialized cancer surgery designed to completely remove low rectal cancers located close to the anal sphincter.

With advanced training in Colorectal and Gastrointestinal Oncology, Dr. Surpur focuses on complete cancer removal, long-term disease control, and helping patients adapt successfully to life after surgery.

What is APR Surgery?

Abdominoperineal Resection (APR) is a major surgical procedure used to treat cancers located very close to the anus.

During APR surgery:

The rectum is removed.
The anus and anal sphincter muscles are removed.
The cancer and surrounding tissues are removed completely.
A permanent colostomy is created for passage of stool.

APR is performed when preserving the anal sphincter would compromise cancer treatment outcomes.

Why is APR Surgery Performed?

The primary goals of APR are:

Complete cancer removal
Prevention of local recurrence
Long-term cancer control
Improved survival outcomes
Safe treatment of low rectal cancers

For many patients with tumors very close to the anus, APR offers the best chance for cure.

Who Needs APR Surgery?

APR may be recommended for patients with:

Very Low Rectal Cancer

Tumors located close to or involving the anal sphincter.

Anal Canal Involvement

Cancer extending into the anal region.

Advanced Rectal Cancer

When sphincter preservation is not oncologically safe.

Recurrent Rectal Cancer

Cancer that has returned after previous treatment.

Tumors Involving Pelvic Floor Muscles

Requiring extensive surgical removal.

Each patient undergoes detailed evaluation before treatment planning.

Symptoms of Low Rectal Cancer

Patients may experience:

Rectal bleeding
Blood in stool
Pain during bowel movements
Persistent constipation
Change in bowel habits
Feeling of incomplete bowel emptying
Pelvic discomfort
Weight loss
Fatigue
Anemia

Early diagnosis increases treatment options and improves outcomes.

Diagnosis Before APR Surgery

Accurate staging is essential before surgery.

Dr. Surpur performs:

Clinical Examination

Comprehensive assessment of symptoms and health status.

Digital Rectal Examination

Assessment of tumor location and extent.

Colonoscopy

Direct visualization of the tumor.

Biopsy

Confirmation of cancer diagnosis.

MRI Pelvis

Critical for evaluating sphincter involvement.

CT Scan

Assessment of cancer spread.

PET CT Scan

Used in selected advanced cases.

Cancer Staging Workup

Helps determine the most effective treatment approach.

Multidisciplinary Treatment Before Surgery

Many patients receive treatment before APR surgery.

This may include:

Chemotherapy

To shrink the tumor.

Radiation Therapy

To improve local cancer control.

Chemoradiation

Combined treatment commonly used before surgery.

This approach can improve surgical outcomes and reduce recurrence risk.

How is APR Surgery Performed?

The procedure is performed under general anesthesia.

Step 1: Abdominal Phase

The rectum and surrounding tissues are carefully mobilized.

Step 2: Pelvic Dissection

Cancer and affected lymph nodes are removed.

Step 3: Perineal Phase

The anus and anal sphincter are removed.

Step 4: Permanent Colostomy Creation

The colon is brought to the abdominal wall to create a stoma.

Step 5: Pathological Examination

The removed tissue is analyzed for staging and treatment planning.

What is a Colostomy?

A colostomy is a surgically created opening in the abdominal wall that allows stool to leave the body.

A colostomy bag is attached externally to collect waste.

Although patients may initially feel anxious, modern colostomy systems are:

Discreet
Comfortable
Secure
Easy to manage

Most patients return to normal daily activities after recovery.

Life After APR Surgery

Many patients worry about living with a permanent colostomy.

With proper education and support, patients can:

Travel confidently
Return to work
Exercise regularly
Maintain social activities
Enjoy a good quality of life

Specialized stoma care education is provided before and after surgery.

Recovery After APR Surgery

Most patients can expect:

Hospital stay of 5–10 days
Gradual return to eating
Learning stoma care techniques
Follow-up appointments
Recovery over several weeks

Long-term support remains available throughout the recovery process.

Possible Risks and Complications

Like all major cancer surgeries, APR carries some risks:

Bleeding
Infection
Wound healing issues
Blood clots
Urinary problems
Sexual dysfunction
Stoma-related complications
Hernia around the stoma

Dr. Surpur uses meticulous surgical techniques and careful follow-up to minimize complications.

Will I Need Additional Treatment?

Depending on pathology findings, additional treatment may include:

Chemotherapy

To reduce recurrence risk.

Targeted Therapy

For selected advanced cancers.

Immunotherapy

Used in specific cancer subtypes.

Long-Term Surveillance

Regular follow-up for early detection of recurrence.

Treatment recommendations are individualized through multidisciplinary cancer care planning.

APR vs Anterior Resection

APR Surgery	Anterior Resection
Removes rectum and anus	Removes rectal tumor only
Permanent colostomy required	Natural bowel passage preserved
Used for very low rectal tumors	Used for upper and mid rectal tumors
Excellent cancer control	Excellent cancer control

The choice depends entirely on tumor location and oncological safety.

Why Choose Dr. Praveenkumar Surpur for APR Surgery?

Specialized Surgical Oncology Training

Advanced expertise in rectal cancer surgery.

Evidence-Based Cancer Care

Following internationally accepted NCCN guidelines.

Comprehensive Cancer Treatment

From diagnosis to surgery and long-term follow-up.

Multidisciplinary Cancer Care

Collaboration with medical oncologists, radiation oncologists, radiologists, and pathologists.

Personalized Treatment Planning

Customized according to tumor stage and location.

Compassionate Patient Support

Helping patients adapt physically and emotionally after surgery.

Importance of Early Diagnosis

When rectal cancer is diagnosed early:

More treatment options are available
Surgery may be less extensive
Cure rates improve significantly
Recovery outcomes are better

Do not ignore rectal bleeding or persistent bowel changes.

Frequently Asked Questions

What is APR Surgery?

APR (Abdominoperineal Resection) is a procedure that removes the rectum, anus, and surrounding tissues to treat low rectal cancer.

Will I need a permanent colostomy after APR?

Yes. APR requires a permanent colostomy because the anus is removed during surgery.

Can I live a normal life with a colostomy?

Absolutely. Most patients return to work, travel, social activities, and exercise after recovery.

Is APR Surgery curative?

For many patients with localized low rectal cancer, APR offers an excellent chance of long-term disease control and cure.

How long is recovery after APR Surgery?

Most patients recover over several weeks, although individual recovery varies.

Why can't all rectal cancers be treated with Anterior Resection?

Tumors very close to the anal sphincter often require APR to ensure complete cancer removal and achieve the best oncological outcome.

Disclaimer: Results and patient experiences may vary. These are dependent on a number of factors including age, medical history, lifestyle and more.

Consult Dr. Praveenkumar Surpur – APR Surgery Specialist in Solapur

If you have been diagnosed with low rectal cancer and require expert evaluation, schedule a consultation today.

Yashodhara Super Speciality Hospital, Solapur

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