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What Is Rectal Prolapse?

Prolapse is a term healthcare experts use to explain any body part displaced from its normal position in your body. Rectal Prolapse happens when your rectum, a part of your large intestine, slips down into the anus and sometimes comes out the other side. It is caused by the wearing out of the muscles that grip it in place. It may look or feel like hemorrhoids, but unlike hemorrhoids, it does not go away on its own and requires surgery to fix it.

Overview

What Causes Rectal Prolapse?
  • Aging
  • Pregnancy and childbirth
  • Previous injury to the pelvis
  • Chronic constipation or diarrhea
  • Intestinal parasite infections
  • Chronic coughing
  • Chronic sneezing
  • Spinal cord or nerve damage
  • Cystic fibrosis
What Are The Symptoms Of Rectal Prolapse?
  • A feeling of pressure or a bulge in the anus
  • A feeling like there is something left inside the anus after you poop
  • A red fleshy mass hanging out of the anus
  • Leakage of poop, mucus, or blood from the anus
  • Anal pain
  • Itching

Diagnosis & Treatment

Diagnosis of Rectal Prolapse

The diagnosis of rectal prolapse typically begins with a detailed medical history review and physical examination. Additional diagnostic tests may be recommended to confirm the condition, evaluate its severity, and identify any associated colorectal or pelvic floor disorders.

  • Digital Rectal Examination (DRE) – The doctor examines the rectum and surrounding structures using a gloved finger to assess rectal prolapse and identify other conditions such as hemorrhoids, polyps, or masses.
  • Defecography – This imaging study uses contrast material along with X-ray or MRI technology to evaluate rectal function during bowel movements and identify structural abnormalities in the pelvic floor.
  • Anorectal Manometry – A specialized test that measures the strength and coordination of the rectum and anal sphincter muscles, helping assess bowel control and pelvic floor function.
  • Colonoscopy – A flexible tube with a camera is used to examine the rectum and colon for polyps, tumors, inflammation, or other gastrointestinal conditions that may contribute to symptoms.
  • Electromyography (EMG) – This test evaluates nerve and muscle function around the rectum and anal sphincter to determine whether nerve damage is contributing to the prolapse.
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Surgery for Rectal Prolapse

Surgery is considered the most effective treatment for rectal prolapse, especially when symptoms are persistent or severe. The primary goal of surgery is to restore the rectum to its normal position and improve bowel function. The most suitable procedure depends on factors such as age, overall health, and the severity of the prolapse.

  • Abdominal Rectal Prolapse Surgery – This procedure is performed through the abdomen using either traditional open surgery or minimally invasive laparoscopic techniques. The rectum is repositioned and secured to prevent future prolapse.
  • Perineal Rectal Prolapse Surgery – This approach is performed through the area around the anus and is often considered for older adults or patients with significant medical conditions.
  • Laparoscopic Repair – A minimally invasive technique that uses small incisions and specialized instruments, offering reduced pain, shorter hospital stays, and faster recovery.
  • Early-Stage Management – In selected cases of mild rectal prolapse, stool softeners, dietary modifications, and manual reduction of the prolapsed tissue may provide temporary relief.
  • Long-Term Correction – While conservative measures may help manage symptoms initially, surgery is often required to provide a permanent solution and prevent recurrence.
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Why Pristyn Care?

Delivering Seamless Surgical Experience in India

01

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

02

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

03

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

04

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

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Rectal Prolapse vs Hemorrhoids

Rectal prolapse and hemorrhoids often cause similar symptoms, including discomfort, bleeding, and tissue protrusion from the anus. However, they are different conditions and require different treatment approaches. An accurate diagnosis by a colorectal surgeon or proctologist is essential to determine the underlying cause of symptoms.

  • Nature of the Condition – Rectal prolapse occurs when part or all of the rectum slips out through the anal opening, whereas hemorrhoids are swollen blood vessels located in the rectum or anus.
  • Underlying Causes – Rectal prolapse is commonly associated with weakened pelvic floor muscles and supporting tissues, while hemorrhoids are usually caused by excessive straining, chronic constipation, or prolonged sitting.
  • Duration of Symptoms – Hemorrhoids are often temporary and may improve with lifestyle changes or medical treatment, whereas rectal prolapse is typically a progressive condition that does not resolve on its own.
  • Appearance of Protruding Tissue – Both conditions can cause tissue to protrude from the anus, making them difficult to distinguish without a proper medical examination.
  • Treatment Approach – Mild hemorrhoids can often be managed conservatively, while rectal prolapse frequently requires surgical correction for long-term relief.

Risks and Complications of Rectal Prolapse Surgery

Rectal prolapse surgery is generally safe and effective. However, as with any surgical procedure, there are certain risks and potential complications that patients should understand before treatment.

  • Bleeding – Mild to moderate bleeding may occur during or after surgery and is usually manageable with appropriate medical care.
  • Infection – Surgical site infections are uncommon but can occur if bacteria enter the operated area during the healing process.
  • Blood Clots – In rare cases, blood clots may develop after surgery, particularly in patients with limited mobility.
  • Injury to Nearby Structures – There is a small risk of accidental injury to surrounding organs or tissues during the procedure.
  • Anesthesia-Related Risks – Some patients may experience temporary side effects or complications associated with anesthesia.
  • Constipation – Certain patients may develop new-onset constipation or experience worsening of existing constipation after surgery.
  • Sexual Dysfunction – Rarely, surgical procedures such as rectopexy may affect nearby nerves involved in sexual function.
  • Recurrence of Prolapse – Although uncommon, rectal prolapse can recur over time and may require additional treatment.

Most patients recover successfully after rectal prolapse surgery, especially when the procedure is performed by an experienced surgeon and appropriate post-operative instructions are followed carefully.

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FAQs Around Rectal Prolapse Treatment in Bhiwadi

How can you fix rectal prolapse?

There are multiple ways to manage rectal prolapse from worsening. However, surgery is the best approach to treat rectal prolapse. The choice of surgical treatment lies on the specifics of the patient’s condition and the surgeon’s. For healthy adults, the best choice of surgical treatment is usually a rectopexy, a method to repair the rectum through the abdomen. But, some people are not the right candidates for rectopexy. In these cases, rectal surgery remains the next viable treatment option.

Can rectal prolapse cause other problems?

Rectal prolapse majorly causes discomfort to people, but can also lead to other possible complications like difficulty in pooping, ulceration, and bleeding.

Can a rectal prolapse burst?

Spontaneous and unforced rupture of the rectum due to increased intraabdominal pressure is an infrequent complication of rectal prolapse in adults.

What does rectal prolapse look like?

Rectal prolapse can look different from person to person. If there is an internal rectal prolapse, the rectum begins to slip partway into the anus. In the case of mucosal prolapse, the inner mucous lining of the rectum spins inside out and begins to peak out of the anus. External prolapse happens when the complete rectum falls out.

What is the success rate of rectal prolapse surgery?

Rectal prolapse surgery has a high success rate for prolapse control, approximately 75%, and incontinence is improved in 60% of patients. In addition, recurrence of rectal prolapse after surgery occurs in just about 2% to 5% of people.

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