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What is Rectal Prolapse?

The rectum is located at the end of the large intestine. It is the section of the digestive tract where the stool is held before it passes through the system. When the stool reaches the rectum, you may experience an urge to defecate. A group of muscles push the stool out of the anus. A rectal prolapse occurs when the rectum is pushed out along with the stool. The word ‘prolapse’ is used when any organ of the body slips from its original position. 

Rectal prolapse is more common in women than in men and generally affects people over 50 years or those who have a history of chronic constipation or diarrhoea. 

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Rectal Prolapse Treatment - Diagnosis

Rectal Prolapse Treatment - Diagnosis

The complete diagnostic procedure for rectal prolapse includes:

Physical Examination: In the physical examination, the doctor observes the rectum and may insert a gloved and lubricated finger in the anus to check the strength of the anal sphincter and the rectum. In this exam, the doctor will ask you to describe your symptoms and medical history to understand the condition better. They may even ask you to squat and strain as you do during the bowel movement. 

Based on the findings of the physical assessment, the doctor might ask you to get some other tests done. 

  • Anal electromyography (EMG): This test lets doctors measure the effectiveness of muscles and nerves in the rectum. The doctors place electrodes a few inches into the rectum to perform this test. The procedure takes a few minutes. 
  • Colonoscopy: This diagnostic procedure involves the insertion of a thin and flexible tube with a small camera (colonoscope) into the rectum to perform a visual exam of the area. 
  • Anorectal manometry: In this test, doctors use a flexible tube which is the size of a thermometer and has a small deflated balloon attached to its end to measure the rectum’s response to pressure. The device is inserted into the rectum before conducting the test. 
  • Barium enema: In the Barium Enema test, the doctors place a chalky liquid containing barium in the rectum of the patient. The barium becomes visible on the X-rays, producing clear images of the area. 
  • Defecography: In this test, the doctors use x-rays or MRIs to monitor your colon as you have a bowel movement. 
  • Lower GI series: To perform this test, doctors place a chalky liquid containing barium in the large intestine of the patient. This liquid lets doctors get a clear picture of the area on an x-ray. 
  • Transit study: In this test, the doctor asks the patient to swallow one or more capsules which have markers on them. These markers can be seen on the X-ray. After swallowing the capsules, the patient has to appear for x-rays for the next 5 days. It helps doctors assess how the markers pass through the intestines. 

In some cases, the doctor might suggest some urological or gynaecological exams to check for weak areas in the pelvic floor and see if other organs, such as the uterus, have prolapsed as well. 

Types of Rectal Prolapse Surgery

Types of Rectal Prolapse Surgery

A rectal prolapse can be corrected through several surgical procedures. The choice of surgical procedure depends upon the specifics of your condition and the surgeon. Listed below are the most commonly performed surgeries for rectal prolapse:

  • Rectopexy or Rectal Prolapse Surgery Through The Abdomen: In this surgery, the surgeon makes an incision in the abdomen and pulls the doctor back into its original place. Then, sutures or mesh slings are used to connect the rectum back to the wall of the pelvis or sacrum.
  • Laparoscopic rectal prolapse surgery: This is a more advanced surgery for rectal prolapse. The surgeon makes several small incisions in the abdomen, and uses special surgical tools along with a camera to repair the rectal prolapse. It is performed in three steps:
    • Step 1: In the first step, the surgeon makes several small incisions in the abdomen and positions the laparoscope.
    • Step 2: After placing the laparoscope, the surgeon frees up the rectum by pulling it up and preventing it from protruding.
    • Step 3: Finally, stitches along with mesh are used to secure the rectum in its place, and the incisions are closed with stitches.
  • Robotic surgery: This surgery is similar to laparoscopic surgery. In this method, the surgeon performs the surgery with the assistance of a surgical robot.
  • Perineal Rectosigmoidectomy; This surgery involves rectal prolapse repair through the area around the anus. In this surgery, the surgeon pulls the rectum through the anus and extracts a portion of the rectum and sigmoid. Then, the remaining rectum is attached to the large intestine. This surgery is generally prescribed for candidates who can not get a laparoscopic or open rectal repair.
  • Delorme Procedure: This method is used in cases of short prolapses. The surgeons remove the lining of the rectum along with the muscular layer to shorten the size of the rectum.

How to Prepare for Rectal Prolapse Surgery?

How to Prepare for Rectal Prolapse Surgery?

To prepare for rectal prolapse surgery, your doctor may ask that you:

Clean with a special soap. Before your surgery, you’ll be asked to shower using antiseptic soap to help prevent germs on your skin from causing infection after your surgery.

Stop taking certain medications. You may be asked to stop taking certain medications, depending on your procedure.

You’ll spend one or more days in the hospital after rectal prolapse surgery. So that you’ll be as comfortable as possible during your stay, consider bringing:

  • Personal care items, such as your toothbrush, hairbrush or shaving supplies
  • Comfortable clothes, such as a robe and slippers
  • Entertainment, such as books and games

 

 

Risks & Recovery of Rectal Prolapse Surgery

Risks & Recovery of Rectal Prolapse Surgery

Recovery After Rectal Prolapse Surgery

  • After your rectal prolapse surgery, you’ll be asked to spend some time in the recovery room of the hospital to regain your bowel function. The doctor will ask you to drink clear fluids and eventually start eating solid foods. The duration of hospital stay can vary depending upon the type of surgery you’ve had. 
  • Complete recovery after rectal prolapse surgery takes about 4 to 6 weeks. You may be asked to use stool softeners during this period to avoid constipation and excessive straining, as it can cause the rectum to protrude again. Some people might also need therapy to learn how to use their pelvic muscles properly.

What are some risks associated with rectal prolapse surgery?

The risk of complications after rectal prolapse surgery is quite low, and most people do not experience painful side effects. However, any surgery accompanies some potential risks that you should know of. Some risks associated with rectal prolapse surgery include: 

  • Infection
  • Bleeding
  • Blood clots
  • Injury to the surrounding organs
  • Allergic reaction to anaesthesia
  • Constipation
  • Sexual dysfunction 

Pristyn Care - Healthcare Facility For Rectal Prolapse Treatment

Pristyn Care - Healthcare Facility For Rectal Prolapse Treatment

Pristyn Care is one of India’s leading surgical care providers, which makes advanced rectal prolapse treatment available at affordable prices. We have partnered with the best hospitals in the country, which offer state-of-the-art infrastructure and world-class facilities to ensure top-notch patient care. Additionally, our proctologists carry immense experience in successfully treating even the most complex rectal prolapse cases. Here are some factors that make Pristyn Care one of the best healthcare facilities for the treatment of rectal prolapse.

  • Proctologists with 8+ years of experience
  • FREE consultation and follow-up sessions
  • FREE pick-up and drop facilities on the day of the surgery
  • Dedicated care coordinators to assist you throughout the treatment journey
  • Multiple payment options including No-cost EMI
  • Complete insurance assistance

FAQs About Rectal Prolapse Treatment

What are the causes of rectal prolapse?

Rectal prolapse has several causes, including: 

  • Prolonged history of constipation and diarrhoea
  • Putting a lot of pressure or straining during bowel movements
  • A history of injury of the anal or hip area
  • Weakened muscles and ligaments in the rectal area due to old age
How do you know you have rectal prolapse?

Rectal prolapse exhibits various symptoms, including: 

  • A red mass protruding from the anus
  • Inability to control bowel movements 
  • Constipation or diarrhoea
  • Blood or mucus drainage from the rectum
  • A feeling of fullness in the rectum after a bowel movement 
What is the difference between rectal prolapse and haemorrhoids?

Several people confuse rectal prolapse with hemorrhoids as both have similar symptoms. Despite the similarity in symptoms, both the conditions are different, and so are their repercussions.

Hemorrhoids cause discomforting symptoms, they don’t always require medical intervention and often get better on their own. On the contrary, rectal prolapse is chronic and progressive and always requires medical intervention.

Can rectal prolapse get better on its own?

No. Rectal prolapse is a serious condition which does not get better on its own and always requires treatment. 

What are the risk factors for rectal prolapse?

Research says that women are at an increased risk of experiencing rectal prolapse than men. Also, older people and those who have a long history of constipation or diarrhoea are at risk of developing this condition. Listed below are some factors that can put you at an increased risk of rectal prolapse: 

  • Chronic constipation or diarrhoea
  • Straining during bowel movement
  • Muscle weakness in the anus 
  • An injury in the lower back or a disc disease
  • Having a history of rectal prolapse in the family
  • Benign Prostatic Hyperplasia (BPH)
  • An injury in the ligaments of the rectum, which keep it connected to the internal wall, etc. 
How can you prevent rectal prolapse?

While rectal prolapse can affect anyone, there are some ways in which you can prevent it. Here are some tips that can help you keep this problem at bay: 

  • Do not strain during bowel movement
  • Include more fibre in your diet
  • Drink ample fluids every day
  • Exercise regularly 
  • Keep your weight in check 
  • Avoid lifting heavy objects or weights as they can damage your bowel muscles.
  • If you’re constipated, see a doctor in time. 
How serious is rectal prolapse?

While rectal prolapse isn’t a medical emergency, it can aggravate if left untreated. Some complications that can occur include ulceration, bleeding, and a reduction in the blood supply that can cause strangulation of the rectum and result in gangrene or death of the affected tissue. 

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  • Sandeep Kumar

    Treatment: Rectal Prolapse

    5/5

    Very good service from the start of treatment to the end of the treatment. Very supportive staff.

    City: Faridabad 5 months ago
  • Chandravati Das

    Treatment: Rectal Prolapse

    5/5

    Very good experience... Hastle free consultancy... Staff and dr. were very friendly... Satisfied with the opinion given by the dr.

    City: Mumbai 8 months ago
  • Devanand TR

    Treatment: Rectal Prolapse

    5/5

    I recommend PC for surgeries, the process they follow is good. Plus, their doctors are also very kind and humble.

    City: Bangalore 1 year ago
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