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Rectal Prolapse Treatment - Diagnosis, Surgery & Recovery

Rectal prolapse is a proctological condition in which the rectum slides down the anus and often leads to potential complications such as strangulation of the rectum, bleeding, and ulceration. Therefore, timely treatment is a must. At Pristyn Care, we provide advanced surgical treatments for Rectal Prolapse and help patients get relief from the discomfort caused by this condition. Book your appointment with our proctologists now!

Rectal prolapse is a proctological condition in which the rectum slides down the ... Read More

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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. 

    • Disease name

    Rectal Prolapse

    • Surgery name

    Rectopexy

    • Duration

    15 to 20 Minutes

    • Treated by

    General Surgeon

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    Rectal Prolapse 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. 

    Are you going through any of these symptoms?

    Surgical Treatment for Rectal Prolapse

    There are various surgical treatment options for rectal prolapse, including; 

    Rectopexy for Rectal Prolapse Surgery Through The Abdomen

    Rectopexy is also known as rectal prolapse surgery through the abdomen. The procedure is typically performed under general anesthesia and requires a hospital stay of several days. Recovery time can vary, but most patients are able to return to normal activities within a few weeks. Rectopexy is considered a safe and effective treatment for rectal prolapse and has a high success rate in preventing the recurrence of the condition. Here’s how this surgery is performed: 

    1. During a rectopexy procedure, the surgeon will make an incision in the abdomen. 
    2. The surgeon will then locate the rectum and dissect it carefully from the surrounding tissues. 
    3. After this, the surgeon will suture the rectum to the sacrum, and will ensure that the rectum is properly positioned. 
    4. The surgeon will then close the incision in the abdomen with sutures or staples. 
    5. The patient will be monitored closely following the procedure to ensure proper healing.

    Laparoscopic rectal prolapse surgery

    Laparoscopic rectal prolapse surgery is a minimally invasive procedure that is used to treat rectal prolapse. This surgery is performed through small incisions in the abdomen rather than a large incision in the rectum. This approach has many benefits, including less pain, faster recovery times, and a lower risk of complications. Patients who undergo laparoscopic rectal prolapse surgery can typically return to their normal activities within a few weeks. Here’s an explanation of  the steps involved in a laparoscopic rectal prolapse surgery to help you understand the procedure properly: 

    Step 1: The surgeon will administer general anesthesia to the patient.

    Step 2: After the patient is sedated, the surgeon will insert a laparoscope into the abdomen.

    Step 3: The surgeon will make small incisions in the abdomen to insert surgical instruments.

    Step 4: The surgeon will locate the rectum and gently pull it out of the body.

    Step 5: The surgeon will remove any excess tissue or prolapsed areas from the rectum.

    Step 6: The surgeon will suture the rectum back into place.

    Step 7: The surgeon will close the incisions with sutures or staples.

    Step 8: The patient will be monitored in the recovery room before hospital discharge.

    Robotic surgery

    Robotic surgery for rectal prolapse is a minimally invasive surgical procedure that offers several benefits over traditional open surgery. These benefits include reduced blood loss, less pain and scarring, and shorter hospital stays. Recovery time after robotic surgery for rectal prolapse is typically shorter than with open surgery, with most patients able to return to normal activities within a few weeks. Here’s how a robotic surgery for rectal prolapse is performed: 

    1. The surgeon will make small incisions in the patient’s abdomen. 
    2. The robotic arms will be inserted through the incisions. 
    3. The surgeon will control the robotic arms from a console. 
    4. The robot will create a 3D image of the surgical site. 
    5. The surgeon will use the robotic arms to remove any excess tissue causing the rectal prolapse. 
    6. The surgeon will use sutures to secure the rectum in its proper position. 
    7. The robotic arms will be removed, and the incisions will be closed. 
    8. The patient will be monitored for complications and given appropriate medication for pain management.

    Perineal Rectosigmoidectomy

    Perineal Rectosigmoidectomy is a surgical procedure that removes part of the rectum and sigmoid colon via the perineum. Benefits include faster recovery time and lower risk of complications. Recovery time varies but is generally shorter than traditional surgery. This surgery is performed in the following steps: 

    1. The surgeon will make an incision in the perineum. 
    2. The surgeon will then dissect the rectum and mobilize it.
    3. The surgeon will then create a suture line at the distal rectum.
    4. The surgeon will then pull the rectum down and remove the redundant tissue.
    5. The surgeon will then create a colostomy if needed.
    6. The surgeon will then close the perineal incision.
    7. The patient will be monitored after the procedure for any complications.

    Delorme Procedure

    The Delorme procedure is another surgical treatment for rectal prolapse. It involves folding and sewing a portion of the rectal wall to itself to reinforce weak or damaged tissue. Benefits include improved bowel function and reduced risk of recurrence. Recovery time varies but typically takes 2-4 weeks. The steps of the Delorme procedure for rectal prolapse treatment are as follows:

    1. The surgeon will administer anesthesia to the patient.
    2. The surgeon will insert a special instrument called a proctoscope into the rectum to visualize the prolapse.
    3. The surgeon will remove the prolapsed tissue using a scalpel or scissors.
    4. The surgeon will then suture the edges of the remaining rectal tissue together.
    5. The surgeon will check the area to ensure there is no bleeding or damage.
    6. When the procedure is complete, the patient will be shifted to the recovery room. 

    What are the Benefits of Laser Rectal Prolapse Surgery?

    Laser rectal prolapse surgery offers various benefits, including;

    • Minimally invasive: Laser rectal prolapse surgery is a minimally invasive procedure that has numerous benefits. It involves minimal to no incisions or cuts and the recovery also takes much shorter compared to traditional surgeries for rectal prolapse. 
    • Outpatient Procedure: One of the primary advantages of this surgery is that it can be performed on an outpatient basis.
    • Lesser pain: Patients who undergo laser rectal prolapse surgery typically experience less pain and a faster recovery time compared to traditional surgery.
    • Precise method: The use of laser technology allows for greater precision during the procedure, resulting in a lower risk of complications and a better outcome for patients.
    • Low risk of infection: Laser rectal prolapse surgery is also associated with a reduced risk of infection and bleeding.
    • Reduced incontinence: Patients who undergo this surgery often have improved bowel function and a reduced risk of incontinence.
    • Effective treatment: Laser rectal prolapse surgery can be an effective treatment option for patients who have not responded to other conservative methods.
    • Improved quality of life: The benefits of laser rectal prolapse surgery extend beyond just physical health, as patients also experience an improved quality of life.

    Overall, laser rectal prolapse surgery is a safe and effective option for patients seeking relief from the symptoms of rectal prolapse.

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    How to Prepare For Rectal Prolapse Surgery?

    If your doctor suggested rectal prolapse surgery, then it is important for you to be prepared for the procedure. Here are some suggestions that you can follow to prepare  for your rectal prolapse surgery. 

    • Consult with your doctor to discuss the procedure and any potential risks.
    • Follow the pre-operative instructions provided by your healthcare team.
    • Make sure you have someone to drive you to and from the hospital on the day of the surgery.
    • Arrange for someone to stay with you for the first few days after the surgery to assist with daily activities.
    • Avoid eating or drinking anything after midnight the night before the surgery.
    • Stop taking ibuprofen, warfarin, or any herbal supplements as they can act as blood-thinning agents and may lead to excessive bleeding during the procedure. 
    • Wear comfortable clothing that is easy to take on and off on the day of the surgery.
    • Prepare your home for your recovery by setting up a comfortable area with pillows, blankets, and entertainment.
    • Follow any additional instructions provided by your healthcare team to ensure a successful surgery and recovery.

    How to Recover After Laser Rectal Prolapse Surgery?

    It may take you up to  4-6 weeks to recover completely after the surgery. Here are general guidelines to help you recover fast after laser rectal prolapse surgery. 

    • After rectal prolapse surgery, it is important to take medicines on time as prescribed by your doctor.
    • You may experience discomfort and swelling in the surgical area, which can be managed with ice packs and medicines.
    • It is important to avoid lifting heavy objects or engaging in strenuous activities for several weeks after surgery.
    • You should eat a high-fiber diet to avoid constipation and straining during bowel movements.
    • Drinking plenty of water and staying hydrated can also help prevent constipation.
    • Your doctor may recommend stool softeners or laxatives to help ease bowel movements.
    • It is important to follow any post-surgery care instructions given by your doctor or healthcare team.
    • You may experience some bleeding or discharge after surgery, which is normal and should subside within a few days.
    • It is important to attend all post-surgery follow-up appointments to monitor your recovery progress.
    • If you experience severe pain, fever, or other concerning symptoms, contact your doctor immediately.

    What Lifestyle Changes Do I Need to Make After Rectal Prolapse Treatment Through Surgery?

    After undergoing rectal prolapse treatment through surgery, there are some lifestyle changes that need to be made in order to ensure proper healing and prevent future occurrences. These changes include:

    • Avoiding heavy lifting: Heavy lifting can put a strain on the muscles in the pelvic area and can lead to a recurrence of rectal prolapse. It is important to avoid lifting anything heavy for at least six weeks after the surgery.
    • Eating a high-fiber diet: A diet that is high in fiber can help to prevent constipation, which can put pressure on the rectum and lead to a recurrence of rectal prolapse. Foods that are high in fiber include fruits, vegetables, whole grains, and legumes.
    • Staying hydrated: Drinking plenty of water can help prevent constipation and keep stools soft, making them easier to pass.
    • Exercising regularly: Regular exercise can help to improve overall health and strengthen the muscles in the pelvic area, reducing the risk of rectal prolapse in the future
    • Avoiding straining during bowel movements: Straining during bowel movements can put pressure on the rectum and increase the risk of another rectal prolapse. It is important to use the restroom as soon as the urge arises and to avoid pushing or straining.
    • Maintaining a healthy weight: Being overweight can put additional pressure on the pelvic muscles and increase the risk of rectal prolapse. Maintaining a healthy weight through a balanced diet and regular exercise can help to reduce this risk.

    Individuals who have undergone rectal prolapse treatment through surgery can improve their overall health and reduce the risk of recurrence by making these lifestyle changes. It is important to follow these guidelines as recommended by a healthcare professional.

    What are the Risks and Complications Associated with Rectal Prolapse Surgery?

    While rectal prolapse surgery is an effective option but it comes with some risks and complications, including;

    • Infection is a potential risk associated with rectal prolapse surgery.
    • Hemorrhage or excessive bleeding is another possible complication of the procedure.
    • Damage to nearby organs such as the bladder or urethra, could occur during surgery.
    • Urinary retention may occur following the procedure.
    • There is a risk of developing blood clots after rectal prolapse surgery.
    • Bowel obstruction is a rare but possible complication of the procedure.
    • Fecal incontinence or difficulty controlling bowel movements may occur following surgery.
    • The risk of complications increases with age and other underlying medical conditions.
    • Anesthesia-related complications may occur during the surgery.
    • Recurrence of rectal prolapse following surgery is also a potential risk.

    What are the Non-Surgical Treatment Options for Rectal Prolapse?

    Rectal prolapse treatment without surgery can relieve symptoms such as pain and discomfort at its initial stage, but it is not the best option to treat the condition. 

    Here are some non-surgical options to relieve symptoms or prevent the condition.

    Home remedies to Prevent rectal Prolapse

    If you are experiencing rectal prolapse, there are several home remedies you can try to prevent rectal prolapse

    • Kegel Exercises: Kegel exercises involve contracting and relaxing the muscles in the pelvic floor. These exercises can help strengthen the muscles in the rectum and anus, which can help prevent rectal prolapse.
    • Fiber-Rich Diet: Eating a diet that is high in fiber can help prevent constipation, which is a common cause of rectal prolapse. Some good sources of fiber include whole grains, fruits, and vegetables.
    • Bowel Movement Management: Avoid holding in bowel movements for long periods of time. This can cause the rectum to stretch and weaken, which can lead to rectal prolapse.
    • Ice Packs: Applying an ice pack to the affected area can help reduce swelling and discomfort.
    • Stay Hydrated: Drinking plenty of water can help soften stools and prevent constipation, which can help prevent rectal prolapse.

    It is important to note that while these home remedies may provide relief, they are not a substitute for medical treatment. If you are experiencing rectal prolapse, it is important to consult with an experienced proctologist to determine the underlying cause and appropriate treatment options.

    What are the Signs of a Healing Rectal Prolapse?

    Here are some signs that indicate that your rectal prolapse is healing.

    • Reduced size: A reduction in the size of the prolapse is a sign of healing rectal prolapse.
    • Less recurrence: decrease in the frequency of prolapse occurrence is an indication of healing.
    • Reduced constipation: Improvement in bowel movement and reduced constipation suggest healing.
    • Less pain and discomfort: A decrease in the severity of symptoms such as pain and discomfort is a sign of healing.
    • Less bleeding: Reduced rectal bleeding is a positive sign of healing rectal prolapse.
    • Less discharge from the mucus: A decrease in the amount of mucus discharge from the rectum indicates improvement.
    • Reversed bowel incontinence: Improved control over bowel movements is a sign of healing.
    • Reduced swelling: Reduced inflammation or swelling around the rectum is a positive sign of healing.
    • Less Protrusion: A decrease in the amount of tissue protruding from the anus indicates healing.

    What Happens if Rectal Prolapse is Left Untreated?

    Untreated rectal prolapse can lead to various severe complications, including;

    • If rectal prolapse is left untreated, the condition can become worse over time. 
    • The protruding rectum can become larger and more difficult to push back in. 
    • Chronic constipation can worsen the condition, leading to more frequent prolapse. 
    • Rectal prolapse can cause fecal incontinence, making it difficult to control bowel movements. 
    • The prolapsed tissue can become irritated and bleed. 
    • In severe cases, the prolapse can become incarcerated or strangulated, cutting off blood flow to the rectum. 
    • This can lead to tissue death and require emergency surgery. 
    • Rectal prolapse can also cause psychological distress and affect quality of life. 

    What Foods Should You Eat If You Have A Rectal Prolapse?

    • High-fiber foods such as fruits, vegetables, and whole grains can help alleviate symptoms of rectal prolapse.
    • In particular, foods high in insoluble fiber like bran and beans can help bulk up stool and prevent constipation.
    • Drinking plenty of water is also important to prevent constipation and make bowel movements easier.
    • Probiotic foods like yogurt and kefir can help promote healthy gut bacteria, which can aid in digestion and reduce inflammation.
    • Lean proteins like chicken, fish, and tofu can provide important nutrients without adding excess fat to the diet.
    • Low-fat dairy products like milk and cheese can also be a good source of protein and calcium.
    • Avoiding processed foods and sugary drinks can help maintain a healthy weight and reduce inflammation in the body.
    • Avoiding spicy or acidic foods can help reduce symptoms of rectal prolapse.
    • It’s important to talk to a healthcare provider or registered dietitian to get a personalized diet plan that meets individual needs.
    • In general, a well-balanced diet that emphasizes whole, nutrient-dense foods can help support overall health and reduce symptoms of rectal prolapse.

    What Foods Should You Avoid If You Have A Rectal Prolapse?

    If you’re diagnosed with a rectal prolapse, it is important that you make some changes to your diet. Listed below are some foods you should avoid if you have a rectal prolapse: 

    • Spicy foods: Spicy foods can irritate the digestive system and cause discomfort for those with rectal prolapse.
    • Processed foods: Processed foods can be high in sodium and contribute to constipation, which can aggravate a rectal prolapse.
    • Fried foods: Fried foods are often high in fat and can be difficult to digest, leading to discomfort for those with rectal prolapse.
    • Dairy products: Dairy products can be constipating for some individuals, which can exacerbate symptoms and worsen the condition of prolapsed anus.
    • Red meat: Red meat can be difficult to digest and contribute to constipation, which can worsen rectal prolapse symptoms.
    • Caffeine: Caffeine can be dehydrating and contribute to constipation, which can be problematic for those with rectal prolapse.
    • Alcohol: Alcohol can be dehydrating and contribute to constipation, which can worsen symptoms of rectal prolapse.
    • Carbonated beverages: Carbonated beverages can contribute to bloating and discomfort in the digestive system, which can be problematic for those with rectal prolapse.
    • Spicy condiments: Spicy condiments like hot sauce and chili flakes can irritate the digestive system and exacerbate symptoms of rectal prolapse.
    • High-fiber foods: While fiber is generally good for digestive health, too much fiber can be difficult to digest and contribute to constipation, which can be problematic for those who are suffering from prolapsed anus.

    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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    Content Reviewed By
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    Dr. Falguni Rakesh Verma
    27 Years Experience Overall
    Last Updated : May 28, 2024

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    Based on 16 Recommendations | Rated 5 Out of 5
    • PM

      Parth Misra

      5/5

      My experience with Pristyn Care for rectal prolapse treatment was absolutely wonderful. The caring and skilled medical team made the process comfortable, and the treatment was successful. I highly recommend Pristyn Care for its excellent care and efficient services.

      City : COIMBATORE
      Doctor : Dr. Sathya Deepa
    • RS

      Raghavi Shandilya

      5/5

      My experience with Pristyn Care for rectal prolapse treatment was exceptional, mainly due to the supportive medical staff. They were compassionate and knowledgeable and made me feel comfortable throughout the treatment journey. I am grateful for their care and highly recommend Pristyn Care for their excellent medical services.

      City : COIMBATORE
      Doctor : Dr. Emmanuel Stephen J
    • CT

      Chandan Thackeray

      5/5

      I had an excellent experience with Pristyn Care for rectal prolapse treatment, all thanks to their expert and experienced surgeons. Their skillful approach and personalized care made the procedure smooth and successful. I highly recommend Pristyn Care to anyone in need of top-notch medical treatment.

      City : COIMBATORE
      Doctor : Dr. Sathya Deepa
    • DK

      Deepak Kumar

      1/5

      Feeling much better than before after the treatment.

      City : DELHI
      Doctor : Dr. Pankaj Sareen
    • AR

      Amar Rawal

      5/5

      Having rectal prolapse was distressing, but Pristyn Care's medical team handled my case with expertise and compassion. The surgeon explained the treatment options thoroughly, and the rectal prolapse surgery was a success. I'm grateful for Pristyn Care's excellent healthcare services.

      City : MUMBAI
    • AD

      Anusha Dadlani

      5/5

      My experience with Pristyn Care for rectal prolapse treatment was remarkable, mainly due to their use of medically advanced technologies. The innovative techniques they employed made the procedure less invasive and contributed to a faster recovery. I am impressed with their commitment to providing the best possible care and highly recommend Pristyn Care for their expertise in using cutting-edge medical technologies.

      City : COIMBATORE
      Doctor : Dr. Sathya Deepa