Rectal Prolapse

What is Rectal Prolapse?

Rectal prolapse occurs when the rectum, located at the end of the large intestine, protrudes through the anus due to weakened supporting structures. This condition is common among individuals over 50 years old and those with chronic constipation or diarrhea. Women are more prone to this condition than men.

Diagnosis of Rectal Prolapse

To diagnose rectal prolapse, healthcare providers perform a thorough physical examination, potentially asking patients to simulate bowel movements. Additional diagnostic tests may include:

Anal Electromyography (EMG): Measures muscle and nerve function in the rectum.
Colonoscopy: Visual examination using a camera.
Anorectal Manometry: Evaluates rectal response to pressure.
Barium Enema and Defecography: Imaging tests that visualize rectal function during bowel movements.
Transit Study: Assesses intestinal movement using X-rays and marker capsules.

Surgical Treatments

Rectopexy (Abdominal Surgery):

Performed under general anesthesia.
Rectum is sutured to the sacrum to restore position.
Recovery: A few weeks.

Laparoscopic Surgery:

Minimally invasive, uses small incisions and a laparoscope.
Benefits: Reduced pain, faster recovery, and fewer complications.

Robotic Surgery:

Uses robotic arms controlled by a surgeon for precision.
Advantages: Shorter recovery and minimal scarring.

Perineal Rectosigmoidectomy:

Involves removal of part of the rectum and sigmoid colon via the perineum.
Benefits: Faster recovery and fewer risks.

Delorme Procedure:

Prolapsed tissue is removed, and rectal walls are reinforced.
Recovery: 2-4 weeks.

Laser Surgery:

Minimally invasive, precise, with quicker recovery and reduced risk of infection.

Preparation for Surgery

Follow pre-surgery instructions from your doctor.
Avoid certain medications (e.g., blood thinners).
Arrange post-surgery support and prepare your home for recovery.

Post-Surgery Recovery

Manage discomfort with medications and ice packs.
Follow a high-fiber diet and stay hydrated to prevent constipation.
Avoid heavy lifting and strenuous activities for 4-6 weeks.
Attend follow-up appointments for proper recovery monitoring.

Lifestyle Changes Post-Surgery

Maintain a healthy weight.
Adopt a high-fiber diet to prevent constipation.
Avoid straining during bowel movements.
Engage in regular exercise to strengthen pelvic muscles.

Potential Risks of Surgery

Infection, bleeding, and damage to nearby organs.
Bowel obstruction or incontinence.
Recurrence of rectal prolapse.

By understanding the causes, treatment options, and recovery strategies, individuals with rectal prolapse can seek timely medical advice and improve their quality of life.

Features

Minimally Invasive Options: Advanced procedures like laparoscopic and robotic surgeries ensure minimal pain, faster recovery, and reduced scarring.
Comprehensive Diagnostic Support: Specialized tests like defecography, anorectal manometry, and colonoscopy help tailor precise treatment plans.
Improved Quality of Life: Surgery alleviates discomfort, enhances bowel control, and reduces the risk of recurrence, improving overall well-being.
Customized Post-Operative Care: Detailed recovery guidelines, dietary recommendations, and follow-up support ensure smooth healing and long-term success.

FAQ

What is rectal prolapse, and what are its symptoms?
Rectal prolapse occurs when the rectum slips out of its original position and protrudes through the anus. Common symptoms include a visible bulge, discomfort, constipation, and difficulty controlling bowel movements.
Can rectal prolapse be treated without surgery?
In mild cases, non-surgical treatments like pelvic floor exercises, dietary changes, and stool softeners may help manage symptoms. However, severe cases typically require surgical intervention.
Is rectal prolapse surgery safe?
Yes, rectal prolapse surgeries, including laparoscopic and robotic procedures, are generally safe and effective. They have high success rates with minimal complications when performed by experienced surgeons.
How long does recovery take after rectal prolapse surgery?
Recovery time varies depending on the type of surgery, but most patients can return to normal activities within 4–6 weeks. Minimally invasive procedures often have quicker recovery times.