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Rectal Porlapse

What is Rectal Porlapse?

The rectum is the lower portion of the large intestine. Normally, it is attached to the pelvis with ligaments and muscles. Rectal prolapse occurs when the lining of the rectum protrudes through the anus and outside the body. This can occur because the ligaments and muscles become weakened from problems including chronic constipation, chronic diarrhea or straining while defecation.

rectal-prolapse

What are the symptoms of rectal prolapse?

  • Feeling a bulge from the anus after coughing, sneezing, or lifting.
  • Having mucus in your stool
  • Straining to start or finish a bowel movement
  • Incomplete bowel movement
  • Belly (abdominal) discomfort
  • Pain
  • Rectal bleeding
  • Trouble controlling bowel movements (fecal incontinence)
  • Having to push the prolapse back into the anus by hand
  • Feeling pressure in your rectum
  • Being constipated
  • Having anal pain, bleeding, or itching

Who is at risk for Rectal Prolapse?

A person is more at risk for rectal prolapse if they have any of the below:

  • A long history of constipation
  • Straining to have bowel movements
  • Long-term (chronic) Diarrhea
  • Laxative abuse
  • Childbirth
  • Spinal cord problems or previous stroke
  • Cystic fibrosis
  • Aging
  • Dementia

How is rectal Prolapse Diagnosed?

usually all that is required is a careful examination of the patient by the clinician. the patient may be examined in squatting position or patient may be asked to strain on a commode, to examine the prolapse. other tests which may also be required

  • MRI Defecogram
  • Anorectal manometry
  • Colonoscopy
  • Special urologic or gynecologic evaluations

How is Rectal Prolapse treated?

If your rectal prolapse is severe and interferes with your quality of life, your healthcare provider may advise surgery. Types of surgery include:

  • Repair through the Abdomen A cut is made through the lower belly. The rectum is attached to the lower part of the backbone to support it and keep it in place. This surgery is done by laparoscopic method or open methods.
  • Repair through the Rectum Your surgeon removes the part of the rectum that has prolapsed and reconnects the remaining parts.
  • Repair with both these methods These 2 methods may be combined to treat your prolapse.

What types of surgeries are done for Rectal Prolapse?

Before deciding upon the types of surgery to be planned for patients of rectal prolapse history and the nature of stooloing habits is very important. for patients who are not constipatedbut have prolapse, rectopexy is required( laparoscopic or open surgery). mesh may be used in some cases according to the preference of the surgeon. in patients who have rectal prolapse and constipation, rectopexy may worsen the symptoms. in these patients resection of some portion of colon, sigmoid or rectum may be required. such surgical procedures are called resection rectopexy.

How to manage Rectal Prolapse?

These tips for managing rectal prolapse before or after surgery may help:

  • Don’t do any activities that increase pressure in your rectal area. This includes straining to have a bowel movement or heavy lifting.
  • If you have an ongoing cough, have it treated by your healthcare provider. He or she may also urge you to stop smoking.
  • Eat at least 5 servings of fruits and vegetables every day. A high-fiber diet can help prevent constipation and straining.
  • Drink 6 to 8 glasses of water every day.
  • If you are constipated, ask your healthcare provider about stool softeners or laxatives.
  • Stay active and get regular exercise. If you are overweight, take steps to get to a healthy weight.
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