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Rectal Prolapse

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Home > Gastroenterology > Gastroenterology Surgery in India > Rectal Prolapse

Rectal prolapsed


Rectal prolapse is a condition in which the rectum (a portion of the colon) looses its internal support and protrudes from the anus. Rectal prolapse may be internal but in advanced stages, it can be seen or felt outside the body. When this occurs, it is referred to as a complete rectal prolapse.

Rectal Prolapse Surgery offers info on Rectal Prolapse India, Rectal Prolapse Surgery India

Rectal prolapse can occur due to a lifelong habit of straining during bowel movement, hereditary factors, stresses due to childbirth or as part of the aging process when pelvic and anal sphincter muscles weaken. It occurs in women more often than men and its symptoms can often mimic those of hemorrhoids.

Stool softeners or other treatments for constipation may help but will not reverse the prolapse once it has developed. With complete rectal prolapse, incontinence (uncontrolled leakage of stool) can occur and surgical treatment may become necessary.

Rectal Prolapse Surgery   India, Full-Thickness Rectal Prolapse India, Rectal Ulcers India, External Prolapse India


Types

There are three chief conditions which come under the title rectal prolapse : -


  • Full-Thickness rectal prolapse describes the entire rectum protruding through the anus
  • Mucosal prolapse describes only the rectal mucosa (not the entire wall) prolapsing
  • Internal intussusception wherein the rectum collapses but does not exit the anus

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Symptoms

The symptoms of rectal prolapse depend on the severity, but can include : -


  • Pain and discomfort felt deep within the lower abdomen
  • Blood and mucus from the anus
  • The feeling of constipation, or that the rectum is never completely emptied after passing a motion
  • Protrusion of the rectum through the anus
  • The need to use huge quantities of toilet paper to clean up following a bowel motion
  • Leakage of liquefied faeces, particularly following a bowel motion
  • Faecal incontinence, or reduced ability to control the bowels.


diagnosis

A physician can often diagnose this condition with a careful history and a complete anorectal examination. To demonstrate the prolapse, patients may be asked to sit on a commode and "strain" as if having a bowel movement.

Occasionally, a rectal prolapse may be "hidden" or internal, making the diagnosis more difficult. In this situation, an x-ray examination called a videodefecogram may be helpful. This examination, which takes x-ray pictures while the patient is having a bowel movement, can also assist the physician in determining whether surgery may be beneficial and which operation may be appropriate. Anorectal manometry may also be used to evaluate the function of the muscles around the rectum as they relate to having a bowel movement.


Treatment

Rectal Prolapse Surgery offers info on Rectal Prolapse India, Rectal Ulcers India, External Prolapse India Treatment depends on the age of the patient and the severity of the prolapse, but could include: Diet and lifestyle changes to treat chronic constipation: for example, more fruit, vegetables and wholegrain foods, increased fluid intake and regular exercise. This option is often all that's needed to successfully treat rectal prolapse in young children. In cases of mucosal prolapse, the structures are secured in place with surgical rubber bands.

Surgery is sometimes used to secure the rectum into place, performed through the abdomen or via the anus. One operation involves tethering the rectum to the central bone of the pelvis (sacrum). Another operation is to remove the prolapsed part of the rectum and to rejoin the bowel to restore near-normal bowel function.

While abdominal surgery may give better long term results, elderly patients may be advised to undergo surgical correction via the anus, since it is easier to recover from this procedure.

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Surgery

The goal of all of the surgical techniques involved in correcting a prolapsed rectum is to attach or secure the rectum to a backside (or posterior) part of the inner pelvis. Surgery is performed through either the abdomen or the perineum.

  • Surgery through the abdomen
    • Typically performed in younger or healthier people
    • Type of abdominal surgery usually determined by severity of associated constipation
    • Associated with higher morbidity rate than perineal approach but lower recurrence rate of prolaps
    • Performed under general anesthesia
    • Usually involves a hospital stay of 3-7 days
  • Perineal approach
    • Typically performed in elderly people or people in poor health
    • Approach for people who cannot tolerate general anesthesia
    • Associated with higher recurrence rate than abdominal approach
    • Usually involves short hospital stay


Complications

Some of the complications of rectal prolapse include : -


  • Risk of damage to the rectum, such as ulceration and bleeding
  • Incarceration, which means the rectum can't be manually pushed back inside the body
  • Strangulation of the rectum, which means the blood supply is reduced
  • Death and decay (gangrene) of the strangulated section of rectum.



The list of of Gastroenterology Hospitals in India is as follows : -


Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Kolkata Apollo Gleneagles Hospital, Kolkata, India
Apollo Hospital, Goa, India Apollo Hospital, Goa, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Wockhardt Hospital hyderabad, India Wockhardt Hospital, hyderabad, India
Wockhardt Hospital Mumbai, India Wockhardt Hospital, Mumbai, India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Fortis Hospital Noida, India Fortis Hospital, Noida, India
Manipal Hospital, Bangalore, India Manipal Hospital, Bangalore, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Super Specialty hospital,  Delhi, India Max Super Specialty hospital, Delhi, India
Max Devki Devi Heart and Vascular  hospital,  Delhi, India Max Devki Devi Heart and Vascular hospital, Delhi, India
Max Health Check Centre, Delhi, India Max Health Check Centre, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India


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