Rectal prolapse is a condition in which the rectum starts coming out of the anus. The rectum is that last part of large intestine, and the anus is the opening through which stool exits our body. Rectal prolapse can range from mild to severe. Mild cases can often be treated without surgery. Severe cases may require surgery.
Injury to nerves that control the rectal and anal muscles due to
Weakened anal sphincter
Straining during defecation, over a period of years, can also cause rectal prolapse.
Rectal prolapse can be uncomfortable and painful, but it’s treatable. The sooner you see a doctor about your symptoms, the easier the surgery and recovery.
The surgeon can do the surgery through the abdomen or through the area around the anus (Perineum).
Although there are several procedures, but the type of surgery and approach depends on patient’s age, existing health problems, extent of the prolapse and his/her general health.
The abdominal approach has always better outcome.
Rectopexy (For Complete proplapse): It is associated with best functional outcomes and minimal chance of recurrence
Open Conventional surgery: through a big incision in lower abdomen.
Laparoscopic Surgery: If patient is fit and healthy, it must undergo laparoscopic surgery as the results are far satisfying and long-lasting
3 tiny incisions of 0.5 cm are created on the belly and the rectum is pulled upwards and fixed to the sacral bone (back wall of the pelvis) either with the help of sutures directly or using a Mesh.
The basic purpose is to hold the rectum in its normal anatomical position until such a time as scarring occurs.
When patients complain of chronic or long-term constipation, removal of a part of the colon may be necessary to improve bowel function (recto-sigmoidectomy).
This approach is usually performed in people who aren’t good candidates for surgery through their abdomen.
Surgery from the region around the anus involves pulling part of the rectum out and surgically removing it. The rectum is then placed back inside and sutured to the large intestine.
The procedure is performed through the anal canal (transanal approach).
It is an innovative, technically safe and minimally invasive procedure useful in carefully selected and well-informed patients having partial or internal prolapse.
The procedure resects the internal rectal prolapse by means of staplers inserted into the anal canal.
Preventing rectal prolapse isn’t always possible. You can reduce your risk if you maintain good intestinal health. To help avoid constipation, in particular: