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Rectal Prolapse Treatment
Rectal prolapse is a condition where the rectum slips down inside the anus. Rectum prolapse causes anal pain or itching, leakage of mucus or blood, a feeling of pressure in the anus, etc.
For expert diagnosis and treatment of rectal prolapse, consult with the top GI Experts at the CK Birla Hospital.
Rectal Prolapse
What is Rectal Prolapse?
Rectal prolapse happens when part of the large intestine slips outside the muscle opening at the end of the digestive tract. It can be caused by old age, pregnancy, constipation, diarrhoea, etc. Early diagnosis and treatment can help the condition from worsening and reduce the risk of complications.
What are the Types of Rectal Prolapse?
Internal Prolapse: Also called incomplete prolapse, the rectum has dropped partways or folds in itself.
Complete Prolapse: The entire wall of the rectum protrudes outside the anus.
Mucus Prolapse: Only the inner lining of the anus protrudes through the anus.
What are the Types of Rectal Prolapse Treatment?
Abdominal Rectopexy: Surgical treatment involving repositioning and fixing the rectum to the sacrum.
Perineal Rectosigmoidectomy: Surgery performed through the anus for removing the prolapsed part or the internal lining of the rectum.
Laparoscopic Rectopexy: A minimally invasive treatment approach involving using laparoscopic instruments to perform rectopexy.
What is the Average Cost of Various Rectal Prolapse Treatment?
Abdominal Rectopexy: Typically costs around ₹50,000 to ₹3,00,000.
Perineal Rectosigmoidectomy: Can range from ₹50,000 to ₹1,50,000.
Laparoscopic Rectopexy: Ranges between ₹50,000 to ₹1,80,000.
Any Complications Associated with Untreated Rectal Prolapse:
Persistent Discomfort & Pain: Consistent pain and discomfort especially during sitting or bowel movements.
Ulceration & Bleeding: The prolapsed rectal tissue can become irritated leading to ulcers and bleeding.
Strangulation: The prolapsed tissue can have compromised blood supply leading to tissue death.
Chronic Constipation & Straining: Difficulty passing stool due to prolapsed rectum and worsening of the condition due to excessive straining.
Preventive Measures Against Rectal Prolapse
Dietary Changes: Increase the fibre intake and eat whole grains, vegetables, and fruits, additionally drink adequate water throughout the day.Bowel Habits: Avoid straining during bowel movements and establish a regular bowel routine.
Stay Physically Active: Maintain a healthy weight and perform pelvic exercises to strengthen pelvic muscles.
Manage Symptoms: Manage symptoms caused by pre-existing conditions like coughs or asthma as they can increase the risk of developing the condition.
Diagnosis of Rectal Prolapse
- EMG (Electromyography): To determine nerve damage.
- Colonoscopy: To examine the inside of the large intestine.
- Defecography: To assess rectal movement and prolapse severity.
- Anorectal Manometry: To measure muscle strength and nerve function.
- MRI: To identify the pelvic floor and internal prolapse.
Pre-Treatment/Surgery Instructions
- Empty the bowel before the surgery.
- Avoid eating or drinking anything for 8-10 hours before the surgery/treatment.
- Discuss existing medical conditions with the doctor.
- Arrange for a caregiver with you post-surgery.
- Quit smoking and consuming alcohol to support treatment.
Post-Treatment/Surgery Instructions
- Avoid heavy lifting or any strenuous activities.
- Practice kegel exercises regularly to strengthen the muscles supporting the organ.
- Attend the follow-up appointments scheduled to monitor recovery.
- Keep the surgical site clean and dry.
Recovery after Rectal Prolapse Treatment
Post-rectal prolapse treatment, the recovery depends on the type of treatment or surgery performed. Generally, patients can expect:Initial recovery takes 2-4 weeks for minimally invasive surgery.
Full recovery may take anywhere from 6-12 weeks.
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FAQs Around Rectal Prolapse
What is rectal prolapse?
Rectal prolapse is a condition where the part of the large intestine slips outside the muscle opening at the end of the digestive tract.
Is rectal prolapse dangerous?
Rectal prolapse can permanently damage the rectum, cause ulceration, bleeding, potential strangulation of the tissue, etc, and ultimately impact the quality of life.
How to fix a prolapse without surgery?
Prolapse can be fixed without surgery through lifestyle changes like strengthening the pelvic muscles, avoiding heavy lifting, maintaining a healthy weight, controlling coughing, quitting smoking, etc.
What is a prolapsed bowel?
Rectal prolapse is also referred to as prolapsed bowel. A condition where the rectum slips down inside the anus.
How to treat partial rectal prolapse?
Lifestyle modifications like adding high-fibre to the diet, preventing constipation, and practising pelvic muscle exercises can help treat partial rectal prolapse. However, if the conservative measures are not impactful, surgery may help treat the condition.