Rectal prolapse is a condition where the rectum protrudes from its normal position towards or outside the anus. Rectum is the last part of the large intestine and the opening through which stool exits the anus. Rectal prolapse can further cause fecal incontinence. Sometimes it can be treated with stool softeners and other medication. However, in serious conditions, it needs surgery to get repaired.
The doctor will ask about your medical history, symptoms and past surgeries, if any. The doctor will also conduct a physical examination and may ask you to squat, strain or to mimic bowel movement. The doctor will insert a gloved finger into the anus to check the strength of the rectum and anal sphincter. He may ask you to get a colonoscopy, sigmoidoscopy or anal ultrasound to check for ulcers, polyps or tumors.
Procedure
Laparoscopic rectopexy: This is another approach to treat rectal prolapse where the rectum is restored to its original position in the pelvis. It no longer protrudes into the anal region. The doctor makes small incisions in the abdomen and inserts a laparoscope. A laparoscope has a camera attached on top of it that will project the images of the internal structure on the monitor. The surgeon locates the sigmoid in the colon and rectum. The rectum is freed from its surroundings and lifted gently to its position. In some cases the doctor may remove a part of rectum, which he will discuss before the surgery itself. A mesh may or may not be placed to strengthen the area, depending on the condition. Finally, the incisions are closed with adhesive glue.
Facts on Rectal Prolapse
1. Rectal prolapse is common in adults with long-term chronic constipation.
2. It is more common in women than in men, especially over 50 years.
3. People who have partial or complete rectal prolapse need surgery for treatment.
Recovery after laparoscopic surgery for rectal prolapse
Laparoscopic surgery for rectal prolapse is a safe surgical process and there are usually no complications reported in the procedure. But, the patient might take a few days time to recover completely and regain normal bowel functioning. The duration of complete recovery depends upon the surgical process that the patient has undergone. But irrespective of the process and condition, the patient should follow the following measures to ensure a risk-free and quick recovery.
Are rectal prolapse and hemorrhoids the same?
Rectal prolapse and hemorrhoids can often look similar considering their nature of occurrence. The two are different from each other, and have different causes and symptoms.
Hemorrhoids or piles are swollen blood vessels in the rectum and anus. On the other hand, rectal prolapse is a condition in which the rectum displaces from its original position. In the case of rectal prolapse, only a segment of the bowel is involved which moves down. But in piles or hemorrhoids, only the inner layer of tissues, which is located near the anal opening, protrudes out. However, both rectal prolapse and hemorrhoids can lead to painful bowel movements and cause bleeding while passing stools.
