What is Rectal Prolapse?
Rectal prolapse occurs when the rectum shifts from its normal position and protrudes through the anus.
This condition can arise due to
- Aging
- Pregnancy
- Injury or illness
Although it isn't an immediate emergency, untreated rectal prolapse can lead to severe complications such as fecal incontinence, constipation, and even gangrene.
What are the Symptoms of Rectal Prolapse?
The primary symptoms include a
- Visible protrusion from the anus
- Discomfort
- Pain in the rectal area
Secondary issues can consist of
- Difficulty with bowel movements
- Faecal incontinence
- Sensation of incomplete evacuation
What Does Rectal Prolapse Surgery Entail?
Rectal prolapse surgery, or Rectopexy, is the primary treatment to correct this condition, performed through either an abdominal or perineal approach:
- Abdominal Rectopexy involves an incision in the abdomen to reposition the rectum, securing it back into place with stitches or a mesh sling.
- Perineal Rectosigmoidectomy: Less invasive, this surgery is conducted through an incision in the perineal area, using methods suited to the severity of the prolapse.
What are the Risks and Benefits of Rectopexy?
This surgery's primary benefit is restoring normal rectal anatomy, which alleviates discomfort and prevents further complications.
However, like all surgeries, Rectopexy carries potential risks, including bleeding, infection, and complications such as anal fistulas, anastomotic leaks, and intestinal obstruction.
While abdominal procedures generally have a lower risk of recurrence, they might involve longer recovery periods and a greater likelihood of complications compared to perineal procedures.
What Does Recovery Involve?
Recovery from rectal prolapse surgery can take several weeks. Initially, patients may experience pain, tenderness, and rectal bleeding.
Preventing constipation is crucial; this involves
- Consuming a high-fiber diet
- Staying hydrated
- Avoiding straining during bowel movements
Generally, abdominal Rectopexy offers better long-term results with fewer recurrences.
When Should You Contact Your Doctor?
Post-surgery, it's critical to contact your doctor if you experience
- Rectal bleeding
- Severe constipation
- Signs of another prolapse
- Symptoms of infection such as fever
Prompt communication can help manage complications effectively.
What is the Long-Term Outlook for Patients?
Most patients see significant improvement with proper treatment, with less than 5% experiencing a recurrence after abdominal Rectopexy and up to 25% after perineal procedures.
Consult Your doctor If you're experiencing symptoms of rectal prolapse or have concerns about the condition, it's crucial to consult.
They can help you understand the most effective treatment alternatives and direct you toward the most favourable possible outcomes for your specific situation.
Don't wait—reaching out today can significantly enhance your quality of life.
