Rectal Prolapse Treatment

Rectal Prolapse Treatment

by Dr. Samrat Jankar

Posted on 17th December, 2024 at 1:10:59 AM


Rectal prolapse is a disease where the rectum, the last part of the large intestine, slips outside the anus, causing discomfort and complications. If you or a loved one is experiencing symptoms of rectal prolapse, seeking expert medical care is important.

What is Rectal Prolapse?

Rectal prolapse is a disease where the rectum protrudes from its normal position towards or outside the anus. Rectum is the last portion 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 severe conditions, it needs surgery to get repaired.

What are the types of rectal prolapse?

There are three main types of rectal prolapse:

Internal prolapse: The rectum starts to descend but hasn’t yet pushed through the anus.

Mucosal prolapse: Only the lining of the rectum protrudes through the anus.

External prolapse: The entire rectum extends outside the body through the anus. This is also known as complete or full-thickness rectal prolapse.

What are the symptoms of rectal prolapse?

  • Feeling a lump or bulge coming out of the anus
  • Anal pain or itching in the anal area
  • Difficulty having a bowel movement
  • Fecal Incontinence (inability to control bowel movements)
  • Bleeding from the anus
  • Mucus discharge from the anus
  • Chronic Constipation

What causes rectal prolapse?

The best rectal prolapse specialist in Pune Dr. Samrat Jankar says that different factors can contribute to this condition:

Chronic Straining: Continuous straining during bowel movements, usually due to chronic constipation, can weaken the supportive structures of the rectum, leading to prolapse.

Weakening of Pelvic Support: Age-related weakening of the pelvic floor muscles and connective tissues can lower the support for the rectum, making it more prone to prolapse.

Childbirth: Women who have had multiple childbirths, significantly those with prolonged or difficult deliveries, may experience damage to the pelvic floor muscles, increasing the chance of rectal prolapse.

Chronic Diarrhea: Frequent bowel movements caused by chronic diarrhea can put additional strain on the rectal tissues, contributing to the development of prolapse.

Neurological Conditions: Certain neurological conditions that affect the nerves controlling bowel function can lead to weakening of the rectal tissues and subsequent prolapse.

Genetic Factors: In some cases, a family history of rectal prolapse or related conditions may predispose individuals to form this issue.

Previous Rectal Surgery: Surgery involving the rectum or nearby structures can sometimes lead to changes that improve the risk of prolapse.

Risk factors of rectal prolapse:

Some things may improve your risk of getting rectal prolapse, including:

Sex: Most individuals with rectal prolapse are women.

Age: Rectal prolapse usually happens in people over age 50.

How is rectal prolapse diagnosed?

Medical History: The diagnosis starts with a detailed medical history. Dr. Jankar will ask about symptoms, including any visible bulge, bowel movement issues, pain, or bleeding. They will also ask about any prior medical diseases or surgeries.

Digital Rectal Exam: This exam inserting a gloved, lubricated finger into your rectum to check for prolapse and muscle strength.

Defecography: An imaging test that shows how your rectum behaves during bowel movements.

Anorectal Manometry: Measures the strength of your anal sphincter muscles.

Lower GI Series (barium enema):A series of video X-rays of your lower gastrointestinal tract.

Colonoscopy: A procedure to examine the entire colon with a flexible tube with a camera. This is done to rule out other diseases like polyps or cancer.

Electromyography (EMG):This test determines if nerve damage is the cause why the anal sphincters are not working properly. It also examines muscle coordination.

Rectal Prolapse Treatment in Pune:

Non-Surgical Treatment: In the early stages, rectal prolapse may be controlled with lifestyle changes, dietary adjustments, and physical therapy.

Surgical Treatment: For more severe cases, surgery is often required. Dr. Jankar’s expertise in advanced laparoscopic surgery ensures that patients receive the most effective and least invasive treatment possible.

Postoperative Care: Following surgery, Dr. Jankar and his team provide comprehensive postoperative care to ensure a smooth recovery and minimize the risk of recurrence.

What happens if rectal prolapse is left untreated?

If rectal prolapse is left untreated, it can lead to dangerous complications and worsening of symptoms.

Increased Discomfort: The protruding rectum can cause persistent pain and discomfort, which may worsen over time.

Bleeding: Chronic prolapse can lead to irritation and bleeding from the exposed rectal tissue.

Infection: The exposed rectal tissue is prone to infections due to continuous exposure to bacteria and other pathogens.

Difficulty with Bowel Movements: As the prolapse progresses, it can lead to issues with bowel movements, including constipation or incontinence.

Strangulation: In severe cases, the prolapsed rectum can become strangulated, indicating its blood supply is cut off.

Chronic Pain and Discomfort: Long-term prolapse can lead to chronic pain, persistent irritation, and discomfort, affecting overall well-being and daily functions.

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