Wakad, Pimpri-Chinchwad, Pune, care@sunmedhospital.com
Rectal Prolapse Treatment
Rectal prolapse occurs when part of the rectum protrudes through the anus, leading to discomfort and difficulty with bowel movements. At SunMed Hospital, we specialize in the diagnosis and treatment of rectal prolapse, offering state-of-the-art medical care tailored to each patient's unique needs. Our team of experienced specialists provides comprehensive solutions to restore bowel function, alleviate discomfort, and improve quality of life.
Rectal prolapse occurs when the rectum, which is the last section of the large intestine, slips out of its normal position and moves out of the anus. This disorder develops due to weakened pelvic floor muscles and supporting structures. If left untreated, rectal prolapse can worsen over time, leading to complications that affect daily activities and overall well-being.
Rectal prolapse is primarily caused by weakening muscles and ligaments that hold the rectum in place. Contributing factors include:
Aging: Natural deterioration of muscle strength with age increases the risk.Pregnancy and Childbirth: Constant muscle strain during childbirth can weaken the pelvic region muscles.Chronic Constipation or Diarrhea: Straining during bowel movements can put excessive pressure on the rectum.Spinal Cord or Nerve Damage: Conditions that impair nerve function can affect muscle control.Previous Pelvic Surgery or Trauma: Surgical interventions or injuries can weaken pelvic support structures.Cystic Fibrosis and Other Conditions: Certain health conditions, such as long term coughing or genetic disorders, can contribute to prolapse.Common symptoms associated with rectal prolapse include:
A sensation of pressure or a visible bulge in the anus.The feeling of incomplete bowel movements.A swollen, fleshy mass hangs out from the anus, especially during straining.Leakage of mucus, stool, or blood from the anus.Discomfort, pain, or persistent itching in the anal region.If you experience any of these symptoms, seeking immediate Doctor's advice is crucial to prevent complications and determine the appropriate treatment plan.
At SunMed Hospital, our specialists use various diagnostic tools to confirm rectal prolapse and rule out other underlying conditions. Diagnostic tests may include:
Digital Rectal Exam: A manual examination to assess rectal muscle strength.Defecography: Imaging tests to visualize the movement of the rectum during bowel movements.Anorectal Manometry: This device measures the pressure and function of the anal sphincter muscles.Colonoscopy: A flexible scope used to inspect the colon for abnormalities.Electromyography (EMG): An assessment to determine if nerve damage contributes to the prolapse.At SunMed Hospital, we offer both non-surgical and surgical treatment options based on the seriousness of the condition.
For mild cases, conservative management may include:
Manual Reduction: Patients may be taught how to push the prolapsed rectum back into place gently.Dietary Modifications: A high-fiber diet and adequate hydration can help prevent constipation and reduce strain.Pelvic Floor Exercises: Strengthening the pelvic muscles through exercises (Kegels) may improve symptoms.Medications: Stool softeners or laxatives may be prescribed to promote easier bowel movements and minimize straining.If symptoms still remain unchanged or worsen, surgical intervention may be necessary.
Surgery is often recommended to correct rectal prolapse and prevent complications. The two primary surgical approaches include:
1. Abdominal Approach (Rectopexy)
This procedure involves repositioning the rectum and securing it to the pelvic wall using stitches or mesh. It is conducted through traditional open surgery or minimally invasive laparoscopic techniques. Rectopexy has a high success rate and provides long-term relief. In cases of chronic constipation, partial bowel resection may also be performed to enhance bowel function.
2. Rectal Approach (Perineal Surgery)
This option is suitable for patients who are not ideal candidates for abdominal surgery.
Altemeier Procedure: The prolapsed section of the rectum is removed through the anus, and the remaining colon is stitched to the anus.Delorme Procedure: Suitable for smaller prolapses, this technique removes the mucosal lining and reinforces the rectum by folding the muscle layers.Perineal procedures offer shorter recovery times but may carry a higher risk of recurrence.
If left untreated, rectal prolapse can lead to several complications, including:
Fecal Incontinence: Uncontrolled bowel movements due to overstretched anal muscles.Constipation: Difficulty passing stool due to rectal misalignment.Rectal Ulcers: Painful sores caused by continuous exposure and friction.Incarceration: When the prolapsed rectum cannot be pushed back, it may lead to restricted blood flow and potential tissue death.SunMed Hospital is committed to providing expert care with the latest advancements in surgical and non-surgical treatment options. Our approach to rectal prolapse treatment includes:
Experienced Specialists: Our skilled team has extensive experience in managing complex colorectal conditions.Advanced Diagnostic Techniques: We utilize state-of-the-art technology for accurate diagnosis and treatment planning.Personalized Treatment Plans: Tailored interventions to suit each patient's lifestyle and medical needs.Comprehensive Post-Treatment Support: Ongoing follow-up care to ensure successful recovery and prevent recurrence.Rectal prolapse can significantly impact daily life, but symptoms can be effectively managed with the right treatment and care. At SunMed Hospital, our dedicated team offers expert guidance and advanced treatment solutions to restore comfort and improve your quality of life. If you notice any of these symptoms of rectal prolapse, contact us today for a consultation and personalized care plan.
The most effective treatment for rectal prolapse depends on the severity of the condition. In mild cases, conservative approaches such as dietary changes, pelvic floor exercises, and lifestyle modifications can help manage symptoms and prevent worsening. However, surgical intervention is usually required in more severe cases or when conservative methods are ineffective. The most common surgical procedure is rectopexy, which involves repositioning and securing the rectum to the pelvic wall to prevent further prolapse. Minimally invasive laparoscopic surgery is often preferred due to its shorter recovery time and reduced complications.
In some cases, prolonged walking or standing may worsen rectal prolapse by increasing pressure on the pelvic area. Avoiding strenuous physical activities and practicing pelvic floor exercises to strengthen the muscles and support the rectum is important.
Mild cases of rectal prolapse may improve with non-surgical treatments such as dietary changes, pelvic floor exercises, and avoiding activities that put excessive strain on the rectum. However, surgery may be required in more severe cases to prevent complications.
While minor cases may retract temporarily, rectal prolapse does not typically heal on its own. Without proper management, the condition may worsen over time, leading to complications such as incontinence or obstruction.
