What is Rectal Prolapse?
The last part of the human excretory system and the end portion of the colon is the rectum. The rectum is the last few inches of the large intestine where the human excreta and the stools are formed before a bowel movement occurs. As per Doctors for Rectal Prolapse in Hyderabad, a rectal prolapse is bulging out of a part of the body and so rectal prolapse refers to the bulging of the rectum out of the anal opening.
After one has a bowel movement, a rectal prolapse may happen but it can on its own disappear by slipping back into the anal canal. However, the prolapse may worsen over time and leave the patient uncomfortable as well as anxious, thereby affecting their life quality and requiring surgical treatment.
The most promising and advanced Rectal Prolapse treatment in Hyderabad, India is provided by expert doctors at Sree Nandaka Advanced Surgery Clinic. Book an appointment to learn more symptoms and treatment options.
How many types of Rectal Prolapse Are There?
Rectal prolapse can be of three types, based on their varying severities:
- Partial or mucosal prolapse- It is typically less than 2 cm protruding of the rectum out of the anal opening. Just the inner lining of the rectum bulges out and produces radial folds.
- Procidentia (a full-thickness rectal prolapse)- It is typically 2-5 cm protruding from the rectum through the anus. Just the wall portion (all three layers) of the rectum bulges out and produces concentric rings.
- Internal intussusception or Occult- There is no protruding of the rectum out of the anus rather the rectum just folds on itself.
What Causes Rectal Prolapse?
Rectal prolapse is often the result of the weakening of muscles that support the rectum. The muscles weakening can happen due to any of the following reasons:
- Chronic constipation with a history of straining during bowel movements
- Long-standing diarrhoea (watery stools)
- Pregnancy and childbirth- especially when there is difficult vaginal delivery or multiple vaginal deliveries
- Persistent cough- due to COPD, chain-smoking, or other cause
- Defects in the lower gastrointestinal tract or pelvis
- Cystic fibrosis in children
- Neurological conditions such as spinal tumours, multiple sclerosis, and injury to the pelvis or lower back
- Old age- Due to lower anal sphincter tone and reduced laxity of the pelvic floor muscle.
For Rectal Prolapse treatment in Hyderabad for people of all ages visit Sree Nandaka Advanced Surgery Clinic.
Symptoms of Rectal Prolapse
The signs of rectal prolapse may vary from one person to another. The commonly noted symptoms of rectal prolapse are:
- Feeling a bulge, a lump, or swelling coming through the anal opening initially after a bowel movement and later may be on sneezing, coughing, or lifting and even just after standing up
- Initially, it’s possible to push the lump back inside the anal canal with fingers
- Rectal bleeding
- Passing out of stool with mucus
- Straining to initiate or stop the passing of stool through the anal opening
- Partial or incomplete defecation
- Constipation
- Feeling pressure in the rectum
- Faecal incontinence- difficulty in controlling bowel movements; leading to soiling of the clothes
- Abdominal pain or discomfort
- Anal discomfort, itching, or bleeding.
Treatment of Rectal Prolapse in Hyderabad
Rectal prolapse treatment depends on the patient’s age, symptoms, and general health. It even depends on the severity of the prolapse. Often the treatment commences with relieving constipation and avoiding straining during bowel movement.
What happens if Rectal Prolapse is left untreated?
Those who are diagnosed with early stages of rectal prolapse often may choose to leave the problem untreated. However, when they do so, their prolapse does over time grow larger and their condition worsens. In case, the patients delay undergoing the treatment of their large rectal prolapse for too long, they are at high risk of experiencing permanent issues with fecal incontinence. Moreover, as their anal sphincter is stretched out repeatedly, their chance of nerve damage is increased. Rectal cancer is not at all an outcome of untreated rectal prolapse.
For patients who have very small rectal prolapse and are not in the right age or normal health to undergo an operation, wearing supportive bottom wear could be helpful.
Surgical Treatment for Rectal Prolapse in Hyderabad
In case of an advanced stage of rectal prolapse negatively impacting the patient’s life quality, repair surgery is advised either through the abdominal approach or perineal approach or else the combination of the two.
- Repair with abdominal approach- An incision is first made in the lower abdomen. Through the cut, the surgeon attaches the rectum to the lower backbone part to support it and secure it in its place.
- Repair with perineal approach- Through the anal opening, the surgeon removes the prolapsed part of the rectum and rejoints the remaining parts. In some cases, the surgeon removes the inner lining of the rectum, and the supporting muscle is sutured back on itself.
Treatment of Procidentia (Complete rectal prolapse) in Hyderabad
- Thiersch procedure- In this treatment, a prosthesis that could narrow the anal canal is used. The prosthesis can be made of dacron, silver wire, nylon and sutures, silastic, silicon rubber, or Teflon. Placing of the prosthesis is performed under general anaesthesia. It is a daycare treatment that takes around 20-30 minutes to get over.
- Rectopexy in Hyderabad- This treatment starts with dividing the loose rectal attachments from the pelvic walls to the pelvic floor. The rectum is upward shifted and secured to the back pelvic wall called the sacrum. In some cases, resection of the bowel portion is even carried out. The overall procedure is performed under general anaesthesia and the patient is asked to not have anything through the mouth for a few days and may remain hospitalised after the procedure for a few weeks.
How can I manage Rectal Prolapse before and after surgery?
You should be following these instructions provided by the colorectal surgeon in Hyderabad:
- Daily drink plenty of water to ensure a well-hydrated body and smooth recovery
- Avoid any activities that put a load in the rectal region like heavy weight lifting and straining during bowel movement
- If constipated, take stool softeners or laxatives
- Keep your body active and regularly exercise. If overweight, take steps to achieve and maintain a healthy body weight
- Have a diet rich in dietary fibres
- If suffering from a persistent cough, get it treated
- Quit smoking, if a smoker.
FAQS on Rectal Prolapse Treatment
Who is at risk of Rectal Prolapse?
Rectal prolapse usually is seen in elderly (people aged 50 years and above), women (especially those having undergone childbirth), chronically ill patients taking several medications, people having chronic constipation or diarrhoea and those who strain during bowel movements, people doing laxative abuse, and patients suffering from cystic fibrosis, spinal cord problems, or dementia.
Can Rectal Prolapse be prevented?
Yes, rectal prolapse is preventable if an individual does not strain during bowel movement and does not have chronic constipation.
Will rectal prolapse heal itself?
Rectal prolapse is caused by weakening of the muscles of the part of the large intestine and this causes it to slip out of the anus. They feel like haemorrhoids but it is not and one needs rectal prolapse surgery in Hyderabad to correct it.
How is Rectal Prolapse diagnosed?
Firstly, the healthcare provider notes down the symptoms and goes through the medical records of the patient. Next, the patient is physically examined by the healthcare provider while the patient squats and strains as if having a bowel movement. For further confirmation of rectal prolapse and to see the extent of it, the healthcare provider may recommend diagnostic tests like defecography, colonoscopy, MRI, anorectal manometry, barium enema, and special urologic or gynecologic evaluations.
Schedule a Consultation
Feeling a lump or swelling protruding your anal opening or not able to empty your rectum? Our top-notch colorectal surgeons at Sree Nandaka Advanced Surgery Clinic can help diagnose your problem and provide you with an appropriate treatment plan. Reach out to our clinic- Sree Nandaka Advanced Surgery Clinic and set up an appointment with one of our leading, caring, and friendly colorectal specialists or anus doctors or best rectal prolapse treatment doctors in Hyderabad today!
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Address:
Plot no 770, Jayabheri Park,
Behind BigBazar, Kompally,
Hyderabad, Telangana 500014, India.
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+91-9000835000,
+91-9000861000
