A Prolapse is when anybody part slips or falls from its normal place. Rectal prolapse is when the rectum — the last part of the large intestine — drops or slides out from the anus. While that could sound horrifying, it’s normally now not considered a clinical emergency. However, the longer the person has this condition, the more severe it could get.
Table Of Contents
- What are the causes of Rectal prolapse?
- What are the symptoms of Rectal prolapse?
- Types of Rectal prolapse
- How is Rectal prolapsed diagnosed and treated?
- Abdominal repair approaches
- Rectal (perineal) restore approaches
What are the causes of Rectal prolapse?
Rectal prolapse most usually results from the weakening of the muscle groups that support the rectum. This may be caused by constipation, damage while giving birth, defects within the pelvis or lower gastrointestinal tract, long-term history of straining during bowel movements, elderly women during their menopause, injury to the anal or pelvic areas, damaged nerves.
What are the symptoms of Rectal prolapse?
The signs and symptoms of rectal prolapse comprise the sensation of a bulge or the appearance of a reddish-colored mass that extends out of the anus. At first, this may occur during or after a bowel movement and is a temporary circumstance and may need to be pushed lower back up into the anus by hand.
Types of Rectal prolapse
This can be classified into three types:
External prolapse- The complete rectum sticks out of the anus.
Mucosal prolapse- Part of the rectal lining pokes out of the anus
Internal prolapse- The rectum has started to drop but isn’t always yet sticking out of the anus.
How is Rectal prolapsed diagnosed and treated?
The doctor can do a rectal exam by asking the patient to sit down in a restroom and poop or at least attempt to. This is useful because it allows a doctor to see the prolapse.
Other greater advanced assessments would be required to diagnose rectal prolapse, especially when there are other associated conditions. Some of them are anal electromyography (EMG), anal manometry, anal ultrasound, Pudendal nerve terminal motor latency test, Proctography, Colonoscopy,
Proctosigmoidoscopy, and MRI- Imaging test. These examine all the organs in the pelvic vicinity.
Sometimes if it is minor or early prolapse, the remedy can start at home with stool softeners. The next option is pushing the fallen tissue back up into the anus with hand. But the, a surgical operation is normally important to restore the prolapse.
There are several surgical procedures. The health practitioner’s desire relies upon on affected person’s age, other existing health problems, the quantity of the prolapse, effects of the examination and other checks, and the healthcare
professional’s preference and revel in with sure techniques. Belly and rectal (also referred to as perineal) surgical treatment are the two usual approaches to rectal prolapse repair.
Abdominal repair approaches
This method refers to making an incision inside the belly muscle mass to view and operate inside the stomach hollow space. It is also performed under general anesthesia and is the method most usually used in healthy adults.
The two most common types of stomach restoration are rectopexy (fixation [reattachment] of the rectum) and resection (taking away of a part of the intestine) accompanied by rectopexy. Resection is preferred for sufferers who have excessive constipation. Rectopexy can also be done laparoscopically through small keyhole incisions or routinely, making a recovery much easy for patients.
Rectal (perineal) restore approaches
Rectal procedures are regularly used in older patients and in patients who have extra-scientific problems. Spinal anesthesia (anesthesia that blocks ache in a certain part of the body) can be used as opposed to standard anesthesia. The two maximum common rectal approaches are the Altemeier and Delorme procedures.
Altemeier procedure is also known as perineal proctosigmoidectomy, where the portion of the rectum extending out of the anus is amputated, and the two ends are sewn lower back collectively. Delorme procedure involves the removal of the inner lining of the fallen rectum. The outer layer is then folded and stitched, and the cut edges of the inner lining are stitched collectively so that rectum is now in the anal canal.
