Rectal Prolapse

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What is rectal prolapse?

When a part of large bowel, rectum, slips down into the anus its labeled as rectal prolapse. It may be due to weakness of the pelvic muscles. This is often confused with piles hence needs be differentiated for appropriate evaluation and management.

What are acuses of rectal prolapse?

Rectal prolapsed occurs due to failure of pelvic muscles to hold the rectum. Some of the possibilities leading to this condition include

  • 1. Aging
  • 2. Pregnancy and child birth
  • 3. Trauma or pelvic surgery
  • 4. Chronic constipation and diarrhea
  • 5. Chronic coughing and sneezing
  • 6. Spinal cord injury or nerve damage
What are signs and symptoms of rectal prolapsed?
    Patient may notice

  • 1. Bulge in the anus
  • 2. Feeling of incomplete evacuation of stools
  • 3. Red fleshy mass hanging from anus
  • 4. Anal pain or itching
  • 5. Leakage of mucous, stools or blood from the anus.
How is rectal prolapsed diagnosed?

Health care professional may advise on of the investigations to confirm the diagnosis

  • 1. Defeacography
  • 2. Anal manometry
  • 3. Barium enema
  • 4. Colonoscopy
  • 5. Electro myography
Is rectal prolapsed serious?

Rectal prolapsed may lead to complication if left neglected. One of the most serious complications include fecal incontinence (failure to hold the stools). Other complications include ulceration, incarceration

How is rectal prolapsed treated?

Best treatment for rectal prolapsed in Hyderabad is surgery. Surgery and approach depends on the patient specifics. For generally healthy adults, the first choice is usually a rectopexy, which is a procedure to repair your rectum through your abdomen. In cases where abdominal approach is not possible, rectal surgery is another option.