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What Is Rectal Prolapse?

Rectal prolapse is when the rectum -the last section of the large intestine- drops down or slides out of the anus. It is typically not considered a medical emergency. Rectal prolapse can sometimes be treated with suppositories, stool softeners, and other medications. But surgery is usually required to treat rectal prolapse.

There are three types of rectal prolapse:

  • External prolapse: The entire rectum drops 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 is not yet poking out of the anus.

Best Doctors for Rectal Prolapse Surgery

  • online dot green
    Dr. Abu Sayeed Mohammad Mahmudur (EGsrzAx9qF)

    Dr. Abu Sayeed Mohammad ...

    MBBS, FRCS
    46 Yrs.Exp.

    Consultation fees:

    1000 Taka (Cash)

    800 Taka (20% discount via Bkash)

    4.5/5

    46 Years Experience

    location icon York Hospital Limited
    Call Us
    +8809606789023
  • online dot green
    Brig. Gen. Prof. Dr. MD Tanvirul Islam (F5hxEFXkIX)

    Brig. Gen. Prof. Dr. MD ...

    MBBS, FCPS, Fellow Colorectal Surgery
    32 Yrs.Exp.

    Consultation fees:

    1000 Taka (Cash)

    800 Taka (20% discount via Bkash)

    4.5/5

    32 Years Experience

    location icon Universal Medical College & Hospital Ltd.
    Call Us
    +8809606789023
  • online dot green
    Dr. Reshma Aziz (h1bCHhnlhp)

    Dr. Reshma Aziz

    MBBS, MS, Diploma in Ultrasonography, Post Graduate Diploma in Colorectal Diseases & Surgery, Certified Diabetologist
    25 Yrs.Exp.

    Consultation fees:

    1000 Taka (Cash)

    800 Taka (20% discount via Bkash)

    4.8/5

    25 Years Experience

    location icon Dhaka Lab
    Call Us
    +8809606789023

    • Overview

    know-more-about-Rectal Prolapse-treatment-in-
    What Causes Rectal Prolapse?
    • Long-term history of constipation or diarrhea
    • Chronic coughing and sneezing
    • Long-term history of having to strain when you poop
    • Old age, which weakens ligaments and muscles in the rectal area
    • Previous injury to the hip or anal area
    • Nerve damage that impacts the muscles’ ability to tighten and loosen, which could be caused by anal sphincter paralysis, pregnancy, or injury to the spine or back
    • Neurological issues, like spinal cord disease or spinal cord transection
    • An abnormally long colon
    What Are The Symptoms Of Rectal Prolapse?
    • Part of the rectum can protrude during bowel movements but can be easily pushed back into place.
    • Physical activity, like sitting, walking, and exercising, can also cause part of the rectum to push through the anus.
    • Bleeding from the inner lining of the rectum.
    • You may also have trouble controlling liquid or solid bowel movements and gas from the rectum.
    • Pain in the rectum or anus.
    • Leaking poop, blood or mucus from the anus.
    Benefits Of Rectal Prolapse Surgery
    • Relief from constipation
    • Relief from pain during intercourse
    • Relief from the rectal bulge
    • Other pelvic organs can also be treated during the surgery
    • Lowers the chance of a prolapse
    • Reduces pressure on the vaginal walls
    • Reduces bowel problems
    • Reduces bladder problems
    • Provides support to the prolapsed organs
    • Relieves pain
    What Questions To Ask Your Healthcare Provider?
    • What’s the cause of the rectal prolapse?
    • What tests will you conduct to confirm the diagnosis of rectal prolapse?
    • Do I need rectal prolapse surgery?
    • Is it safe for me to have sex while I have rectal prolapse?
    • How do you plan to address my pain after surgery?
    • What are the general risks for patients undergoing rectal prolapse surgery?
    • What is your success rate? How many repeat operations have you performed?
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    Rectal Prolapse Diagnosis And Surgery

    Diagnosis

    The diagnosis of rectal prolapse begins with a physical examination. In the physical examination, the doctor examines the rectum and may insert a lubricated and gloved finger in the anus to check the strength of the anal sphincter muscles and the rectum. Also, the doctor will ask you to describe your medical history and symptoms to understand your condition better. They can even ask you to squat and strain as you do during the bowel movement.

    Based on the physical assessment findings, the doctor can ask you for other tests to diagnose the medical condition better. These tests include:

    1. Anal electromyography (EMG)– Anal sphincter electromyography (EMG) is recorded using a small sponge electrode in the anal canal. This test measures how effective the muscles and nerves in the rectum are.
    2. Anorectal manometry- A flexible, thermometer-sized tube with a small balloon attached to the end is inserted into the rectum. While connected to a machine, this tube is placed in different areas of the rectum, and the response to pressure is estimated. This test helps measure the tightness of the anal sphincter and the functioning of the rectum.
    3. Barium enema– A chalky liquid having barium is placed in the rectum during this test. Barium shows up on X-rays producing images of the area.
    4. Defecography– It is a radiology test to look inside at the muscles and organs while you defecate. Defecography is used to help determine the cause of constipation, fecal incontinence, and other medical conditions like pelvic organ prolapse that may interfere with a person’s ability to pass stool.
    5. Colonoscopy– In this test, a thin, flexible tube with a tiny camera at the end is inserted into the rectum so the doctor can do a visual exam.
    6. Transit study– This test demonstrates how well food moves through the colon. The patient swallows one or more capsules containing small markers that are visible on the X-ray. The patient follows a high-fiber diet during this test, and the movement of the markers through the colon is observed with abdominal X-rays taken several times after the capsule is swallowed.
    7. Other exams– Your doctor may want to perform other tests to see if there are any weak areas in the pelvic floor or if other organs, like the uterus, have prolapsed.

    Surgery

    There are two kinds of rectal prolapse surgeries:

    • Rectopexy or rectal prolapse repair through the abdomen- In rectopexy, an incision is made in the abdomen, and the surgeon pulls the rectum back in place. Using a mesh sling or sutures, they anchor the rectum to the back wall of the pelvis, known as the sacrum. In some cases, like a long history of constipation, the surgeon removes a portion of the colon.
    • Laparoscopic rectal prolapse surgery- Laparoscopic surgery for rectal prolapse is also done through the abdomen through several smaller incisions. The surgeon inserts surgical tools and a tiny camera through the abdominal incisions to repair the rectal prolapse.

    Why Pristyn Care?

    Delivering Seamless Surgical Experience in Bangladesh

    01.

    Consultation For 50+ Diseases Across Bangladesh

    Pristyn Care provides consultation for 50+ diseases and treatments such as Piles, Hernia, Kidney Stones, Cataract, Gynecomastia, Circumcision etc. across 3+ major cities in Bangladesh.

    02.

    Medical Expertise With Technology

    Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

    03.

    Assisted Surgery Experience

    A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

    04.

    Post Surgery Care

    We offer follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

    Frequently Asked Questions

    What is the cost of rectal prolapse surgery in Bangladesh?

    The cost of rectal prolapse surgery in Bangladesh may vary between ৳ 45,000 to ৳ 60,000. However, several factors are vital in determining the rectal prolapse treatment cost in Bangladesh. Some major factors that determine the cost of surgery include the location of the hospital where the surgery takes place, the healthcare center, hospital accommodation charges, the surgeon’s fees, the patient’s age, the severity of the condition, and more.

    Can a rectal prolapse burst?

    Unforced rupture of the rectum due to increased intra-abdominal pressure is an infrequent complication of rectal prolapse in adults.

    When to call the healthcare provider for rectal prolapse treatment?

    Call your healthcare provider if you experience any of these symptoms along with a prolapsed rectum:

    • Fever
    • Bleeding
    • Discharge
    • Chills
    • Redness
    • Swelling
    • Constipation
    • Fecal incontinence

    What is the best medicine for rectal prolapse?

    There is no specific medicine for rectal prolapse. However, stool softeners can help decrease bowel movement straining caused by constipation.

    Does drinking water help rectal prolapse?

    Drinking plenty of water and eating fruits, vegetables, and other foods that contain fiber can help treat rectal prolapse. Changes in diet are enough to improve or reverse a prolapse of the rectum’s lining (partial prolapse). Furthermore, doing kegel exercises can also help strengthen the pelvic area muscles.

    Do hemorrhoids turn into prolapse?

    Hemorrhoids can become prolapsed when the tissue that holds them in place weakens. Several possible causes and risk factors may contribute to the weakening of the connective tissue. Straining during bowel movements is one such cause as it puts extra pressure on hemorrhoids.

    How serious is rectal prolapse?

    While rectal prolapse is not a medical emergency, it can aggravate if left untreated. Some complications that can occur include bleeding, ulceration, and a reduction in the blood supply that can result in gangrene or death of the affected tissue and cause strangulation of the rectum.

    What foods to avoid with rectal prolapse?

    Some of the food items that should be avoided if you have rectal prolapse include:

    • Caffeinated beverages
    • Alcohol
    • Highly acidic fruits and veggies like tomatoes, cranberries, and oranges
    • Carbonated beverages like soda
    • Spicy foods
    • Artificial sugars and sweeteners

    Can you reverse a rectal prolapse naturally?

    In some cases, it is possible to ease symptoms or reverse a mild rectal prolapse by doing pelvic muscle exercises and self-care measures. But rectal prolapse surgery is the only way to properly treat rectal prolapse and relieve symptoms.

    How To Prepare For Rectal Prolapse Surgery?

    To prepare for the surgery, your doctor may ask you to:

    • Clean with a special soap- Before the surgery for rectal prolapse, your doctor can ask you to take a shower using antiseptic soap to help prevent germs on the skin from causing infection after the surgery.
    • Stop taking certain medications- Depending on your procedure for rectal prolapse treatment, you may be asked to stop taking certain medications.

    Risks And Complications Associated With Rectal Prolapse Surgery

    Risks and complications after rectal prolapse surgery are relatively low. Also, most people do not experience painful side effects after undergoing surgery. However, any surgical procedure accompanies certain risks that patients should know. Some risks associated with rectal prolapse surgery include:

    • Infection
    • Bleeding
    • Blood clots
    • Injury to the surrounding organs
    • Allergic reaction to the anesthetic
    • Hemorrhage
    • Damage to pelvic organs, such as the bladder or rectum
    • Death of the rectal wall
    • Recurrence of the rectal prolapse.

    Post-Operative Care After Rectal Prolapse Surgery

    Postoperative care is essential after rectal prolapse surgery. After the surgery, your proctologist will give you tips on preventing complications after surgery, and encouraging recovery. Listed below are some post-surgery care tips that you must follow:

    • Rest as much as you can.
    • Avoid heavy lifting or straining for some weeks.
    • Don’t strain on the toilet.
    • Take appropriate measures to prevent constipation, like eating high-fiber foods and drinking plenty of water.
    • Contact your doctor immediately if you experience any unusual symptoms, like difficulties with urination, fever, heavy bleeding, or signs of infection around the surgical site.
    • Attend follow-up appointments with your doctor.
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