Our Summary

This research paper compares two methods of surgery for treating complete rectal prolapse in women: transanal and abdominal (laparoscopic) surgery. The study found that while the transanal method led to shorter operation times and hospital stays, the abdominal method had a lower rate of the problem recurring. Therefore, the researchers suggest that the abdominal method might be a more effective way of treating complete rectal prolapse.

FAQs

  1. What are the two methods of surgery for treating complete rectal prolapse in women as discussed in the research paper?
  2. Which method between transanal and abdominal (laparoscopic) surgery had shorter operation times and hospital stays?
  3. Which method of surgery was found to have a lower rate of recurrence for rectal prolapse?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rectal prolapse surgery is to discuss with them the different surgical options available and the potential benefits and risks of each method. It is important for the patient to understand the potential outcomes and make an informed decision based on their individual needs and preferences. Additionally, the doctor may advise the patient to follow post-operative care instructions carefully to promote proper healing and reduce the risk of complications. Regular follow-up appointments with the doctor will also be important to monitor the patient’s recovery progress and address any concerns or issues that may arise.

Suitable For

Patients who are typically recommended rectal prolapse surgery are those who have tried conservative treatments such as pelvic floor exercises or dietary changes without success, and who are experiencing significant symptoms such as difficulty with bowel movements, fecal incontinence, or pain. Additionally, patients who have a complete rectal prolapse, where the rectum protrudes through the anus, are more likely to be recommended for surgery compared to those with a partial prolapse. The decision to undergo surgery is typically made in consultation with a colorectal surgeon or gastroenterologist after a thorough evaluation of the patient’s symptoms and medical history.

Timeline

Before rectal prolapse surgery:

  1. Symptoms of rectal prolapse such as feeling a bulge or protrusion from the rectum, difficulty controlling bowel movements, and rectal bleeding may prompt a visit to a healthcare provider.
  2. The healthcare provider will conduct a physical exam, review medical history, and possibly order tests such as a colonoscopy or imaging studies to confirm the diagnosis of rectal prolapse.
  3. Treatment options such as dietary changes, pelvic floor exercises, and medications may be recommended initially to manage symptoms.
  4. If conservative measures are ineffective or if the prolapse is severe, surgery may be recommended.

After rectal prolapse surgery:

  1. The patient will undergo either transanal or abdominal surgery to repair the rectal prolapse.
  2. Following surgery, the patient will be monitored in the hospital for a period of time to ensure proper healing and to manage pain.
  3. The patient will be given instructions on post-operative care, including wound care, diet modifications, and activity restrictions.
  4. Follow-up appointments will be scheduled to monitor the healing process and address any concerns or complications.
  5. Recovery time varies depending on the type of surgery performed, but most patients can resume normal activities within a few weeks.
  6. Long-term follow-up may be necessary to monitor for recurrence of rectal prolapse or other complications.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with rectal prolapse surgery?
  2. How long is the recovery period after surgery and what can I expect during this time?
  3. Will I need to make any lifestyle changes or follow a special diet after surgery?
  4. What is the success rate of the surgery in terms of preventing the problem from recurring?
  5. Are there any alternative treatment options for rectal prolapse that I should consider?
  6. How experienced are you in performing rectal prolapse surgery and what is your success rate?
  7. Will I need to undergo any additional testing or evaluations before surgery?
  8. How will the surgery be performed and what type of anesthesia will be used?
  9. Will I need to stay in the hospital overnight after surgery or is it performed on an outpatient basis?
  10. What can I do to prepare for surgery and improve my chances of a successful outcome?

Reference

Authors: Kwak HD, Chung JS, Ju JK. Journal: Int J Colorectal Dis. 2023 Mar 24;38(1):78. doi: 10.1007/s00384-023-04371-3. PMID: 36959426