Our Summary

This research paper reviewed previous studies on a treatment method for internal rectal prolapse (IRP), a condition that can cause constipation and/or inability to control bowel movements. The treatment, abdominal rectopexy, was found to be generally effective, with most patients experiencing improvements in their symptoms. Two types of this treatment were compared: resection rectopexy and ventral rectopexy. Resection rectopexy had lower rates of the condition returning, but ventral rectopexy resulted in better symptom improvement, was quicker to perform, and had fewer complications. However, the researchers caution that these findings are not definitive due to limitations in their review.

FAQs

  1. What is the effectiveness of abdominal rectopexy for treating internal rectal prolapse?
  2. How do resection rectopexy and ventral rectopexy compare in terms of symptom improvement and recurrence of the condition?
  3. What are the limitations mentioned in the research review regarding the effectiveness and comparison of resection rectopexy and ventral rectopexy?

Doctor’s Tip

A doctor might advise a patient undergoing rectal prolapse surgery to carefully follow post-operative instructions, including avoiding heavy lifting and strenuous activities for a period of time, maintaining good hygiene in the surgical area, and attending follow-up appointments to monitor healing and address any concerns promptly. It is important to communicate any changes in symptoms or unexpected side effects to your healthcare provider.

Suitable For

Patients who are typically recommended rectal prolapse surgery are those who have tried conservative treatments such as dietary changes, pelvic floor exercises, and medications without success. Patients with severe symptoms such as chronic constipation, fecal incontinence, and significant prolapse of the rectum are good candidates for surgery. Additionally, patients who have a high risk of complications from rectal prolapse, such as those with underlying medical conditions or older patients, may also be recommended surgery. Ultimately, the decision to undergo rectal prolapse surgery should be made in consultation with a healthcare provider who can assess the individual’s specific situation and recommend the most appropriate treatment option.

Timeline

Before rectal prolapse surgery:

  • Patient experiences symptoms such as constipation, fecal incontinence, and feeling a lump or bulge in the rectum.
  • Patient may undergo diagnostic tests such as a physical examination, colonoscopy, or imaging studies to confirm the diagnosis of rectal prolapse.
  • Patient may try conservative treatments such as dietary changes, pelvic floor exercises, and medications to manage symptoms.

After rectal prolapse surgery:

  • Patient undergoes abdominal rectopexy surgery to repair the rectal prolapse.
  • Recovery period typically lasts a few weeks, during which the patient may experience pain, swelling, and discomfort.
  • Patient is advised to avoid heavy lifting and strenuous activities during the recovery period.
  • Patient may need to follow a special diet or take medications to prevent constipation and promote healing.
  • Follow-up appointments with the surgeon are scheduled to monitor the patient’s progress and address any concerns or complications.
  • Most patients experience improvements in their symptoms after surgery, with a lower risk of the rectal prolapse returning.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with rectal prolapse surgery?
  2. How long is the recovery process after rectal prolapse surgery?
  3. Will I need to make any lifestyle changes or follow a special diet after the surgery?
  4. How long do the effects of the surgery typically last?
  5. Are there any alternative treatment options for rectal prolapse that I should consider?
  6. How experienced is the surgical team in performing rectal prolapse surgery?
  7. What is the success rate of rectal prolapse surgery in terms of symptom improvement and recurrence?
  8. Will I need to undergo any additional tests or procedures before the surgery?
  9. What type of anesthesia will be used during the surgery?
  10. How soon after the surgery can I resume normal activities and exercise?

Reference

Authors: Emile SH, Elfeki HA, Youssef M, Farid M, Wexner SD. Journal: Colorectal Dis. 2017 Jan;19(1):O13-O24. doi: 10.1111/codi.13574. PMID: 27943547