Our Summary

This study looks at surgical treatments for rectal prolapse, a condition where the rectum (the last part of the large intestine) slips outside the anus. This can cause problems with bowel movements and overall quality of life. Researchers studied 83 patients who had surgery for this condition between 1997 and 2013. They found that age, gender, and body size didn’t affect the success of the surgery, and the method of surgery didn’t change how long people stayed in the hospital. However, patients who had a specific type of surgery called laparoscopic rectopexy had a shorter hospital stay. Over the long term, about 12% of patients had their rectal prolapse come back, but this wasn’t linked to the type of surgery they had. The researchers suggest that considering each patient’s unique situation and symptoms before choosing a surgical method could lead to better outcomes. They also suggest that laparoscopic rectopexy might be the best first choice for treatment because of its good short-term results and acceptable rates of long-term recurrence.

FAQs

  1. What is rectal prolapse and how does it affect a person’s quality of life?
  2. Does age, gender, or body size affect the success of rectal prolapse surgery?
  3. What is laparoscopic rectopexy and why do researchers suggest it as a possible first choice for treating rectal prolapse?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rectal prolapse surgery is to carefully consider the type of surgery that will be most beneficial for their individual situation. In particular, laparoscopic rectopexy may be a good first choice due to its shorter hospital stay and acceptable rates of long-term recurrence. It is important to discuss all options with your healthcare provider to determine the best course of action for your specific needs.

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. They may experience symptoms such as difficulty passing stool, a feeling of incomplete bowel movements, fecal incontinence, and a visible protrusion of the rectum outside the anus. The decision to undergo surgery is typically made in consultation with a colorectal surgeon or gastroenterologist based on the severity of symptoms and impact on quality of life.

Timeline

  • Before surgery: Patients may experience symptoms such as difficulty with bowel movements, feeling of a bulge or lump outside the anus, discomfort or pain during bowel movements, and leakage of stool. They may have tried conservative treatments such as dietary changes, pelvic floor exercises, and medications without success.

  • Consultation with a colorectal surgeon: Patients will meet with a colorectal surgeon who will perform a physical exam and may order tests such as a colonoscopy or imaging studies to confirm the diagnosis of rectal prolapse and determine the best treatment plan.

  • Pre-operative preparation: Patients will undergo pre-operative tests and evaluations to ensure they are healthy enough for surgery. They will also receive instructions on how to prepare for the surgery, including fasting before the procedure.

  • Surgery: The patient will undergo surgery to repair the rectal prolapse. The type of surgery performed will depend on the individual patient’s condition and may include procedures such as laparoscopic rectopexy, perineal rectosigmoidectomy, or abdominal rectopexy.

  • Recovery: After surgery, patients will stay in the hospital for a few days for monitoring and pain management. They will gradually resume normal activities and follow-up with their surgeon for post-operative care and monitoring.

  • Long-term follow-up: Patients will be monitored for any recurrence of rectal prolapse or other complications. They may also undergo pelvic floor rehabilitation to strengthen the muscles and prevent future prolapse episodes.

Overall, rectal prolapse surgery can improve symptoms and quality of life for patients with this condition, with most patients experiencing successful outcomes and low rates of recurrence in the long term.

What to Ask Your Doctor

  1. What are the different surgical options for treating rectal prolapse?

  2. How will the surgery affect my bowel movements and overall quality of life?

  3. What are the potential risks and complications associated with rectal prolapse surgery?

  4. How long is the recovery period after surgery and what can I expect during this time?

  5. Will I need to make any lifestyle changes or follow a specific diet after surgery?

  6. How likely is it that the rectal prolapse will come back after surgery?

  7. How experienced are you in performing rectal prolapse surgeries and what is your success rate?

  8. Are there any alternative treatments or non-surgical options for managing rectal prolapse?

  9. Can you provide me with information on support groups or resources for patients undergoing rectal prolapse surgery?

  10. What is the long-term prognosis for patients who undergo rectal prolapse surgery?

Reference

Authors: Keskin M, Gönüllü D, Karip B, Balik E, Bulut MT. Journal: Chirurgia (Bucur). 2016 Mar-Apr;111(2):131-7. PMID: 27172526