Our Summary

This research paper looks at the outcomes of patients with a condition called benign joint hypermobility syndrome (BJHS), who underwent a specific type of surgery (ventral rectopexy) for rectal prolapse. Rectal prolapse is a condition where the rectum, which is the last part of the large intestine, slips outside the anus. Benign joint hypermobility syndrome is a condition where the joints easily move beyond the normal range expected for a particular joint.

The study found that patients with BJHS who underwent this surgery were younger and more likely to need additional surgery for the recurrence of rectal prolapse than those without BJHS. This suggests that having BJHS could influence the effectiveness of the surgery for rectal prolapse.

FAQs

  1. What is benign joint hypermobility syndrome (BJHS) and how does it relate to rectal prolapse?
  2. What is ventral rectopexy surgery and why is it used for rectal prolapse?
  3. According to the research, how does having BJHS affect the outcomes of rectal prolapse surgery?

Doctor’s Tip

A helpful tip a doctor might give to a patient undergoing rectal prolapse surgery, especially if they have benign joint hypermobility syndrome, is to discuss the potential increased risk of recurrence and the need for additional surgery with their healthcare team. It is important for the patient to have realistic expectations about their surgery outcomes and to be aware of the potential challenges they may face post-surgery. Additionally, patients should follow their healthcare team’s recommendations for post-operative care and follow-up appointments to ensure the best possible outcome.

Suitable For

Typically, patients who are recommended for rectal prolapse surgery are those who have tried conservative treatments such as dietary modifications, pelvic floor exercises, and medications without success. Patients with severe symptoms such as recurrent prolapse, fecal incontinence, and chronic constipation may also be candidates for surgery.

Additionally, patients who have a significant impact on their quality of life due to rectal prolapse, such as difficulty with daily activities, social embarrassment, and significant pain, may also be recommended for surgery.

It is important for patients to undergo a thorough evaluation by a healthcare provider specialized in colorectal surgery to determine if surgery is the best treatment option for their specific case of rectal prolapse.

Timeline

Before surgery:

  1. Patient experiences symptoms of rectal prolapse such as feeling a bulge outside the anus, difficulty controlling bowel movements, and rectal bleeding.
  2. Patient undergoes evaluation by a healthcare provider, which may include a physical examination, imaging tests, and possibly a colonoscopy.
  3. Patient and healthcare provider discuss treatment options, including the possibility of surgery for rectal prolapse.

During surgery:

  1. Patient undergoes ventral rectopexy surgery, which involves repositioning and securing the rectum back into place using mesh or sutures.
  2. Surgery is typically performed under general anesthesia and may require a hospital stay for recovery.

After surgery:

  1. Patient experiences pain and discomfort at the surgical site, which can be managed with pain medication.
  2. Patient may need to follow a special diet and take stool softeners to prevent straining during bowel movements.
  3. Patient gradually resumes normal activities and may need to avoid heavy lifting or strenuous exercise for a period of time.
  4. Patient follows up with their healthcare provider for post-operative care and monitoring of the surgical site.
  5. Patient may experience improvement in symptoms of rectal prolapse, such as reduced bulging and better control of bowel movements.
  6. Patient may need additional surgery in the future if rectal prolapse recurs or if complications arise.

What to Ask Your Doctor

Some questions a patient with rectal prolapse considering surgery may want to ask their doctor include:

  1. What are the potential risks and complications associated with rectal prolapse surgery?
  2. How long is the recovery time after surgery, and what can I expect during the recovery process?
  3. Will I need to make any lifestyle changes or follow a specific diet after surgery?
  4. How successful is rectal prolapse surgery in general, and what are the chances of the prolapse recurring?
  5. Are there any alternative treatments or less invasive procedures that could be considered?
  6. How many rectal prolapse surgeries have you performed, and what is your success rate?
  7. Will having benign joint hypermobility syndrome (BJHS) affect the outcome of the surgery?
  8. What can I do to prepare for surgery, and what should I expect on the day of the procedure?
  9. Will I need to follow up with you or a specialist after the surgery, and how long will the follow-up care last?
  10. Are there any long-term effects or considerations I should be aware of after undergoing rectal prolapse surgery?

Reference

Authors: Singh S, Smyth E, Jones O, Cunningham C, Lindsey I. Journal: Tech Coloproctol. 2023 Jun;27(6):491-494. doi: 10.1007/s10151-023-02770-w. Epub 2023 Mar 4. PMID: 36869924