Our Summary

This research paper discusses rectal prolapse, a condition more common in the elderly population, particularly women. Doctors play a crucial role in detecting this condition and initiating treatment. With appropriate treatment, symptoms can be significantly reduced, and healthcare resources can be used more efficiently.

Surgical treatment is one of the main ways to tackle rectal prolapse. This can involve either perineal or transabdominal surgery. Recently, there’s been a rise in the use of less invasive techniques, such as mesh rectopexy. This type of surgery can be performed on patients of any age.

The paper recommends that rectal prolapse should be managed at specialized pelvic floor centres. These centres have the interdisciplinary expertise needed to diagnose and treat the condition.

FAQs

  1. What is rectal prolapse and who is most likely to be affected by this condition?
  2. What are the different surgical treatments available for rectal prolapse?
  3. Why is it recommended that rectal prolapse be managed at specialized pelvic floor centres?

Doctor’s Tip

After rectal prolapse surgery, it is important to follow your doctor’s post-operative instructions closely. This may include taking pain medication as prescribed, avoiding heavy lifting or strenuous activities, and eating a high-fiber diet to prevent constipation. It is also important to attend follow-up appointments to monitor your recovery and address any concerns. Remember to communicate openly with your healthcare team about any symptoms or changes you experience after surgery.

Suitable For

Patients who are typically recommended rectal prolapse surgery are those who have tried conservative treatments without success and are experiencing severe symptoms such as fecal incontinence, chronic constipation, and discomfort. Patients who have a significant impact on their quality of life due to rectal prolapse may also be recommended for surgery. Additionally, patients who have a complete rectal prolapse or recurrent prolapse may benefit from surgical intervention. It is important for patients to consult with a healthcare provider to determine if surgery is the best option for their individual case.

Timeline

Before rectal prolapse surgery:

  • Patient experiences symptoms such as feeling a bulge or protrusion from the rectum, difficulty controlling bowel movements, and constipation
  • Patient may undergo medical examinations including a physical exam, digital rectal exam, and possibly imaging tests such as a colonoscopy or MRI
  • Treatment may include lifestyle changes, pelvic floor exercises, and medications to manage symptoms

After rectal prolapse surgery:

  • Patient undergoes preoperative preparation including fasting and bowel preparation
  • Surgery is performed, either perineal or transabdominal, with the goal of repairing the rectal prolapse and restoring normal bowel function
  • Patient may experience pain, swelling, and discomfort post-surgery
  • Recovery period includes monitoring for complications, pain management, and gradually resuming normal activities
  • Patient may need to follow up with healthcare providers for postoperative care and monitoring of symptoms

Overall, rectal prolapse surgery can provide significant relief and improved quality of life for patients experiencing this condition. With proper diagnosis, treatment, and postoperative care, patients can expect a successful recovery and better management of their symptoms.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rectal prolapse surgery include:

  1. What are the potential risks and complications associated with rectal prolapse surgery?
  2. What is the success rate of the surgery in terms of reducing or eliminating symptoms of rectal prolapse?
  3. How long is the recovery period after surgery and what kind of post-operative care will be necessary?
  4. Are there any alternative treatment options to surgery that should be considered?
  5. How experienced is the surgical team in performing rectal prolapse surgery?
  6. Will I need to make any lifestyle changes or modifications after the surgery to prevent recurrence of rectal prolapse?
  7. What can I expect in terms of long-term outcomes and quality of life after rectal prolapse surgery?
  8. Are there any specific pre-operative preparations or tests that I need to undergo before the surgery?
  9. Will I need to follow up with a pelvic floor specialist or colorectal surgeon after the surgery for monitoring and follow-up care?
  10. Are there any specific dietary or activity restrictions I should follow after rectal prolapse surgery to aid in the healing process?

Reference

Authors: Galli R, Rosenberg R, Lamm S. Journal: Praxis (Bern 1994). 2023 Aug;112(10):494-499. PMID: 37855648