Our Summary

This research paper studies the problem of internal rectal prolapse, a common condition where part of the rectum falls down and protrudes into the anus. This problem is more common as people get older, and it can cause constipation and difficulty passing stools. The researchers wanted to see if this condition causes any lasting damage to the rectum.

They studied tissue samples from the rectums of patients undergoing a certain surgical procedure to treat this condition. They found that nearly all the samples had some kind of damage to the muscles and nerves in the rectum. Only a very small number (4%) were free of significant damage.

They also found that the severity of the prolapse and how much the rectum protrudes was related to the patient’s age. Additionally, they found that all male patients and most female patients also had hemorrhoids.

Based on their findings, the researchers suggest that rectal prolapse injures the rectum, leading to problems with muscle and nerve function. This damage is caused by the pressure and lack of blood flow resulting from the prolapse. This can result in a vicious cycle where the physical blockage and functional problems worsen each other, making it even harder for the rectum to function properly.

The researchers conclude that rectal prolapse can be seen as a degenerative disorder, meaning it gets worse over time. The damage to the nerves and muscles in the rectal wall caused by the prolapse is likely permanent.

FAQs

  1. What is internal rectal prolapse and what problems can it cause?
  2. Does rectal prolapse cause permanent damage to the rectum?
  3. How does the severity of rectal prolapse relate to the patient’s age and presence of hemorrhoids?

Doctor’s Tip

A helpful tip a doctor might give a patient about rectal prolapse surgery is to follow post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include avoiding heavy lifting, straining during bowel movements, and following a diet high in fiber to prevent constipation. It is also important to attend follow-up appointments with your healthcare provider to monitor your recovery progress.

Suitable For

Therefore, patients who are experiencing significant symptoms of rectal prolapse, such as difficulty passing stools, constipation, and protrusion of the rectum into the anus, are typically recommended for rectal prolapse surgery. Additionally, patients who have tried conservative treatments such as dietary changes, pelvic floor exercises, and medications without success may also be candidates for surgery.

It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine if rectal prolapse surgery is the best course of action for their individual situation. Surgery may help improve symptoms and quality of life for patients with rectal prolapse, especially if there is significant damage to the rectal muscles and nerves.

Timeline

Before rectal prolapse surgery, a patient may experience symptoms such as difficulty passing stools, constipation, and a feeling of something protruding from the anus. They may also have hemorrhoids and experience discomfort or pain during bowel movements.

After rectal prolapse surgery, the patient will likely have a recovery period where they need to follow post-operative instructions, such as avoiding heavy lifting and taking pain medication as needed. They may experience some discomfort, swelling, and temporary changes in bowel habits as their body heals.

Over time, the patient should experience relief from the symptoms of rectal prolapse and improved bowel function. However, it is important for the patient to follow up with their healthcare provider for regular check-ups to monitor their recovery and address any potential complications or recurrence of 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. How long is the recovery process after rectal prolapse surgery, and what can I expect in terms of pain and discomfort?
  3. Will I need to make any lifestyle changes or follow a special diet after rectal prolapse surgery?
  4. How successful is rectal prolapse surgery in treating the condition, and are there any potential long-term effects?
  5. Will I need to undergo any additional treatments or therapies after the surgery to manage any remaining symptoms or complications?
  6. Are there any alternative treatment options to rectal prolapse surgery that I should consider?
  7. How experienced are you in performing rectal prolapse surgery, and what is your success rate with this procedure?
  8. Will I need to have any follow-up appointments or tests after the surgery to monitor my recovery and the effectiveness of the treatment?
  9. How soon after the surgery can I resume normal activities, including work and exercise?
  10. Are there any specific precautions or instructions I should follow before and after the surgery to ensure the best possible outcome?

Reference

Authors: Kraemer M, Paulus W, Kara D, Mankewitz S, Rozsnoki S. Journal: Int J Colorectal Dis. 2016 Dec;31(12):1855-1861. doi: 10.1007/s00384-016-2649-8. Epub 2016 Sep 6. PMID: 27599704