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rectal prolapse surgery in delhi noida

Rectal Prolapse

Rectal prolapse can be defined as a condition, where a part of the rectum protrudes from the anus. Or in other words, it occurs when the rectum falls from its normal position within the pelvic area allowing it to slide out through the anal opening, turning it “inside out. Here, women ages 50 and older have six times more risk than men and is often suspected when the problem is serious and turns into hemorrhoids.

It is basically described in three types:

1. The entire rectum extends out of the anus.
2. A part of the rectal lining is extended out through the anus.
3. The rectum extends down but does not come out of the anus, also known as internal prolapse.

Symptoms of rectal prolapse

Often, haemorrhoids and rectal prolapse are considered as the same. However, bleeding and the tissue that protrudes from the rectum are common symptoms, but there is a major difference as rectal prolapse involves an entire segment of the bowel located higher up within the body whereas Hemorrhoids only involve the inner layer of the bowel near the anal opening.

rectal prolapse surgeon in delhi noida

Rectal prolapse usually involves the feeling of a bulge or the appearance of reddish-coloured mass that extends outside the anus. Initially, this can occur during or after bowel movements and is a temporary condition but over time the end of the rectum may even extend out of the anal canal spontaneously and might need to be pushed back up into the anus by hand.

What causes rectal prolapse?

rectal prolapse surgery clinic in delhi noida However, numerous factors lead to rectal prolapse and there is no single cause to it.

5 causes of rectal prolapse;

1. The long-term history of straining during bowel movements
2. Chronic constipation or chronic diarrhoea
3. The weakening of the anal sphincter
4. Earlier injury to the anal or pelvic areas
5. Older age

Diagnosis of rectal prolapse

Its diagnosis is normal like any other diseases as the affected area has to go through the medical history and anorectal examination. However, sometimes a rectal prolapse may be hidden or internal leading to a more difficult diagnosis. In this situation, the doctor might ask to sit on a toilet and strain as if having a bowel movement. Also, there are different tests which are used to diagnose rectal prolapse and other pelvic floor problems thus, determining the best treatment for you. Theses test includes anal electromyography (EMG), anal manometry, anal ultrasound, colonoscopy, proctosigmoidoscopy, proctography etc.

Treatment of rectal prolapse
However, constipation and straining play a role in this condition but for correcting it completely this may not suffice. In some condition when the patient’s situation is out of control then the doctor uses several methods to surgically repair rectal prolapse. The type of surgery is based on the patient’s current condition of the colon, his age, physical condition, and extent of prolapse and the results of tests.

Types of surgical approaches;

  • Abdominal repair through traditional surgery (open approach)
  • Laparoscopic surgery
  • Robotically assisted surgery

Post- treatment prognosis

Here, the opting for the surgical procedure might be very effective as it greatly improves the symptoms. After the surgery, the patient just has to stay 2 to 3 days in the hospital on an average but this varies depending on a patient’s other health conditions.

However, the recovery is usually fasts in the case and is expected in a month. It also depends on the patient taking preventive measures patients like avoiding straining and heavy lifting for at least 6 months. In fact, the best way to prevent the prolapse from returning is by avoiding straining and activities that increase abdominal pressure.

There are some factors that influence the outcome include and varies from patient to patient;

  • Condition of the anal sphincter muscles before surgery
  • Whether the prolapse is internal or external
  • The overall health of the patient

It may take as long as one year to determine the impact of surgery on bowel function. Chronic constipation and straining after surgical correction should be avoided.

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Sir Ganga Ram Hospital
Old Rajinder Nagar, New Delhi
Delhi Laparoscopic Surgery Clinic
VBS Medics, D-148, near Manav Rachna School, Block D, Sector 51, Noida, Uttar Pradesh 201307
Ahuja Clinic
Pahari Bazar, Roorkee, Uttarakhand
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About Anmol Ahuja

DNB (Gen Surgery), FNB (Minimal Invasive Surgery), FMAS, Fellowship in ColoRectal Surgery (Taiwan)

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Copyright by Dr. Anmol Ahuja. All rights reserved.