What is rectal prolapse?
The type of operation depends on the size of the prolapsed intestine, the age and general conditions of the patient and the eventual coexistence of other pelvic floor pathologies.
He Rectal prolapse It is the exit through the anus of the final part of the large intestine. The amount of intestine that prolapses depends on the severity of the disease, and can vary from a lesion of a few centimeters to extreme cases in which the entire rectum can be left outside the anus; If the Prolapse is small it can be confused with Hemorrhoids.
The symptoms can be different, Some patients may present difficulty evacuating or defecatory obstruction referred to as an anal plug sensation; Other patients report fecal soiling or incontinence, bleeding or pain when sitting, depending on the degree of the Prolapse.
Causes of Rectal Prolapse
The causes of this disease they can be the Chronic constipation, prolonged efforts made during defecation, weakness of the muscles of the perineum and anus due to the stress of vaginal birth, especially in the case of difficult births, physiological aging of the ligamentous and muscular structures that support the pelvic floor and neurological injuries. However, In most patients, it is possible to identify more than one cause.
Rectal Prolapse Treatment
Rectal Prolapse It is treated only with Surgery. The type of operation depends on the size of the prolapsed intestine, the age and general conditions of the patient and the eventual coexistence of other pelvic floor pathologies.
Prolapse correction can be performed from the anus and consists of complete resection of the rectum or resection of the rectal mucosa with plication of the underlying muscles; Later, the union of the rectum with the anus is made.
In other cases, the intervention is carried out through the abdomen with Laparoscopic surgery and consists of raising the rectum from inside the pelvis and fixing it on a higher plane with the application of a reinforcing mesh.
There are no effective prevention measureshowever, prevent or treat constipation helps eliminate one of the most frequent causes of Rectal Prolapse.