AllRefer Health - Caring for your Well Being

Home | About | FAQs | Contact Us

AllRefer Channels :: Yellow Pages | Reference | Health  

Surgeries & Procedures
Select & Go
 Diet & Nutrition
 Diseases & Conditions 
 Injuries & Wounds
 Poisons & Overdoses
 Surgery & Procedures 
 Symptoms Guide
 Special Topics
 Tests & Exams
 Pictures & Images
 Medical Encyclopedia

You are here : AllRefer.com > Health > Surgery & Procedures > Rectal prolapse repair

Rectal prolapse repair


Definition

Rectal prolapse repair is surgery to fix a rectal prolapse, in which the rectum (the last part of the colon) protrudes through the anus.

Overview & Description

Rectal prolapse may be partial, involving only the mucosa. Or it may be complete, involving the entire wall of the rectum. It can occur in children but is much more common in older people.

Rectal prolapse in infants often gets better on its own and does not require surgery. Children with the following conditions are at greatest risk:

Rarely the condition can be caused by acute diarrhea or straining to pass stool while constipated.

Rectal prolapse is most common in older adults with a long history of constipation or weakness of the pelvic floor muscles. It is more common in women, especially those who have had a hysterectomy.

SYMPTOMS:

The symptoms of rectal prolapse include:

  • Pain in the anus and rectum (anorectal pain)
  • Bleeding
  • Mucus discharge from the anus
  • Incontinence
  • Rectal tissue sticking out while having bowel movements (it may need to be pushed back in manually)

This condition can be confused with hemorrhoids but is different.

SURGERY:

Surgery is required to correct rectal prolapse in adults and in some children. Most surgical procedures for rectal prolapse are done under general anesthesia. For older or sicker patients, epidural or spinal anesthesia may be used.

There are three basic types of surgery to repair rectal prolapse. Your surgeon will decide which one is best for you.

For healthy adults, an abdominal procedure has the best chance of success. While you are under general anesthesia, the doctor makes a surgical cut in the abdomen and removes a portion of the colon. The rectum may be attached (sutured) to the surrounding tissue.

Sometimes a soft piece of mesh is wrapped around the rectum to help it stay in place. This procedure can also be done with laparoscopic surgery (also known as "keyhole" or "telescopic" surgery).

For older adults or those with other medical problems, an approach from below (perineal approach) might be less risky. However, with the perineal procedure, the condition will be more likely to come back (recur).

While you are under general, epidural, or spinal anesthesia, the prolapsing rectum or colon can be treated from the pelvic floor (perineum). The doctor will either remove a portion of the colon or suture the rectum to the surrounding tissues, or both.

Very frail or sick patients may need a small procedure to reinforce the sphincter muscles. This technique encircles the muscles with a band of soft mesh or a silicone tube. This approach provides only temporary improvement and is rarely used.

Indications

For children, rectal prolapse does not always require surgery. However, children whose rectal prolapse does not improve over time may need surgery. Infant prolapse often disappears without treatment.

Surgery to repair rectal prolapse is advised for most adults.

Pictures & Images

Rectal prolapse repair  - series
Rectal prolapse repair - series

       
      See all Pictures & Images



Quick Jump
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9

Next
After the Procedure

Jump To Another Page

Review Date : 5/15/2008
Reviewed By : Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.



Featured Topics

Alzheimer's Disease

High Blood Pressure

Crohn's Disease

Impotence

Overactive Bladder

ADAM

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial reviewers. A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

This website is certified by Health On the Net Foundation. Click to verify.
This site complies to the HONcode standard for trustworthy health information: verify here.
Copyright © 2013 AllRefer.com All Rights reserved.
Health Topics: 0-9 A-AID Air-Aor Aor-Azo B-Blo Blo-Bys C-Cha Cha-Col Col-CSF CSF-Cyt D-Dis Dis-Dys E-Ess Est-Eye F-FSP FTA-Fus G H-Her Her-Hys I-Iod Ion-Ivy J K L-Luc Lud-Lym M-Min Min-Myx N O P-Pes Pes-Pre Pre-Pyr Q R-Rig Rig-RVA s-SID SID-Spu Spu-Sys T-Too Too-Typ U V W X Y Z
About Us | Help | Privacy Policy | Editorial Policy | Advertising Policy | Accessibility | Terms of Use
Contact Us | Link to Us
Page Last Updated: 30 Aug, 2014