Rectum Prolapse Treatment in Indore

Rectal Prolapse -Treatment (Detailed Description)

Rectal prolapse is a health issue whereby some or all of the rectum is forced out of the anus. The therapy is based on the degree of the prolapse, age, overall health of the patient and other related situations. The main idea is to repair the prolapse, alleviate symptoms and avoid relapse.

1. Goals of Treatment

The treatment goals of rectal prolapse include:

Return the rectum to normal anatomic position.

Improve bowel control

Alleviate pain and haemorrhage.

Avoid complications and relapse.

Improve quality of life.

2. Goal:

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Mild, partial prolapse is the type of prolapse that is normally advised to be treated using conservative management or in a patient who is not fit to undergo surgery.

A. lifestyle and dietary interventions.

Fiber diet to avoid constipation.

Adequate fluid intake

One should not strain much during defecation.

Create routines of bowel behaviour.

B. Medications

Laxatives or stool softeners to minimise straining.

Chronic diarrhoea is to be treated with medications in case of its presence.

C. Pelvic Floor Therapy

To strengthen muscles, pelvic floor exercises (Kegel exercises) should be performed.

To enhance muscle coordination, biofeedback therapy is used.

Cautionary: If conservative therapy fails to cure full rectal prolapse, it can lessen symptoms and course.

3. Surgical Treatment

Surgery is the ultimate management of most cases, including complete rectal prolapse.

A. Abdominal Procedures

They are used in younger or fitter patients.

Rectopexy

The rectum is re-arranged and is attached to the sacrum.

It may be done either through open surgery or laparoscopy.

It is often used for constipation with a sigmoid colon resection.

Advantages:

Lower recurrence rate

Better long-term outcomes

B. Perineal Procedures

Ideal for geriatric patients or patients at high risk of surgery.

Delorme Procedure

debridement of the prolapsed rectum mucosal layer.

The muscle layer is creased and contracted.

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Hysterectomy of prolapsed rectum and sigmoid colon.

The bowel, which has been removed, is reattached.

Advantages:

Less invasive

Should be performed with regional anaesthesia.

Disadvantages:

Increased recurrence rate than abdominal surgery.

4. Emergency Management

In case the prolapsed rectum is:

Swollen

Painful

Strangulated or ulcerated

Short-term treatment involves:

The reduction was performed manually using lubrication.

The use of osmotic or sugar to decrease swelling.

In the case of a compromised blood supply, emergency surgery is required.

5. Post-Treatment Care

Pain management

To prevent straining, use Stool softeners.

Slow progression back to regular operations.

Pelvic floor functionality rehabilitation.

Follow-up to ensure recurrence is noted.

6. Possible Complications

Recurrence of prolapse

Fecal incontinence

Constipation

Bleeding or infection

Anastomotic leak (after surgery)

7. Prognosis

There is a high success rate of surgical treatment.

Treatment at an early stage enhances bowel function and minimises complications.

The lifestyle changes can prevent recurrence.

Summary

The management of rectal prolapse depends on conservative management of mild cases and surgery involving complete prolapse. Repair surgery is the best and most permanent option, and the decision of the treatment will depend on the state of health of the patient and the degree of prolapse.