Rectal prolapse is similar to, but not the same as, rectocele, which is a common condition in women. A rectocele is a prolapsed rectum that can result when the backside (or posterior) wall of the vagina prolapses.

Why does it occur?

Several factors may contribute to the development of rectal prolapse. It may come from a lifelong habit of straining to have bowel movements or as a delayed result of stresses involved in childbirth. In rare cases, there may be a genetic predisposition in some families. It seems to be a part of the aging process in many patients who experience weakening of the ligaments that support the rectum inside the pelvis as well as loss of tightness of the anal sphincter muscle. In some cases, neurological problems, such as spinal cord transection or spinal cord disease, can lead to prolapse. In most cases, however, no single cause can be identified.

Symptoms in India

The main symptom is a reddish-colored mass that sticks out from the opening of the anus, especially following a bowel movement. The lining of the rectal tissue may be visible and may bleed slightly.

Exams and Tests in India

The health care provider will perform a physical exam, which may include a rectal exam. Tests will be done to determine the underlying cause.

How is rectal prolapse treated?

Although constipation and straining may be causes of rectal prolapse, simply correcting these problems may not improve the prolapse once it has developed. There are many different ways to surgically correct rectal prolapse. Abdominal or rectal surgery may be suggested. Your doctor can help you decide which method will most likely achieve the best result by taking into account many factors, such as age, physical condition, extent of prolapse and the results of various tests.

Treatment of rectal prolapse depends on several factors : –

• Patient’s age
• Physical condition
• Extent of prolapse
• Test results

How successful is treatment?

Success depends on a number of factors, including the status of a patient’s anal sphincter muscle before surgery, whether the prolapse is internal or external, the overall condition of the patient and surgical method used. If the anal muscle has been weakened, either because of the rectal prolapse or for some other reason, it may in many cases significantly regain strength after the rectal prolapse has been corrected.

Chronic constipation and straining after surgical correction must be avoided. A great majority of patients are completely relieved of symptoms, or are significantly helped, by the appropriate procedure.

Possible Complications Surgery in India

• Constipation
• Malnutrition or malabsorption
• Other complications of the condition that caused the prolapse

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