There are two general types of surgery for rectal prolapse:. Rectal prolapse can be confused with hemorrhoids , which are also known as piles.
This is because both conditions affect the last section of the bowel and have similar symptoms. While rectal prolapse affects the rectal wall, hemorrhoids affect the blood vessels in the anal canal. These two conditions require different treatment, so it is important to get the correct diagnosis. There are some lifestyle changes people can make to try and avoid rectal prolapse, including :. However, proper recovery is crucial and how long this will take will depend on the type of treatment.
Typically, people who have had surgery spend 3 to 5 days in the hospital after the operation, and most make a complete recovery within 3 months. After undergoing surgery for a rectal prolapse, people should avoid straining and heavy lifting for at least 6 months afterward. Hemorrhoids or piles are common irritations around the rectum and can be extremely painful. They are internal or external and can get bigger if not….
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Bowel incontinence is a common complaint where a person loses some or all control over their bowel. Normal physical activity, such as walking, sitting, and exercising, may also cause part of the rectum to push through your anus. At first, it can be returned to its proper location by hand.
If rectal prolapse worsens, there could be bleeding from the inner lining of the rectum. In cases of partial or complete prolapse, you may have trouble controlling liquid or solid bowel movements and gas from your rectum.
Chronic constipation occurs in 30 to 67 percent of people with rectal prolapse, and about 15 percent experience diarrhea. Surgery is typically required to help repair rectal prolapse and treat symptoms such as fecal incontinence and obstructed bowel movements. Some types of surgery involve making an incision in the abdominal wall and pulling the rectum back into place. This surgery, also known as abdominal rectopexy, can also be performed laparoscopically, using smaller incisions with a special camera and tools.
There are also two different types of perineal rectosigmoidectomy, which are surgical procedures that repair the rectal prolapse through the perineum, or the area between the anus and genitals.
These types are the :. These surgeries are often recommended for people who have severe constipation and are not considered candidates for a laparoscopic procedure through the stomach. After rectal prolapse surgery, you may need to stay in the hospital to recover and regain bowel function.
The amount of time you spend in the hospital can vary depending on the specific type of surgery you had.
During your hospital stay, you will slowly transition from drinking clear liquids back to eating solid foods. Your doctor may also advise you on strategies to avoid a recurrence , or a return of rectal prolapse. These strategies may involve:. Generally, most people are able to fully recover and return to their normal daily activities within 6 weeks of surgery. If nerves that control the rectal and anal muscles are damaged, rectal prolapse can develop. These nerves can sometimes be damaged from:.
This is the muscle that prevents stool from involuntarily passing from your rectum. Common reasons this muscle may weaken are:. The strain of chronic bowel movement problems can make your rectum more likely to move down from its location. Straining while having bowel movements, if done often over a period of years, can also cause rectal prolapse. While not directly linked to rectal prolapse, some conditions may increase the risk of it, including :. Women over age 50 are also at an increased risk of rectal prolapse.
If the prolapse is mild, softening the stool can help you strain less during bowel movements so you may recover without surgery before it gets worse. However, surgery is the only way to definitively treat rectal prolapse and relieve symptoms.
The surgeon can do the surgery through the abdomen or through the area around the anus. If you are constipated, ask your healthcare provider if you should take a stool softener or a bulk laxative. Stay active and get regular exercise. If you are overweight, try to get back to a healthy weight.
Health Home Conditions and Diseases. Causes Rectal prolapse is usually caused by a weakening of the muscles that support the rectum. Symptoms Symptoms of rectal prolapse include: Feeling a bulge after coughing, sneezing, or lifting Having mucous discharge in your stool Pain and rectal bleeding Fecal incontinence Having to push the prolapse back into the anus by hand Feeling pressure in your rectum Being constipated Having anal pain, bleeding, or itching Risk factors Anyone can develop rectal prolapse, but women are more likely to have the condition than men.
These are some conditions that may increase your risk for developing a rectal prolapse: A long history of constipation Straining to have bowel movements Chronic diarrhea Laxative abuse Childbirth Spinal cord problems or previous stroke Cystic fibrosis Aging or dementia Diagnosis Your healthcare provider will be able to diagnose rectal prolapse with a medical history and a physical exam.
Tests may include: Videofecogram. A type of X-ray taken during a bowel movement. Treatment Treatment often begins with steps to avoid constipation and straining. Types of surgery include: Repair done through the abdomen. Be sure to note other symptoms to discuss with your doctor, such as:. If these changes do not yield the results you want, make an appointment to discuss your situation with a doctor.
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