Rectal Prolapse
- What is Rectal Prolapse ?(Large Intestine Prolapse)
- What Causes Rectal Prolapse ?(Large Intestine Prolapse)
- Diagnosis of Rectal Prolapse (Break Prolapse - Large Intestine Prolapse)
- Rectal Prolapse (Large Intestine Prolapse) Treatment
- How Successful Is Rectal Prolapse (Large Intestine Prolapse) Treatment?
What is Rectal Prolapse ?(Large Intestine Prolapse)
Large intestine prolapse (rectal prolapse – breech prolapse) is the protrusion of the last part of the large intestine (rectum) from the rectum (anus) and prolapse. In the early period of the disease, changes in defecation habits and discharge from the anus disturb the patient. In more advanced stages, the intestine comes out from the anus. Prolapse of the intestine from the anus and going out and entering from the anus during defecation causes damage to the muscles that control the anus (anal sphincter muscles) in patients. Due to this weakness in these muscles, the patient may also have difficulty holding his stool. For this reason, some of the patients have problems in controlling their stools (incontinence of bowel movements) and accompanying rectal discharge complaints. Fecal incontinence – this condition called fecal incontinence makes patients very uncomfortable. Although the disease is seen in both men and women, it is slightly more common in women.
What Causes Rectal Prolapse ? (Large Intestine Prolapse)
Large intestine prolapse (breech prolapse – rectal prolapse) has various causes. It can be observed as the late effect of the habit of excessive straining during defecation that has been going on for a long time or the hard straining during childbirth. In some rare cases, genetic (hereditary – hereditary) predisposition has been detected.
In fact, this event is part of a series of events that develop due to aging in most patients. With aging, the ligaments that hold the rectum in the pelvis (the pelvis) weaken and the anal sphincter muscle (the muscle that controls our rectum) relaxes. Both events can increase the incidence of the disease with aging. In some cases, neurological problems such as spinal cord cuts or diseases may predispose to prolapse of the large intestine. However, in most patients, there are many factors instead of a single cause. Is Rectal Prolapse (Large Intestine Prolapse) the Same as Hemorrhoids?
Some findings are similar to hemorrhoids (hemorrhoids – yeast). Although symptoms such as bleeding and a palpable mass in the rectum (as a result of protruding intestinal tissue) are similar to each other, in rectal prolapse, there is movement and sagging of the large intestine from the anus to the inside. Hemorrhoids (hemorrhoids) occur as a result of the enlargement of the vein vesicles close to the anal region (breech).
Diagnosis of Rectal Prolapse (Break Prolapse – Large Intestine Prolapse)
The doctor can make the diagnosis with a correct anamnesis (receiving information about the disease from the patient) and a complete anorectal (breech region) examination. The patient may be told to strain to identify prolapse of the large intestine (rectal prolapse). Sometimes the rectal prolapse (large intestine prolapse) is inward and hidden. In such cases, videodefecography (a special X-ray film taken during defecation) may be helpful. With this method, radiographs are taken while the patient has bowel movements. As a result, how the patient will be treated can be planned and the type of surgery can be decided.
Another test is anorectal manometry. With this test, the functions of the muscles around the anus (breech) and the coordination between the anus and the rectum can be examined.
Rectal Prolapse (Large Intestine Prolapse) Treatment
Although constipation and constant straining can cause large bowel prolapse (rectal prolapse), eliminating these problems cannot restore the prolapsed bowel. Therefore, surgery is necessary to restore the prolapsed bowel.
In this case, surgery to treat prolapse of the large intestine (rectal prolapse) can be done in two ways. In some patients, intestinal sagging from the abdomen can be corrected, while in others, surgery from the breech region may be required. Treatment for prolapse of the large intestine (rectal prolapse) varies according to many factors. These depend on the patient’s age, physical condition, degree of prolapse, and test results. Your doctor will evaluate all these and help you decide which method is appropriate and which method will give the best results.
How Successful Is Rectal Prolapse (Large Intestine Prolapse) Treatment?
Success in the treatment of prolapse of the large intestine (rectal prolapse) depends on many factors such as the condition of the anal sphincter muscle (the muscle that controls the rectum) before the operation, the degree of prolapse (intestinal prolapse), the general condition of the patient and the surgical methods used.
If the anal sphincter muscle (the muscle that controls the rectum) is weakened due to prolapse (intestinal prolapse) or another reason, in most cases, after the rectal prolapse is corrected, it regains its former strength – tension. Chronic constipation and straining should be avoided after surgery. In the majority of patients, complete regression or significant improvement in symptoms (signs of the disease) can be achieved after appropriate procedures are applied.