}November 24, 2021
jDr.. Muhannad Al-Khatib

Rectal Prolapse Repair

}November 24, 2021
jDr.. Muhannad Al-Khatib

Rectal Prolapse Repair

Table of Contents

    The rectum prolapses through the anus causing unpleasant and uncomfortable symptoms for the patient. At present, rectal prolapse repair is performed with advanced minimally invasive techniques.

    Overview of the rectum 

    The rectum forms the last part of the large intestine, extending from the end of the sigmoid colon to the anus.
    The rectum is tubular and about 12 to 16 cm long.

    The rectum serves as a temporary storage for waste before it is passed out of the body through the anus.
    Within the wall of the rectum there are nerve receptors responsible for the feeling of the urge to defecate if there is a waste to be excreted from the body.

    Large intestine and rectum

    Large intestine and rectum


    What is rectal prolapse

    Rectal prolapse is known as prolapse of the rectum out of its normal position through the anus to the outside.
    Rectal prolapse is often noticed after defecation or when standing, as it is in the form of a red-tipped mass protruding from the anus. Rectal prolapse is a common condition in elderly people who suffer from chronic constipation and occurs more often in women after menopause and may affect young children as well.

    The rectum is often returned to its normal position by surgery, and currently in Turkey, the surgery is performed with advanced minimally invasive techniques with low risk.

    rectal prolapse

    rectal prolapse


    Causes of rectal prolapse 

    There are several factors and pathological causes that increase the risk of rectal prolapse, such as:
    • Chronic constipation or chronic diarrhea
    • Aging: The strength of the anal sphincter weakens with age
    • Neurological injury to the nerves responsible for contracting the rectal and anal muscles
    • Severe and persistent pressure during defecation
    • Previous traumatic injury to the pelvic region around the rectum
    • Some diseases play a role in the emergence of the disease, such as cystic fibrosis or diabetes
    • Infections at the anal and rectal level
    • Rectal prolapse may occur in women after natural childbirth
    • Rectal prolapse may be associated with uterine prolapse and vagina



     Symptoms of rectal prolapse

    • Notice a reddish mass during and after defecation
    • Over time, this lump may appear while standing or walking
    • Bloody stool and pain during defecation
    • Fecal incontinence and some suffer from incontinence
    • Feeling the urge to defecate even though there is no stool
    • Constipation or diarrhea
    • Passing mucus or pus with stool


    Diagnosis of rectal prolapse

    At first, the doctor takes the patient’s clinical history in detail and knows the patient’s medical history, as the presence of chronic constipation may increase the suspicion of the possibility of rectal prolapse.
    A distinction must be made between rectal prolapse and hemorrhoids, as they are two different medical conditions.
    The doctor may use the following tests to rule out other causes.

    Rectal examination (anal palpation)

    The doctor wears gloves and inserts his finger into the rectum through the anus, and the strength of the anal sphincter is evaluated and for lumps, abnormalities, or rectal bleeding.


    Anal manometry

    A narrow, flexible tube containing a balloon at the bottom is inserted into the rectum through the anus. The balloon is inflated and the force of contraction of the anal sphincter is measured.


    Anal electromyography

    This test is useful in finding out if the cause of rectal prolapse is a defect in the innervation of the anal sphincter muscle.



     This test is used to rule out other causes such as the presence of polyps or colorectal cancer.
    A flexible tube containing a camera is inserted through the anus to view the large intestine.

    defecation radiographyy

    In this test, a continuous x-ray is shed, that is, a video x-ray of the rectum and anus is taken during the defecation process to study the presence of functional problems during defecation in the rectum.

    Rectal Prolapse Repair Surgery in Turkey

    In most cases, the doctor performs a surgical repair of rectal prolapse.
    The surgery is done by surgical techniques aimed at repairing or strengthening the rectal septum.
    In Turkey, advanced techniques such as minimally invasive laparoscopic surgery and robotic surgery are used, which are characterized by low risks and quick recovery.

    Preparation before surgery

     Some medications that increase the risk of complications during surgery, such as blood thinners, which increase the risk of bleeding, are stopped.
    Before the operation, the doctor may ask the patient to shower with an antiseptic soap to kill germs and reduce the risk of infection.
    The doctor may also prescribe antibiotics before the operation to reduce the risk of infection associated with the operation.
    Your doctor will recommend surgery to repair rectal prolapse using the technique that's best for you.

    Surgical intervention to repair rectal prolapse


    Transabdominal involvement

     Through this method, surgical incisions are made in the abdomen and the treatment of rectal prolapse is done either by fixing the rectum in its natural place, or in the event of a long history of constipation, the doctor resorts to removing part of the colon and then returning the rectum to its natural place.
    In healthy patients, transabdominal intervention is performed.
    Rectal Prolapse Repair

    Rectal Prolapse Repair

    Transperineal interference

     This method is used in older patients who have health problems.
    There are two styles of this procedure:

    Altemeier procedure: In this procedure, the descending part of the rectum is excised, and then the two ends of the rectum are sutured together.

    Delorme procedure: In this procedure, only the inner lining of the descending rectum is removed, and then, the two ends of the inner lining are sutured together.

    The outer layer of the descending rectum is then folded and returned to its normal position.


    Minimally invasive rectal prolapse repair in Turkey


    Laparoscopic Rectal Prolapse Repair Surgery

    In this procedure, the patient is anesthetized, and then the surgeon makes a small incision in the abdomen, and then a laparoscope (which is a tubular device that has a camera at the bottom) is inserted.
    The doctor locates the sigmoid colon and rectum, then the doctor frees the rectum from the surrounding tissues and gently returns the descending rectum to its normal position.


    Robotic Rectal Prolapse Repair Surgery

    It is one of the most advanced and modern techniques that have been introduced to the world of surgery in Turkey and can be used to repair rectal prolapse or prolapse.
    With a robotic device controlled by the surgeon, the operation is performed with great accuracy, with a clear three-dimensional vision, and with the least possible risk.
    After making very small surgical incisions, using a robot, the rectum is fixed to its normal position precisely.
    You can watch a video of the process at Here.

    Advantages of Minimally Invasive Rectal Prolapse Repair

    • Less chance of complications, such as infection
    • Much less blood is lost than with open surgery
    • Quick recovery after the operation, as the patient returns to his normal life within a short period
    • Its results are often better than open surgery
    • Less surgical scars
    • The pain is less


    after surgery 

    The length of stay in the hospital after the operation depends on the type of surgery that was performed.
    You must drink plenty of fluids after the operation, and the doctor may prescribe stool softeners during the recovery period.
    The doctor recommends the patient a high-fiber diet in the weeks after surgery to avoid constipation that may lead to a recurrence of rectal prolapse.

    On average, most patients return to their normal lives within 4 to 6 weeks of surgery.
    After surgery, symptoms disappear completely in the vast majority of patients.

    Bimaristan Medical Center is your first choice For treatment in Turkey.
    We guide you to the best expert specialists in all departments.
    We facilitate the language of communication between you and everyone through specialized Arab doctors who will help you communicate with your doctor.
    We help you secure the right treatment and high-end service in the most modern hospitals and medical centers in Turkey.
    We provide our services extensively and precisely.
    We accompany you step by step towards recovery.
    Free consultations around the clock.
    do not hesitate Contact usBimaristan, your family center in Turkey.



    Frequently asked questions about rectal prolapse repair

    How is rectal prolapse treated?
    Rectal prolapse is often treated with a surgical procedure aimed at repairing the prolapse and returning the rectum to its normal position.
    How is rectal prolapse repair done?

    Rectal prolapse repair is done either by open surgery through the abdomen or perineum, or by minimally invasive techniques such as laparoscopic or robotic surgery.

    What are the causes of rectal prolapse?

    There are a number of factors that play a role in rectal prolapse, including:

    • Chronic constipation or chronic diarrhea
    • Aging, as the anal sphincter weakens
    • Causes that raise intra-abdominal pressure 
    • Anal and rectal infections

    Table of Contents

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