If the prolapse was caused by another condition, the child may need treatment for that condition. Home treatment for adults may help treat the prolapse and may be tried before other types of treatments. People who have a complete prolapse or who have a partial prolapse that doesn't improve with a change in diet will need surgery. Surgery involves attaching the rectum to the muscles of the pelvic floor or the lower end of the spine sacrum. Or surgery might involve removing a section of the large intestine that is no longer supported by the surrounding tissue.
Both procedures may be done in the same surgery. Author: Healthwise Staff. Medical Review: Anne C. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information.
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Updated visitor guidelines. You are here Home » Rectal Prolapse. Top of the page. Topic Overview What is rectal prolapse? Partial prolapse also called mucosal prolapse. The lining mucous membrane of the rectum slides out of place and usually sticks out of the anus. This can happen when you strain to have a bowel movement. Partial prolapse is most common in children younger than 2 years. Complete prolapse. They should also do a complete physical examination. During your exam, your doctor may ask you to squat and strain as though you were having a bowel movement.
Your doctor will observe your rectum and may place a gloved finger in your anus to check the health or strength of the anal sphincter and the rectum itself.
You may also be directed to have a colonoscopy to check for any polyps. Rectal prolapse and hemorrhoids can both be uncomfortable and painful conditions.
Rectal prolapse may initially feel like a bad case of hemorrhoids, and sometimes hemorrhoids on your anus may look like your rectum is emerging. Rectal prolapse involves movement of the rectum itself.
Hemorrhoids are actually swollen blood vessels in the walls of your rectum or anus. Hemorrhoids are quite common in their smaller, milder form. They can become painful and itchy and can leave red blood on the tissue when you wipe. Rectal prolapse can also cause bleeding sometimes. Read more: Why is there blood when you wipe? If you suspect you have hemorrhoids or rectal prolapse, see a doctor.
They can diagnose your condition and start the appropriate treatment. Preventing rectal prolapse is not always possible.
You can reduce your risk if you maintain good intestinal health. To help avoid constipation:. Rectal prolapse may be associated with several serious complications. It often causes ulcers in the rectum, which could result in bleeding and pain. It may also damage the sphincter, which is the ring-shaped muscle that opens and closes the anus. This can lead to issues with bowel control, including fecal incontinence.
In very severe cases, it may also cause strangulation, cutting off the blood supply to the part of the rectum that has pushed through the anus. This is considered a medical emergency and requires immediate surgical intervention. The outlook is generally positive for someone undergoing rectal prolapse surgery. This is to prevent constipation or straining during a bowel movement. The amount of time spent in the hospital after surgery depends on your health and the type of surgery you had.
A full recovery can be expected in about 6 weeks. The sooner you see a doctor about your symptoms, the easier the surgery and recovery will be. You may be given medication in the hours before the operation to prepare you for anaesthesia and make you feel drowsy. Rectal prolapse operation procedure The various types of surgery include: Laparotomy open abdominal surgery — the surgeon uses a single, large incision cut in the abdomen.
Then the surgeon carefully moves aside the overlying organs. To stop the rectum prolapsing, it is lifted, pulled straight and stitched directly to the inner surface of the sacrum central bone of the pelvis.
Sometimes, a short length of bowel may be removed Laparoscopy keyhole abdominal surgery — laparoscopy may be possible in some cases. This involves inserting slender instruments through a number of small incisions in the abdomen.
Recovery time following laparoscopy is usually quicker than open surgery Anal surgery — under anaesthesia, the surgeon gently pulls out the prolapsed bowel through the anus.
The prolapsed section of bowel is usually removed and the structural damage repaired. The bowel is rejoined and returned back through the anus to restore normal bowel function and appearance. Other forms of treatment for rectal prolapse Surgery is the best option for severe rectal prolapse. Other possible forms of treatment may include: Lifestyle changes — including high-fibre diet, drinking plenty of water and getting regular exercise Change to toileting habits — such as not straining when trying to pass a bowel motion.
This may require using fibre supplements or laxatives. Immediately after surgery for rectal prolapse After your operation for rectal prolapse or rectocele, things you can expect include: Hospital staff will observe and note your temperature, pulse, breathing and blood pressure. You will have an intravenous fluid line in your arm to replace fluids in your body. You will receive pain-relieving medications.
Tell your nurse if you need more pain relief. You may have a catheter to drain off urine for the next day or so, or until you can empty your bladder by yourself. If you have a vaginal pack, this will be taken out later the same day or the day after surgery. You may be in hospital for three to six days following surgery.
You will need to make follow-up appointments with your doctor. If that does not work, then surgery may be advised. The type of surgery will depend on a number of factors:. 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…. There are many reasons for rectal bleeding after wiping. We look at 11 causes here, along with the treatment options there are for each one. Learn about proctalgia fugax, how it is diagnosed, what treatments are available, and can lifestyle changes help?
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