The use of perineal approaches is preferred in elderly and fragile patients; for example, Delorme’s procedure, with or without the Thiersch procedure, and the Gant-Miwa procedure are options for mild rectal prolapse, whereas Altemeier’s procedure is the treatment of choice for severe rectal prolapse.
Rectal Prolapse is a medical condition that occurs when the cervix collapses.Recurrence of rectal prolapse is caused by the rectum (the lower end of the large intestine) shifting out of its usual position inside the pelvic region.It may be possible to begin therapy at home with stool softeners in the event of very modest, early prolapse in certain circumstances.Surgery, on the other hand, will be required to correct the prolapse.
It is necessary to provide a sclerosant injection (which shrinks tissue) on a very rare occasion. The majority of older persons are able to deal by putting the prolapse back into place on their own. The prolapse may be held in place, however, by inserting a rubber ring underneath the skin.
Patients with rectal prolapse, particularly the elderly, might experience significant pain, including bleeding, itching, damp anus, and tenesm. When treating elderly individuals, the perineal approach is the gold standard therapy.
Despite the widespread belief that rectal prolapse is related with pregnancy and delivery, approximately one-third of women who suffer from the disorder have never given birth. A number of factors, including your gender, may increase your chances of developing rectal prolapse. Women account for the vast majority of those who suffer from rectal prolapse.
Although there is no medical therapy for rectal prolapse, internal prolapse should always be addressed medically first, with bulking agents, stool softeners, and suppositories or enemas being the first line of defense. It may be beneficial to use biofeedback if there is also paradoxical pelvic floor contraction present.
What is the source of rectal prolapse? Generally speaking, weakness of the muscles that support the rectum is the most common cause of rectal prolapse. This might occur as a result of constipation, birth trauma, or structural problems in the pelvic or lower gastrointestinal system, among other things.
It is necessary to physically push the rectum back into the body. The mass is gently pressed back through the anal entrance with a soft, warm, moist cloth, which is used to apply mild pressure on it. Before applying pressure, the subject should lie on one side in a knee-chest posture with the knees bent. Gravity will be able to assist in repositioning the rectum while in this posture.
The most common form of treatment for rectal prolapse is surgery. Constipation remedies include a variety of products such as stool softeners, suppositories, and other drugs, among others. When it comes to addressing rectal prolapse, there are a few different surgical options.
Rectal prolapse occurs when the lower segment of the large intestine (rectum) slides beyond the muscular aperture at the end of the digestive system (anus). Despite the fact that rectal prolapse might be uncomfortable, it is seldom a medical issue.
Pelvic floor muscle training (PFMT) and the use of a vaginal pessary are the two non-surgical treatment options for prolapse. PFMT can be beneficial in the treatment of mild prolapse, but it is seldom successful in the treatment of moderate or severe prolapse. A vaginal pessary is the primary non-surgical treatment option for prolapse.