Doctors for Rectal Prolapse in Bangalore

Rectal prolapse is a medical disease in which the rectum's walls protrude through the anus. This condition can be effectively managed through surgical intervention. Depending on the complexity of the case, minimally invasive procedures can be completed within a few hours, while more intricate surgeries may necessitate a few days for optimal treatment.

Rectal prolapse can be addressed through various methods, including:

• Manual Reduction: In less severe cases, a healthcare professional can manually reposition the prolapse.
• Biofeedback: Biofeedback is a method that uses electrical sensors to monitor body activity, followed by physical exercises to enhance the performance of the pelvic floor muscles.
• Rectopexy: This surgical procedure involves attaching the rectum to the nearby tissues or organs to restore its normal position and prevent further prolapse.
• Resection and Rectopexy: If the rectum is significantly damaged, a portion may be excised, and the remaining healthy part is reattached to the tissue or organs.
• Stapled Transanal Rectal Resection (STARR): This minimally invasive procedure treats internal rectal prolapse by removing excess tissue and reinforcing the rectum.
• Delorme's Procedure: This surgical procedure involves excising a part of the prolapsed rectal wall and folding the remaining tissue to secure it in place.
• Altemeier Procedure: Also known as perineal recto sigmoidectomy, this surgical procedure treats rectal prolapse by removing the prolapsed segment of the rectum through an incision in the perineum (the area between the anus and the genitals) and then suturing the rectal wall.

Surgery for rectal prolapse may be necessary due to various reasons, including the following:

• Failure of non-surgical treatments: If non-surgical treatments such as dietary modifications, pelvic floor exercises, or bowel training fail to provide relief, surgery may be required.
• Significant functional loss: Rectal prolapse can lead to significant functional issues such as difficulty with bowel movements, incontinence, and discomfort.
• Severe pain that disrupts daily life: Rectal prolapse can cause severe pain and discomfort that can interfere with daily life.
• Recurrence of rectal prolapse: If rectal prolapse recurs despite non-surgical treatments, surgery can prevent potential additional issues.
• Risk of complications: If rectal prolapse is not addressed, it can lead to complications such as rectal bleeding, infections, and damage to the pelvic floor.

Certain tests are conducted before surgery to understand the patient's health status and any potential complications that may arise during the procedure. These insights can be useful during pre- and post-op preparations. The following tests may be necessary before rectal prolapse surgery:

• Physical Examination: A physical examination can identify a prolapse or bulge of the rectum or anus. A digital rectal examination may also be performed by the doctor to assess sphincter muscle strength. This examination can assess rectal prolapse and the health of the surrounding tissues beforehand.
• X-rays: X-rays can help identify the presence of any bowel obstruction or abnormal masses along the rectum. This test is useful before surgery as it helps in understanding the rectum's anatomy and identifies any abnormalities that may impact the surgical procedure.
• MRI: MRI scans provide a more detailed view of the rectum, allowing the identification of the extent of prolapse, muscle damage, or any other abnormalities that may impact the surgery.
• CT scans: CT scans offer detailed images of the pelvic area, enabling doctors to identify any potential issues such as hernias, tumors, or obstructions that may need to be addressed before the surgery.
• CBC: The red blood cell count, white blood cell count, hemoglobin level, and platelet count are all included in the Complete Blood Count (CBC) test. Before surgery, this test can assist establish the patient's general health and disclose any concealed medical concerns.
• LFT: The Liver Function Test, also known as an LFT, is a blood test used to assess the liver's functioning. This test is useful before surgery as it helps ensure that the patient's liver can handle the stress of the operation and the anesthetic that will be administered.
• KFT: The Kidney Function Test (KFT) is a blood test conducted to assess the kidneys' functioning. This test is useful before surgery as it helps doctors identify any kidney problems that may be affected by surgery or anesthesia.
• Urine R/M: The Urine Routine and Microscopy (R/M) test assesses the urine for any abnormal cells, bacteria, or other signs of infection. This test is useful before surgery to detect any urinary tract infections, which can increase the risk of postoperative complications.
• Lipid Profile: The Lipid Profile test determines the amounts of triglycerides and cholesterol in the blood. This test is useful prior to surgery in detecting any underlying abnormalities, such as elevated cholesterol levels, that may raise the chance of developing heart disease or other cardiovascular difficulties.
• Thyroid Profile: The thyroid profile test measures the thyroid hormone levels in the blood. Before surgery, this test helps identify thyroid-related issues that could compromise the procedure or the anesthetic.
• Anti-HCV, HBsAg, HCV: These are blood tests conducted to detect viral infections such as Hepatitis B, Hepatitis C, or HIV. These tests are useful before surgery to detect any viral infections that may increase the risk of complications during and after surgery.

This is how surgery for rectal prolapse is done:

• Anesthesia: Before the surgery, the patient is given general anesthesia to ensure they are unconscious and feel no pain during the procedure.
• Incision: Once the patient is unconscious, the surgeon makes a small incision near the anus to access the affected area.
• Removal of Damaged Tissue: The surgeon then examines the rectum and removes any damaged tissue causing the prolapse. In some cases, they may need to remove a portion of the rectum.
• Repair: The surgeon then repairs the prolapse by stitching the rectum to the surrounding tissue to prevent it from prolapsing again. In some cases, a mesh may be used to provide additional support.
• Closure: When the repair is finished, the surgeon seals the incision with stitches. In rare circumstances, a temporary stoma (a hole in the abdomen for waste to pass through) may be made to allow the rectum to recover.
• Recovery: After surgery, the patient is transported to a recovery room and closely observed until they awaken from anesthesia. Upon consciousness, they are transferred to a hospital room where they will remain until they are ready to be discharged.
• Post-Operative Care: After the surgery, the patient will need to follow a specific diet and exercise routine to help the rectum heal and prevent future prolapses.
• Follow-Up: The patient will need to have regular follow-up appointments with their doctor to monitor their recovery and ensure there are no complications.

Rectal prolapse surgery has various advantages, including the following:

• Reduced pain and discomfort: Surgery for rectal prolapse aims to reconstruct the rectal tissue, which can significantly reduce the pain and discomfort caused by this condition. Patients may experience relief from chronic pain, discomfort, and bleeding.
• Improved mobility and function: Rectal prolapse can hinder patients from performing daily activities, such as walking, sitting, and standing. Surgery can help restore the function and mobility of the rectum, allowing patients to resume their normal activities.
• Enhanced quality of life: Surgery for rectal prolapse can improve a patient's quality of life by reducing the psychological and physical burden that this condition imposes. Patients may feel better about themselves, have more confidence, and generally feel happier.
• Reduced risk of complications: Surgery for rectal prolapse can lower the risk of infections and fecal incontinence, which are side effects of this disorder.
• Quick recovery time: Rectal prolapse surgery is often minimally invasive with a short recovery period. A few weeks following surgery, patients may normally resume their routine activities.
• Long-term benefits: Rectal prolapse surgery can provide long-term benefits for patients, including reduced risk of recurrence and improved overall health. Patients may experience improved digestive function and a reduction in digestive symptoms.
• Improved sexual function: Rectal prolapse surgery can improve sexual function in some patients by repairing the damaged tissue and improving blood flow to the rectum.
• Improved mental health: Rectal prolapse can cause emotional distress and anxiety in some patients. Surgery can provide relief from these symptoms and improve mental health outcomes.

Possible complications associated with Rectal Prolapse Surgery include:

• Pain and Discomfort: Rectal prolapse surgery may cause post-operative pain and discomfort in the rectal area, which can last for a few weeks.
• Swelling and Bruising: Swelling and bruises near the incision site are normal after surgery. This might result in discomfort and difficulty sitting and walking.
• Infection: Infection is always a possibility with any surgical surgery. Infections can be extremely painful and uncomfortable, necessitating extra treatment.
• Bleeding: During and immediately after surgery, bleeding can occur around the incision site. If it is excessive or continues for an extended period, it may be necessary to seek additional medical attention.
• Bowel Obstruction: Bowel blockage can arise as a result of surgery in rare situations. This can cause stomach pain, nausea, and vomiting, and may necessitate further surgery.
• Recurrence of Prolapse: In some cases, rectal prolapse can recur after surgery. This may require additional treatment to resolve.

The time it takes to recover from rectal prolapse therapy varies based on the specific situation, but most patients may resume regular activities within a few weeks to a few months. After Rectal Prolapse therapy, it is important to take specific precautions to help in your recovery. Consider the following points:

• Rest and avoid physical activity: Rest is crucial after treatment, and you should avoid physical activities such as heavy lifting or strenuous exercise. You can resume these activities after a period of healing, advised by your healthcare provider.
• Reduce discomfort and swelling with cold or heat: You can use an ice pack or a heating pad to alleviate pain and swelling. Apply ice to the affected area for 20 minutes, then rest for 20 minutes before repeating. Use a towel-wrapped heating pad for 20 minutes on the affected area.
• Follow a rehabilitation plan prescribed by a healthcare provider: Your healthcare provider may prescribe a rehabilitation plan