Understanding Rectal Prolapse:

Rectal prolapse occurs when the rectum, a muscular tube of the large intestine, slips out of the anal opening, protruding out of the anal canal. In severe cases, the rectum remains outside the anal canal, making it susceptible to injury. Dr. Prasad Neelam emphasizes the importance of recognizing this condition, which is not limited to the elderly but can also affect younger individuals.

Why Does Rectal Prolapse Happen?

The rectum is normally well-supported within the pelvic cavity by various structures. However, when these supports weaken or due to persistent straining during bowel movements, often associated with constipation, the rectum experiences continuous outward pressure. This pressure causes the rectum to protrude from the anal canal, resembling a tube. While common in older individuals, rectal prolapse is not uncommon in the younger population.

In the early stages, patients may notice the rectum coming out during bowel movements, with the possibility of it spontaneously retracting or being manually pushed back. However, as the condition progresses, the rectum may protrude and resist going back inside, leading to significant challenges.

Treatment Strategies for Rectal Prolapse:

Dr. Prasad Neelam emphasizes the importance of preventive measures, including a high-fiber diet, adequate fluid intake, and avoiding straining during bowel movements, to minimize the risk of rectal prolapse. However, once the prolapse has occurred, medical therapies often prove ineffective, necessitating surgical intervention.

Traditional treatment methods involved open surgery, requiring a long abdominal incision to pull the rectum back inside and secure it in place. Dr. Prasad Neelam, aligning with modern surgical advancements, introduces laparoscopic repair as a preferred option. Through three or four keyhole incisions, the protruding rectum is gently repositioned and secured to the sacral bone. The fixation is reinforced using a mesh, providing stability. This minimally invasive approach not only addresses the prolapse but also allows patients to resume a normal life without the recurring issue during bowel movements.