Doctors for Rectal Prolapse in Delhi

Rectal prolapse manifests when the rectum, the terminal portion of the large intestine, undergoes a downward descent akin to a telescope's extension. The rectum, playing a pivotal role in the process of defecation, acts as the reservoir for fecal matter, promptly responding to its arrival by instigating the urge to expel. In the presence of rectal prolapse, this delicate organ relinquishes its anatomical position, meandering into the anal canal and occasionally protruding beyond the confines of the anus. The notion of ‘prolapse’ encapsulates the displacement of a bodily structure from its customary location, typically indicative of a deterioration or weakening of the supporting musculature. While it is customary for these muscles to undergo natural age-related wear and tear, certain circumstances can expedite their degeneration. The advent of rectal prolapse can be attributed to factors such as the rigors of childbirth, along with the persistent strain induced by chronic bouts of constipation or diarrhea. It is imperative to recognize that rectal prolapse manifests as a complete protrusion of the rectal walls, conspicuous and perceptible external to the bodily framework.

Various approaches are available for treating rectal prolapse, each tailored to the specific needs and severity of the condition;

• Manual Reduction: In less severe cases, healthcare professionals can gently guide the prolapsed rectum back into its proper position by employing manual repositioning techniques.
• Biofeedback: Biofeedback, a method utilizing electrical sensors to monitor bodily activity, followed by targeted physical exercises, helps strengthen the pelvic floor muscles. This enhanced muscle performance contributes to better support for the rectum.
• Rectopexy: Surgical intervention in the form of rectopexy involves reattaching the rectum to neighboring tissues or organs. By restoring the rectum's normal position and preventing further prolapse, this procedure provides long-term stabilization and improved functionality.
• Resection and Rectopexy: When significant rectal damage or extensive prolapse is present, resection and rectopexy may be necessary. In this surgical procedure, the damaged or prolapsed section of the rectum is excised, and the remaining healthy portion is reattached to the surrounding tissue or organs. This restorative approach helps reestablish proper anatomy and function.
• Stapled Transanal Rectal Resection (STARR): For internal rectal prolapse, a minimally invasive technique known as STARR is employed. It involves the removal of excess tissue and reinforcement of the rectum using a specialized circular stapler. This procedure provides structural support and relieves symptoms associated with internal rectal prolapse.
• Delorme's Procedure: Delorme's procedure is a surgical technique aimed at rectal prolapse treatment. It entails excising the prolapsed section of the rectal wall and skillfully folding the remaining tissue to secure it in place. By restoring the rectum to its proper position, this procedure helps alleviate symptoms and improve overall well-being.
• Altemeier Procedure: The Altemeier procedure, also referred to as perineal rectosigmoidectomy, is a surgical approach utilized in rectal prolapse cases. It involves removing the prolapsed segment of the rectum through an incision made in the perineum (the area between the anus and the genitals). The rectal wall is then sutured to secure it, effectively treating the rectal prolapse.

Rectal prolapse may necessitate surgical intervention under the following circumstances;

• Failure of non-surgical treatments: After attempting non-surgical treatments such as dietary modifications, pelvic floor exercises, or bowel training without significant improvement, surgery may become necessary. These conservative measures are usually the initial approach, but if they prove ineffective, surgery can provide a more definitive solution.
• Significant functional loss: Rectal prolapse can lead to notable functional impairments, including difficulties with bowel movements, fecal incontinence, and persistent discomfort. When these functional issues significantly impact a patient's quality of life, surgery may be recommended to restore normal bowel function and alleviate symptoms.
• Severe pain that disrupts daily life: In some cases, rectal prolapse can cause severe pain and discomfort that disrupts a person's daily activities and overall well-being. When pain becomes persistent and unmanageable through conservative measures, surgery can be considered to relieve the pain and enhance the patient's quality of life.
• Recurrence of rectal prolapse: If rectal prolapse recurs despite attempts with non-surgical treatments, surgery may be necessary to prevent further recurrence and potential complications. Surgery can address the underlying anatomical issues and provide long-term stability to minimize the risk of prolapse recurrence.
• Risk of complications: If rectal prolapse is left untreated, it can lead to various complications such as rectal bleeding, infections, and damage to the pelvic floor. To mitigate these risks and maintain optimal rectal health, surgical intervention may be recommended.

Before undergoing rectal prolapse surgery in Delhi, your doctor will conduct a thorough evaluation to ensure an accurate diagnosis and determine the most appropriate treatment approach. These tests are essential in confirming the presence of rectal prolapse and ruling out other potential conditions. Here are the common diagnostic methods used;

• Digital Rectal Exam: During this exam, your healthcare provider will manually examine your rectum using lubricated gloves. By assessing the position and condition of the rectum, they can gather valuable information about the prolapse.
• Defecography: Defecography is an imaging study that captures the muscle activity during bowel movements. It may involve X-rays or magnetic resonance imaging (MRI) to provide detailed images of the pelvic area. This test helps evaluate the dynamics of rectal prolapse and identifies any muscle abnormalities.
• Anorectal Manometry: Anorectal manometry measures the strength and tightness of the anal sphincters, which are the muscles responsible for controlling bowel movements. This test helps assess their functionality and identify any issues contributing to rectal prolapse.
• Lower GI Series (barium enema): A lower GI series, also known as a barium enema, utilizes X-rays to visualize the lower gastrointestinal tract. By introducing a contrast material containing barium, the radiologist can detect abnormalities in the rectum and colon, aiding in the diagnosis of rectal prolapse.
• Colonoscopy: Colonoscopy involves the insertion of a flexible scope into the colon to examine its inner lining. This procedure helps identify any underlying conditions or abnormalities that may be associated with rectal prolapse.
• Electromyography (EMG): EMG is a diagnostic test used to evaluate nerve function and muscle coordination. In the context of rectal prolapse, it helps determine if there is any nerve damage affecting the proper functioning of the anal sphincters.

When it comes to rectal prolapse, surgery plays a crucial role in providing effective treatment. The surgical procedure is carried out with utmost precision and care, addressing the specific needs of each patient. Here is a step-by-step explanation of how rectal prolapse operation is typically performed;

• Patient Preparation: Before the surgery begins, the patient is carefully prepared. This involves reviewing the patient's medical history and ensuring they are in optimal health for the procedure. Once ready, the patient is administered general anesthesia to ensure their comfort and pain-free experience throughout the surgery.
• Incision: Under the influence of anesthesia, the surgeon makes a small incision near the anus. This strategic placement allows the surgeon easy access to the rectal area while keeping patient discomfort and scarring to a minimum.
• Removal of Damaged Tissue: With the incision made, the surgeon examines the rectum thoroughly, identifying any damaged tissue contributing to the prolapse. If necessary, the surgeon delicately removes the damaged tissue, aiming to eliminate the source of the prolapse and restore normal function.
• Repair: Following the removal of damaged tissue, the surgeon proceeds to repair the rectal prolapse. This entails suturing the rectum to the surrounding tissues or organs, securely repositioning it to prevent further prolapse. In some cases, a mesh may be utilized to provide additional support and strengthen the repaired area.
• Closure: Once the repair is complete, the surgeon meticulously closes the incision using sutures. The closure is performed with precision, ensuring proper wound healing and minimizing the risk of complications. In rare instances, a temporary stoma may be created to allow the rectum time to heal and recover.
• Recovery: After the surgery, the patient is transferred to a designated recovery area, where they are closely monitored during the wake-up phase from anesthesia. Once the patient regains consciousness, they are transferred to a hospital room, where they receive ongoing care until they are ready for discharge. This recovery period is crucial for the body to heal and adjust after the surgical intervention.
• Post-Operative Care: Following rectal prolapse surgery, the patient receives comprehensive instructions for post-operative care. This includes adhering to a specific diet, engaging in prescribed exercises, and taking any necessary medications to facilitate healing and prevent future prolapses. Strict adherence to these guidelines is essential for a successful recovery.
• Follow-Up: Regular follow-up appointments with the doctor are scheduled to monitor the patient's progress and ensure a smooth recovery. These appointments allow the medical team to evaluate healing, address any concerns or complications, and make any necessary adjustments to the post-operative care plan.

The benefits of rectal prolapse surgery in Delhi are numerous, offering patients a chance to regain control of their lives and experience a significant improvement in their overall well-being. Here are some of benefits of rectal prolapse surgery;

• Relief from Pain and Discomfort: Rectal prolapse operation aims to reconstruct the rectal tissue, providing much-needed relief from the chronic pain, discomfort, and bleeding associated with this condition. Patients can finally bid farewell to the distressing symptoms that have been impacting their daily lives.
• Restored Mobility and Function: Rectal prolapse often limits a patient's mobility and interferes with their ability to perform routine activities such as walking, sitting, or standing. Through surgery, the rectum's function and mobility are restored, allowing patients to reclaim their independence and engage in activities that were once challenging.
• Enhanced Quality of Life: Undergoing rectal prolapse surgery can have a profound positive impact on a patient's overall quality of life. By alleviating the physical and psychological burden of the condition, surgery boosts self-confidence, self-image, and general well-being, resulting in a happier and more fulfilled life.
• Reduced Risk of Complications: Surgery effectively reduces the risk of complications associated with rectal prolapse. By addressing the underlying issues, such as infections and fecal incontinence, patients can enjoy improved overall health and a decreased likelihood of encountering future medical problems.
• Swift Recovery Time: Rectal prolapse surgery often employs minimally invasive techniques, leading to a faster recovery period. Within a few weeks post-surgery, patients can typically resume their daily routines, with a renewed sense of normalcy and a reduced disruption to their lives.
• Long-Term Benefits: One of the most significant advantages of rectal prolapse surgery is the long-term benefits it offers. Patients experience a reduced risk of recurrence and improved digestive function, resulting in a healthier and more comfortable life. Digestive symptoms are alleviated, and the need for further medical interventions diminishes.
• Improved Sexual Function: For some patients, rectal prolapse surgery can lead to improved sexual function. By repairing damaged tissue and enhancing blood flow to the rectum, the surgery can positively impact sexual satisfaction and intimacy, restoring a crucial aspect of patients' lives.
• Positive Impact on Mental Health: Rectal prolapse can take a toll on a patient's mental health, causing emotional distress and anxiety. Surgery not only provides relief from these burdensome symptoms but also contributes to improved mental well-being and a sense of renewed positivity and confidence.

Rectal prolapse surgery, like any surgical procedure, carries potential side effects and complications that patients should be aware of. Here are some of the side effects associated with rectal prolapse surgery:

• Post-operative Pain and Discomfort: Following rectal prolapse surgery, patients may experience pain and discomfort in the rectal area.
• Swelling and Bruising: It is normal to experience swelling and bruising near the incision site after rectal prolapse surgery.
• Risk of Infection: As with any surgical procedure, there is always a risk of infection. Infections can cause significant discomfort, pain, and delay in the healing process.
• Bleeding: During and immediately after rectal prolapse operation, some bleeding may occur around the incision site.
• Bowel Obstruction: In rare cases, rectal prolapse treatment can result in bowel obstruction.
• Recurrence of Prolapse: While rectal prolapse operation is intended to correct the prolapse and provide long-term relief, there is a small risk of recurrence.

The recovery process following rectal prolapse treatment is a personal experience that typically spans approximately 4 to 6 weeks. However, it's important to note that the duration may vary depending on individual circumstances. During this crucial phase, adopting specific measures can greatly contribute to your overall healing and well-being. Consider the following points to support your recovery;

• Prioritize rest and gradual return to activities: Adequate rest is essential post-treatment, allowing your body to heal and regain strength. Engaging in physical activities, such as heavy lifting or intense exercise, should be avoided for at least 6 weeks. As you progress and feel more capable, gradually reintroduce your regular activities in consultation with your healthcare provider, who can offer personalized guidance based on your unique situation.
• Alleviate discomfort and swelling with temperature therapy: To manage any discomfort or swelling, you have the option of utilizing either cold or heat therapy. Applying an ice pack to the affected area for around 20 minutes, followed by a 20-minute break, can help reduce pain and swelling. Similarly, a heating pad wrapped in a towel can provide relief when applied to the affected area for the same duration.
• Follow your prescribed rehabilitation plan: Your healthcare provider may design a tailored rehabilitation plan to aid in your recovery. This plan may encompass specific exercises, dietary recommendations, and lifestyle modifications geared towards facilitating healing and enhancing your overall well-being. Adhering to this plan diligently is crucial for optimal recovery outcomes.
• Monitor discharge and bleeding: It is normal to experience discharge or bleeding for up to 6 weeks after the procedure. However, it is essential to keep track of these symptoms. If you notice excessive or persistent discharge or bleeding, it is advisable to promptly consult your healthcare provider for a thorough evaluation and appropriate guidance.
• Regular follow-up appointments: Throughout your recovery journey, maintaining regular follow-up appointments with your healthcare provider is vital. These appointments enable close monitoring of your progress, allowing for timely assessment, discussion of any concerns, and necessary adjustments to your treatment plan. Your healthcare provider will provide valuable support, ensuring that your recovery stays on track.