Rectal Prolapse Treatment in Dubai
Rectal prolapse occurs when part or all of the rectal wall moves downward and may protrude through the anus. The condition can affect bowel movements, continence and daily comfort. Dr. Daniel Serralta assesses the condition and discusses appropriate treatment options based on the type and extent of prolapse.
Overview of Rectal Prolapse Treatment Surgery in Dubai
Rectal prolapse is a condition in which part or all of the rectal wall descends toward or through the anal opening. It may be associated with changes in bowel function, difficulty passing stool or leakage.
The condition can occur as external prolapse, where rectal tissue protrudes through the anus, or as internal prolapse, where the rectum descends without becoming visible externally.
A clinical assessment helps distinguish full-thickness external prolapse from internal intussusception and to rule out prolapsed hemorrhoids, which look similar but need different treatment. Treatment is selected according to the type of prolapse, symptoms, bowel function, general health and other clinical factors.
Rectal prolapse surgery may be considered when symptoms persist, the prolapse is external, or conservative treatment does not adequately address the condition.
Types of Rectal Prolapse
Rectal prolapse is categorized into different types based on the extent of rectal descent:
The full-thickness rectal wall protrudes through the anus and may become visible, particularly during or after bowel movements.
Only the inner lining of the rectum protrudes through the anus.
The rectum descends inside the pelvis but does not protrude through the anus. This may also be described as internal rectal intussusception.
Symptoms of Rectal Prolapse
Symptoms of rectal prolapse can vary depending on the type and extent of prolapse. They may include:
- A visible bulge or tissue protruding from the anus, especially after bowel movements or straining
- Mucus discharge
- Rectal bleeding
- Discomfort in the pelvic or rectal area
- Difficulty passing stool or a feeling of incomplete evacuation
- Fecal incontinence
- Constipation or changes in bowel habits
- A feeling of pressure or something coming down through the anus
Causes Leading To Rectal Prolapse Treatment Surgery in Dubai
Rectal prolapse can be associated with several factors, including pelvic floor weakness and repeated straining. These factors may include:
- Weak pelvic floor muscles
- Chronic constipation and straining
- Childbirth and pregnancy
- Older age
- Chronic diarrhea
- Connective tissue conditions
- A history of pelvic surgery, including surgical removal of the uterus
- Chronic cough
- Other conditions that increase pressure within the abdomen or affect pelvic support
Rectal Prolapse Diagnosis in Dubai
Dr. Daniel Serralta, a consultant colorectal and proctology doctor in Dubai, assesses rectal prolapse through a clinical examination and, when appropriate, additional testing.
- Physical Examination: This involves examining the anal and rectal area and assessing any visible prolapse, pelvic floor function and associated symptoms.
- Imaging Tests: Ultrasound or MRI may be recommended when additional information about the pelvic floor or rectal anatomy is needed.
- Anorectal Manometry: This test evaluates pressure and muscle function in the anus and rectum when clinically indicated.
- Colonoscopy: A colonoscopy may be recommended in selected patients to assess the colon and investigate bleeding or other bowel symptoms.
- Defecography: Dynamic defecography can assess how the rectum and pelvic floor behave during attempted bowel movements and may help identify internal prolapse or associated pelvic floor disorders.
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Rectal Prolapse Treatment in Dubai: Why Choose Dr. Daniel Serralta?
Individualized Rectal Prolapse Assessment and Treatment
Dr. Daniel Serralta assesses rectal prolapse and related bowel or pelvic floor symptoms at Saudi German Hospital, Dubai. Rectal prolapse treatment is selected according to the type of prolapse, symptoms, bowel function, general health and clinical findings.
- Clinical assessment: Evaluation of rectal prolapse and associated bowel symptoms.
- Surgical planning: Discussion of suitable abdominal or perineal approaches when surgery is indicated.
- Pelvic floor assessment: Additional functional testing may be recommended when clinically appropriate.
- Individualized treatment: The treatment plan is based on the patient's anatomy, symptoms, health and surgical needs.
- Postoperative care: Follow-up and recovery guidance are provided according to the procedure performed.
Rectal Prolapse Treatment Surgery in Dubai
Surgical treatment for rectal prolapse may be recommended when symptoms are significant, external prolapse is present, or non-surgical measures do not adequately address the condition.
Here are some common surgical approaches that may be considered depending on the patient’s condition:
- Rectopexy: This procedure involves repositioning and securing the rectum within the pelvis. An abdominal rectopexy can be performed through an open or laparoscopic approach depending on the case and the surgeon's assessment. The specific technique, including whether mesh is used, is determined individually.
- Delorme’s procedure: This is a perineal procedure generally used for selected shorter external rectal prolapses. It involves removing excess mucosa and folding or plicating the underlying muscular layer.
- Altemeier procedure: This is a perineal procedure used for selected full-thickness external rectal prolapse. It involves removing the prolapsed rectal segment and creating a colorectal anastomosis.
Aftercare and Risk Consideration of Rectal Prolapse Treatment
Dr. Daniel Serralta discusses treatment based on the prolapse, symptoms and health.
- Risks: Bleeding, infection, recurrence, bowel changes, mesh complications, nerve or urinary issues, and anesthesia risks.
- Aftercare: Recovery, activity limits and follow-up vary by procedure.
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