Rectal Prolapse: What are my options?

Posted by baz @baz, Jul 5, 2022

I need to finally address my rectal prolapse. What are my options? Anyone else with this problem?
Thank you.

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I have just been diagnosed with rectal prolapse and wonder how long was your hospital stay? I expect to have abdominal laparoscopic surgery.

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You are fortunate indeed to be able to have the abdominal laparoscopic procedure with its higher success rate. In this past year, I have had the perineal repair for a prolapsed rectum done in March and again in October when the first one failed. My advanced age was the deciding factor in my case. I think you will find that once the surgery is done, and you have healed, that your quality of life will improve markedly.

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Thank you for your response. I haven't met with my surgeon yet but after reading on-line about my problem, I decided I wanted the more permanent solution. I am 72. Do you think the surgeon would consider this an "advanced age" as you put it? I hope not. 

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I'm 88 next month. I don't think anyone would consider your age "advanced". Let us know what the surgeon says and how it goes. Wishing you the very best.

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Thank you for sharing your insights @traveling.

Hello @summergirl621,

You might wish to see this discussion on Connect, https://connect.mayoclinic.org/discussion/scheduling-sacrocolpopexy-and-cystocele-repair-more-than-a-little-scared/ where @gailg @pma58 and others have discussed prolapse repair; I'm confident they will share their experiences, and any information that might help answer your concerns.

Here's some information from Mayo Clinic about rectal prolapse surgery:
https://www.mayoclinic.org/tests-procedures/rectal-prolapse-surgery/about/pac-20384704
@summergirl621, how are you managing your condition at present?

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@traveling - How are you since your 2nd repair? I will be 80 in 2 months and have a lot of other health issues too numerous to list but include Crohns, vaginal and urethral atrophy and prone to UTI's. Do you think I would survive the surgery you had as the urologist had told me never to sit in a bath, sitz bath or otherwise and I read you are told to use a sitz bath a couple of times a day. I am also allergic to all antibiotics except the ceclor and leviquin families. How long is the recovery? How in the world are you able to keep your BM at just the correct consistency - not too soft and not too hard? With my IBS/IBD I'm back and forth constantly now. Would like your secret on that one.I Also, since the prolapse has given me fecal incontinence I hav heard that the surgery can make you permanently incontinenct and I am trying with the help of PT to overcome that. I have no idea if PT works either.

Hope you are OK now and please post how you are.and how the recovery went. thank you.

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@traveling

You are fortunate indeed to be able to have the abdominal laparoscopic procedure with its higher success rate. In this past year, I have had the perineal repair for a prolapsed rectum done in March and again in October when the first one failed. My advanced age was the deciding factor in my case. I think you will find that once the surgery is done, and you have healed, that your quality of life will improve markedly.

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traveling: I see that you had the perineal repair for a prolapsed rectum. I haven't spoken to my doctor yet, but I will this Friday. That is what I am contemplating. I am 74 and have some nerve damage to my bladder and need to strain to pee. I have tried meds, etc. but right now looks like I will be self-catherizing, learning before surgery, then afterwards. I wanted to know how the surgery was and how long did it take for you to recover? Thank you so much. I manually push it in but now I have started with muscus discharge. Thank you.

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Kami: please let me know how the surgery went. I haven't had the surgery yet and am terrified. I am 74 and strain to pee, will probably have to self-catherize. If you don't mind sharing, please tell me how bad your rectal prolapse was and how the surgery went. I want to have the perineal. Thank you. Mary.

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I am sorry to report that the second surgery for the rectal prolapse also failed. This prolapse has also involved the sigmoid. I had a sigmoidoscopy two days ago and was told that no further surgery could be done: there isn't enough margin left, and any anastomosis would pull the sigmoid down even further. I will have to learn to live with it.

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@sueblue

@traveling - How are you since your 2nd repair? I will be 80 in 2 months and have a lot of other health issues too numerous to list but include Crohns, vaginal and urethral atrophy and prone to UTI's. Do you think I would survive the surgery you had as the urologist had told me never to sit in a bath, sitz bath or otherwise and I read you are told to use a sitz bath a couple of times a day. I am also allergic to all antibiotics except the ceclor and leviquin families. How long is the recovery? How in the world are you able to keep your BM at just the correct consistency - not too soft and not too hard? With my IBS/IBD I'm back and forth constantly now. Would like your secret on that one.I Also, since the prolapse has given me fecal incontinence I hav heard that the surgery can make you permanently incontinenct and I am trying with the help of PT to overcome that. I have no idea if PT works either.

Hope you are OK now and please post how you are.and how the recovery went. thank you.

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Sorry for the late reply, sueblue. I have similar problems with antibiotics and IBS/IBD as you have, and I regret to say I have no answers. Wish I did!!

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