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Prolapsed rectum: living with it versus surgery

Digestive Health | Last Active: May 30 10:52pm | Replies (33)

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@blinken

In 2020 (I was 77) I went to my primary doctor thinking I had hemorrhoids. I did, and had them for quite a few years. I was having some pretty profuse bleeding suddenly though. I would sit down on the toilet and blood would splash into the water! It turned out that I had a rectal prolapse and was referred to a general surgeon at our local hospital. He scheduled me for prolapse repair. I was led to believe that I should not wait to do the procedure because of the bleeding. I would advise you to do some research and find the best colo-rectal surgeon that you can to do this. It sounds like it is not an emergent situation for you yet. I had the surgery done and I found that it resulted in a recto-vaginal fistula. I now had stool coming out of my rectum and my vagina!!! The next step then, was to have a 'temporary' colostomy in order to bypass the rectum, allow the passage to clean out before attempting to repair the fistula. My primary doctor said "I hope the surgeon told you a fistula is a very difficult problem to fix". Well, he hadn't...he did say there were several options for treatment. So the colostomy surgery was scheduled. A week or so later I began to retain urine and eventually after a couple visits to the ER for catherization, had an indwelling catheter installed. I wore the urine bags until my colostomy surgery a couple weeks later. My recovery after the colostomy was lengthy but I had home health coming in which helped a great deal learning to handle the care of the incision and dealing with emptying and installing a new bag. Within a day or two I discovered that I was eliminating stool not only into the ostomy bag but through my rectum as well!!!!!! I didn't know this at first because of the nerve block-I had no sensation there and I was wearing Depends as I also had in the hospital. But when I was at home I discovered that this colostomy was not adequate and wasn't functioning as intended.
There's more to the story but what I want to impress upon you is to look online for well-credentialed specialists, even if you have to travel, as we ended up having to do. I researched to find someone who I wish I had found at the beginning. I had my colostomy reversal at UW Madison Hospital. I am able to function without the ostomy bag. It's not the same as before all this started and I have to follow a high fiber diet, drink plenty of water and keep a somewhat rigid schedule. But I am bagless!! I wish you the best of outcomes. Please do your research first.

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Replies to "In 2020 (I was 77) I went to my primary doctor thinking I had hemorrhoids. I..."

My mom went to the Dr to be treated for bleeding hemorrhoids. She neglected to tell the Dr she had colon prolapse that had occurred and maybe was too embarrassed to mention it. She was diagnosed with multiple infections and placed on antibiotics. After this I visited her at home frequently only to find her struggling to get to the restroom and clean up the mess from her bowel movements. She had become incontinent in this short period a day or so and needed to started using depends. Refusing to go sleep in a bed for fear of wetting the bed she slept in a recliner in the living room. When assisting in getter her cleaned up I noticed the prolapse and took her to an out patient clinic. They immediately found her a room at the hospital and scheduled a Dr visit. This independent mom of mine was tired an worn out from all of this. Scared and embarrassed, with thoughts of I’m not going to a nursing home. Stating I’d rather not be here. The staff infection in her leg finally healing from a cancer procedure, sinus infection getting relief, and blood cell count for polysythemia vera getting under control. Almost a week in the hospital she was ready to be transferred to a rehabilitation hospital. She has found hope that she may get to go back home and continue a routine on here own. Playing cards with friends, cooking, baking, cleaning and socializing. The hope is fading at times but returns too. We are praying God intervenes and the surgery is not needed before she is ready for it. We hope living with a colon prolapse can be enjoyable for mom and if it can’t be that surgery would give her quality of life back. The hospitals surgeon discussed two types of surgery for this condition with me. One being robotic in nature that would take 3 to 4 hours and another less invasive surgery that would be shorter in duration and done thru the bottom of the colon and would remove a portion of it. It’s time for healing and physical therapy now. There is a transition team at the therapy center she has been transferred to that evaluates Mom’s ability to return home. Daily therapy sessions are occurring and she has a 10 day plan to return home. We are also searching for home care options should it be needed. Mom is 87 years old now and we love her very much. We hope she chooses to live life to the fullest.