Rectal Prolapse

At the "Proctology without pain" medical practice in Cinisi (province of Palermo), we also offer treatment for rectal prolapses - the disorder in which the rectum, or the lower end of the large intestine, protrudes from the anus.

Rectal prolapses, which normally involve bleeding and tissue that protrudes from the anus, may be caused by excessive straining when defecating or as a consequence of giving birth later in life, but are also found in women who have never been pregnant.

Our expert doctors are at your disposal to carry out the necessary treatment after a careful diagnosis.

RECTAL PROLAPSE

Rectal prolapse is a pathological condition in which part of the rectum (which can vary in size) protrudes outside of the anus.

There are three fundamental types of rectal prolapse:

  • MUCOSAL PROLAPSE
  • TOTAL PROLAPSE
  • BOWEL INTUSSUSCEPTION

The factors that put people at risk of rectal prolapse are as follows:

  1. Old age;
  2. Chronic constipation;
  3. Previous occult anterior mucosal prolapse which was not treated;
  4. Prolonged straining during defecation;
  5. Anal sex;
  6. Frequent and prolonged diarrhoea;
  7. Gastrointestinal helminths;
  8. Multiple natural births, or natural births close together:
  9. Previous surgeries;
  10. Cystic fibrosis;
  11. Chronic cough;
  12. Sphincter paralysis.

 

During total prolapse, the entire rectum protrudes from the anus.
With regard to treatment, various surgical procedures exist. I developed a procedure which combines various techniques to create a non-invasive outpatient treatment. Using a series of 20% dextrose elastic ligatures applied to the mucosa associated with submucosal swellings, the prolapse gradually recedes. When the prolapse has fully receded, further infiltrations of 20% dextrose are administered to the sub-mucosal, intersphinteric and extrasphincteric regions, producing an aseptic local inflammation leading to the formation of new collagen, which when it differentiates chemically fixes the sphinteric structures to the perianal cells. In this way we can avoid extensive surgery which often runs the risk of a high recurrence rate. Finally, since this is a gradual treatment which takes time, the patient should use a painkiller that can guarantee prolonged treatment over time with no side effects, such as slow-release morphine (JURNISTA). This painkiller is not anti-inflammatory as this would work against the collagenogenetic process and could have dangerous gastrointestinal and cardiovascular side effects, and is not habit-forming over time, allowing it to make this treatment very bearable and easy to endure.

For bowel intussusception, which can occur at different stages of the digestive system, the treatment is laparoscopic surgery through which the prolapsed viscera are repositioned and fixed in place externally to prevent recurrences.
Naturally, treating this disorder cannot be an outpatient procedure.

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