Best Rectal-Prolapse (রেকটাল-প্রলাপ্সে) Treatment in Dhaka

Rectal-Prolapse (রেকটাল-প্রলাপ্সে)

WHAT IS RECTAL PROLAPSE?

Rectal prolapse is a condition in which the rectum (the last part of the large intestine) loses the normal attachments that keep it fixed inside the body, allowing it to slide out through the anal opening, turning it “inside out.” Rectal prolapse affects mostly adults, but women ages 50 and older have six times the risk as men. It also occurs in children. It can be embarrassing and often has a negative effect on a patient’s quality of life. Although not always required, the most effective treatment for rectal prolapse is surgery.

CAUSES

While a number of factors are thought to be linked to rectal prolapse, there is no clear cut “cause.” An estimated 30% to 67% of patients have chronic constipation (infrequent stools or severe straining) and an additional 15% have diarrhea. In the past, this condition was assumed to be linked to giving birth multiple times by vaginal delivery. However, as many as 35% of patients with rectal prolapse never gave birth and it can occur in men.

SYMPTOMS

A common question is whether hemorrhoids and rectal prolapse are the same. Bleeding and/or tissue that protrudes from the rectum are common symptoms of both, but there is a major difference. Rectal prolapse involves an entire segment of the bowel located higher up within the body. Hemorrhoids only involve the inner layer of the bowel near the anal opening. Rectal prolapse can lead to fecal incontinence (not being able to fully control gas or bowel movements).

DIAGNOSIS

During the first visit, your colon and rectal surgeon will perform a thorough medical history and anorectal exam. In some cases, a rectal prolapse may be "hidden" or internal, making diagnosis more difficult. You may be asked to show a picture taken in your mobile phone while sitting on toilet and straining at the time of a bowel movement. It helps surgeon for diagnosis and planning treatment.

Other tests used for diagnosis include:

• Videodefecogram: X-rays are taken while you are having a bowel movement to test muscle movement.

• Anorectal Manometry: Evaluates muscle functions and reflexes of the pelvis, rectum and anus used during bowel movements.

TREATMENT

Although constipation and straining play a role in this condition, correcting this may not improve an existing rectal prolapse. There are several methods used to surgically repair rectal prolapse. Your colon and rectal surgeon will make the decision what surgery to use based on your age, physical condition, extent of prolapse and the results of tests. Options include removing part of the rectum or pulling the rectum back up and anchoring it. Sometimes mesh is used to reinforce the rectum.

Surgical approaches include:

• Abdominal repair through traditional surgery (open approach)

• Laparoscopic surgery

• Robotically assisted surgery

POST-TREATMENT PROGNOSIS

For a large majority of patients, surgery relieves or greatly improves symptoms. Prolapse or some other condition may have weakened the anal sphincter muscles. However, these muscles have the potential to regain strength after the prolapse has been corrected.

Factors that influence outcome include:

• Condition of the anal sphincter muscles before surgery

• Whether the prolapse is internal or external

• Overall health of the patient

It may take as long as one year to determine the impact of surgery on bowel function. Chronic constipation and straining after surgical correction should be avoided.

WHICH DOCTOR IS BEST FOR RECTAL PROLAPSE?

A Colon and rectal surgeon is best for diagnosis and treatment of rectal prolapse.

WHO IS A COLON AND RECTAL SURGEON?

A colorectal surgeon should have a MS degree on Colorectal Surgery &/or is the faculty of Bangabandhu Sheikh Mujib Medical University (BSMMU). He/she has huge knowledge, expertise and experience on this field enough to do both medical and surgical treatment. There are very few colorectal surgeons in Bangladesh. We can offer you the best treatment in this field. We treat piles (haemorrhoid), colon cancer, rectum cancer, Anal cancer, fistula, abscess, anal fissure, rectal prolapse, incontinence, constipation, chronic dysentery, abdominal pain, IBS, ulcerative colitis, Crohn's disease, tuberculosis, polyps, vomiting, abdominal gas, per rectal bleeding, anal pain, pilonidal sinus, obstructed defecation(ODS), rectocele, rectal intussusception, pelvic floor descend. We do colonoscopy, LASER Surgery, Laparoscopic surgery, rubber band/ring ligation, injection sclerotherapy, Longo, STARR, rectopexy, fistula surgery, Colon/rectal/anal cancer treatment, APR, Anterior resection, colectomy etc with excellence and hospitality.

কলোরেক্টাল সার্জন হচ্ছেন পায়ুপথ, মলাশয়, বৃহদান্ত্র ও ক্ষুদ্রান্ত্র এর সকল রোগের চিকিতসা ও অপারেশনে বিষেশজ্ঞ। তিনি কলোরেক্টাল সার্জারী বিষয়ের উপর এমএস ডিগ্রী করেছেন কিংবা বঙ্গবন্ধু শেখ মুজিব মেডিকেল বিশ্ববিদ্যালয়ের কলোরেক্টাল সার্জারী বিষয়ের শিক্ষক হিসাবে কর্মরত আছেন অথবা কর্মরত ছিলেন। একজন কলোরেক্টাল সার্জন এসব রোগ সম্পর্কে দীর্ঘদিন পড়ালেখা ও গবেষণা করেছেন তাই তিনি এসব বিষয়ে ডিটেইল জানেন এবং তাদের ভুল করার সম্ভাবনা কম। আমরা যেসব রোগের সর্বোত্তম চিকিৎসা নিশ্চিত করিঃ পাইলস, কোলন ক্যান্সার, রেক্টাম/মলাশয় ক্যান্সার, পলিপ, এনাল/মলদারের ক্যান্সার, ফিস্টুলা, ফোঁড়া, এনাল ফিসার, রেক্টাল প্রোলাপ্স (হালিশ), কোষ্ঠকাঠিন্য, মলত্যাগে বাধাগ্রস্ততা, ডায়রিয়া, আমাশয়, পেটে ব্যাথা, আইবিএস, আলসারিটিভ কোলাইটিস, ক্রনস ডিসিস, পেটের ও মলদারের যক্ষা, বমি, বদ হজম, পেটে গ্যাস, মলদারে রক্ত যাওয়া, মলদারে ব্যাথা, পাইলোনিডাল সাইনাস ইত্যাদি। আমরা বিনা অপারেশনে পাইলসের চিকিৎসা, লেজার চিকিৎসা, কলোনস্কপি, রাবার ব্যান্ড/রিং লাইগেশন, ইঞ্জেকশন স্কেরোথেরাপি, লঙ্গো, STARR, ফিস্টুলা সার্জারী, ল্যাপারোস্কপিক রেক্টোপেক্সি, মলদার রেখেই কোলন ও রেক্টাম ক্যান্সার অপারেশন ইত্যাদি সেবা আন্তরিকভাবে দক্ষতার সাথে দিয়ে আসছি।

Read More...

1.https://my.clevelandclinic.org/health/diseases/14615-rectal-prolapse#:~:text=Rectal%20prolapse%20occurs%20when%20the,necessary%20to%20repair%20the%20prolapse.

2.https://www.webmd.com/digestive-disorders/what-is-rectal-prolapse

3.https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse

4.https://www.mayoclinic.org/diseases-conditions/rectal-prolapse/symptoms-causes/syc-20352837

5.https://en.wikipedia.org/wiki/Rectal_prolapse

Appointment

For treatment and care of rectal prolapse by Colorectal Surgeon Dr Tariq Akhtar Khan please call 01736-369536 and take an appointment.