In this video, Dr. Sarah Bibi Soleh of Colon & Rectal Surgical Specialists of New York describes the symptoms of and treatments for rectal prolapse. Women who are elderly or have had multiple pregnancies are particularly at-risk for rectal prolapse. At CRSSNY, our doctors treat rectal prolapse with both outpatient and surgical methods.View transcript
So rectal prolapse is a condition where there's protrusion of an organ to the anal canal. Patients would present with the complaint that they see something coming out of the anus or discomfort, discharge, bleeding, or difficulties with evacuation. So rectal prolapse is caused by weakness in the support system of rectum. So rectum is stabilized in the pelvis with the help of pelvic floor muscles and some connective tissue which hold the rectum in place. When these tissues are weak, that leads to protrusion of the rectum to the anus. This is most commonly seen in female who are elderly, who had multiple pregnancies, or who had previous injuries in the obstetric injuries or patients who have chronic constipation. So depending on the severity of your prolapse, your treatment will be determined. Sometimes in milder cases of prolapse, it could be done on outpatient basis, it could be done through the perineum, and you would be able to go home the same day. In other cases, however, you might require a major surgery. That could be done either through open surgery, but an expert colorectal surgeon prefers it to be done by minimal invasive method, which includes robotic surgery or laparoscopic.