What should women do if they have anal prolapse?

I believe everyone is familiar with the disease of rectal prolapse. Female friends are prone to symptoms of rectal prolapse, so we recommend that female friends should do a good job of preventing rectal prolapse in daily life. There are many reasons for rectal prolapse. Once the symptoms of rectal prolapse appear, we should go to the hospital for consultation in time. Below we will introduce what women should do if they have rectal prolapse.

The treatment of rectal prolapse varies according to age and severity, and is mainly to eliminate the predisposing factors of rectal prolapse; conservative treatment is the main treatment for rectal prolapse in young children; sclerosing agent injection is mostly used to treat mucosal prolapse in adults; and surgical treatment is the main treatment for complete rectal prolapse in adults.

1. General treatment

Rectal prolapse in young children may heal on its own. Attention should be paid to shortening the time of defecation, immediately repositioning the prolapsed rectum after defecation, placing the child in a prone position, and fixing both buttocks with tape. Adults should also actively treat diseases that cause increased abdominal pressure, such as constipation and cough, to avoid worsening of prolapse and recurrence after surgical treatment.

2. Medication

The sclerosing agent is injected into the submucosal layer of the prolapsed area, causing aseptic inflammation and adhesion and fixation of the mucosa and muscular layer. Commonly used hardeners are 5% carbolic acid vegetable oil and 5% quinine hydrochloride urea aqueous solution. The effect is good for children and the elderly, but adults are prone to relapse.

3. Surgery

There are many surgical methods for complete rectal prolapse in adults, each with its own advantages and disadvantages and different recurrence rates. There are 4 surgical approaches: transabdominal, transperineal, transabdominoperineal, and transsacral. The first two approaches are more commonly used.

Rectal suspension fixation is effective in treating rectal prolapse. After freeing the rectum during the operation, the rectum and sigmoid colon can be fixed to the surrounding tissues through various methods, mainly to the tissues on both sides of the anterior sacrum, and care should be taken not to damage the peripheral nerves and the anterior sacral venous plexus; the loose pelvic floor fascia and levator ani muscles can be sutured at the same time, and the lengthy sigmoid colon and rectum can be removed.

Transperineal surgery is safe, but the recurrence rate is high. The prolapsed rectum or even the sigmoid colon can be removed and sutured directly from the anus. Rectal mucosal prolapse can be treated by hemorrhoidectomy. The elderly and the weak can simply undergo anal ring surgery, which is to use a metal wire or polyester belt to surround the anus subcutaneously. After 2 to 3 months, the subcutaneous implant is removed to tighten the anus to prevent rectal prolapse.

In the above article, we introduced a symptom that is common among female friends, that is, rectal prolapse. We know that rectal prolapse is very harmful, so we must do a good job of prevention and treatment. The above article gives us a detailed introduction on what to do if women have rectal prolapse.