65y/M pt having a c/o - Mass like structure came out during defecation since last 2-3 yrs. occasionally bleeding PR & mucous discharge during defecation no any h/o HTN or DM Please help me in diagnosis & line of treatment of this case.
It's a case of complete rectal prolapse. surgical intervention needed. Rectopexy or perineal rectosigmidopexy may be done.
IT'S A CASE OF.. RECTAL PROLAPSE.. IN THIS CASE PROBABLE CAUSE IS..AGE.. OTHER CAUSES.. * LONG TERM H/O..DIARRHOEA..OR.. CONSTIPATION .. * LONG TERM H/O HAVING TO STRAIN WHEN YOU POOP.. * H/O TRAUMA TO HIP / ANAL REGION.. NEEDS.. DIETIC MEASURES, MEDICINE AND.. SURGICAL INTERVENTION..SOS.. EXPERTS OPINION IS ALWAYS BETTER..
Prolapse rectum Rx since pt is 65 yrs hence needs to study aetiology of it adv colonoscopy or scan presently replacement of rectum and tightening of anal sphincter by suture or wireing
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Its complete rectal prolapse. Surgical correction needed. Rectopexy with mesh sling repair to the pelvic wall / perineal rectosigmoidectomy..
Rectal prolapse Due to perineal MUSCLE laxity Usually follows constipation or dysentery. Associated with hypoproteinemia. Treatment Above risk factors can be corrected. Prolapse rectum can be pushed inside and adhesive tape can be applied across the anus. Perineal exercises. Temporary purse strings sutures around the anus to prevent prolapse. Surgery to reduce the prolapse and anchor it In position
I m agree with you @Dr. Kute Ankush The most common treatment for rectal prolapse is surgery to put the rectum back in place, and there are several types. The kind of surgery doctor recommends will depend on factors such as your overall health, age, and how serious your condition is. The two most common types of surgery: Through the abdomen: This type of surgery can be done either with a large incision or using laparoscopy -- this process uses small cuts and a camera attached to an instrument so the surgeon can see what needs to be done and if there are any additional issues that need to be fixed. Rectal repair: This approach may be used if you are older or have other medical problems. This type of surgery can involve the inner lining of the rectum or the portion of the rectum extending out of the anus. rectal prolapse is very minor and it is caught early, you treat it by taking stool softeners to make it easier to go to the bathroom and by pushing the rectum’s tissue back up the anus by hand. But, typically, you will eventually need to have surgery to fix rectal prolapse.
Complete rectal prolapse He need to be investigated by Colonoscopy, colonic motility study, anorectal manometry and complete preanesthesia work up Considering his age, laparoscopic ventral rectopexy would be a good choice of surgery
Complete Prolapse of rectum.... common in old age.. And in this case surgically treated like 1. Well's Sponge wrap operation... 2. Rectal resection through abdomen.. 3. External Rectosigmoidoscopy...best option Unani management Sitz bath (astringent medicine) And also useful astringent(qabij) medication like habbe rasvat Habbe muqil and sandal wood used in prolapse of rectum...
It is a case ofprocedentia of the rectum, since it is complete prolapse of the rectum it has to be treated surgically rectopexy operation.
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