Recovery Time After Rectal Prolapse Surgery: A Comprehensive Guide

26.06.202310.06.2023 by alexxlab

How long does it take to recover from rectal prolapse surgery. What are the common side effects after the procedure. How can patients manage pain and discomfort during recovery. When can normal activities be resumed after rectal prolapse repair.

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Understanding Rectal Prolapse and Surgical Repair

Rectal prolapse is a condition where the last part of the large intestine (rectum) protrudes through the anus. This uncomfortable and potentially embarrassing condition often requires surgical intervention to correct. Rectal prolapse repair surgery aims to reposition the rectum and strengthen the surrounding tissues to prevent future occurrences.

There are several surgical approaches to treating rectal prolapse, including perineal and abdominal procedures. The choice of technique depends on the patient’s overall health, age, and the severity of the prolapse. Regardless of the specific method, the recovery process is a crucial aspect of the treatment that patients need to understand and prepare for.

Timeline for Recovery After Rectal Prolapse Surgery

The recovery time after rectal prolapse surgery can vary depending on several factors, including the type of procedure performed and the individual patient’s health status. However, a general timeline can be established:

Immediate post-operative period (1-3 days): Hospital stay for monitoring and initial recovery
Early recovery (1-2 weeks): Rest at home, managing pain and discomfort
Mid-recovery (3-4 weeks): Gradual increase in activity levels
Late recovery (5-6 weeks): Return to most normal activities
Full recovery (6-8 weeks): Resume all regular activities, including work and exercise

Is the recovery time the same for all patients? No, individual healing rates can differ. Factors such as age, overall health, and adherence to post-operative instructions can influence the speed of recovery. Some patients may feel relatively normal after a few weeks, while others might require the full six to eight weeks to fully recover.

Managing Common Side Effects and Discomfort

After rectal prolapse surgery, patients may experience several side effects. These are typically temporary and manageable with proper care and medication. Common post-operative symptoms include:

Soreness and pain around the surgical site
Swelling and bruising
Minor bleeding or discharge
Constipation or difficulty with bowel movements
Urinary retention or incontinence (usually temporary)

How can patients manage these side effects effectively? Your surgeon will likely prescribe pain medications and recommend over-the-counter remedies to alleviate discomfort. Additionally, following these tips can help manage post-operative symptoms:

Use ice packs to reduce swelling and numb the area
Sit on a soft cushion or donut-shaped pillow to relieve pressure on the surgical site
Practice good hygiene to prevent infection
Follow a diet rich in fiber and stay hydrated to promote regular bowel movements
Perform Kegel exercises as recommended by your doctor to strengthen pelvic floor muscles

Dietary Considerations During Recovery

Proper nutrition plays a crucial role in the healing process after rectal prolapse surgery. A well-planned diet can help prevent constipation, reduce strain during bowel movements, and provide essential nutrients for tissue repair.

What should patients eat after rectal prolapse surgery? In the initial days following the procedure, your doctor may recommend a clear liquid diet, gradually progressing to soft foods and then to a regular, high-fiber diet. Here’s a general guideline:

Days 1-2: Clear liquids (broth, jello, clear juices)
Days 3-4: Soft, easily digestible foods (yogurt, mashed potatoes, scrambled eggs)
Days 5 and beyond: Gradual introduction of high-fiber foods (fruits, vegetables, whole grains)

Why is fiber important during recovery? Fiber helps soften stools and promotes regular bowel movements, reducing the risk of constipation and strain. However, it’s crucial to increase fiber intake gradually to avoid gas and bloating. Aim for 25-30 grams of fiber per day, along with plenty of water to keep stools soft.

Activity Restrictions and Gradual Return to Normal Life

Following rectal prolapse surgery, patients must adhere to certain activity restrictions to ensure proper healing and prevent complications. These restrictions typically ease over time as recovery progresses.

When can patients resume normal activities after surgery? Here’s a general timeline for returning to various activities:

Light walking: Encouraged from day 1 to promote circulation and prevent blood clots
Driving: Usually after 1-2 weeks, once pain medication is no longer needed
Work (sedentary jobs): 2-4 weeks, depending on individual recovery
Work (physical jobs): 4-6 weeks, with potential restrictions on heavy lifting
Exercise and strenuous activities: 6-8 weeks, with gradual reintroduction
Sexual activity: 4-6 weeks, or as advised by your surgeon

How can patients safely increase their activity levels? It’s important to listen to your body and not push too hard, too soon. Start with short walks and gradually increase duration and intensity. Always consult with your surgeon before resuming more strenuous activities or returning to work.

Pain Management Strategies

Effective pain management is crucial for a comfortable recovery and can help patients return to normal activities more quickly. Your surgeon will provide a pain management plan tailored to your specific needs.

What are some effective pain management techniques after rectal prolapse surgery?

Prescribed pain medications: Take as directed by your doctor
Over-the-counter pain relievers: Such as acetaminophen or ibuprofen (if approved by your surgeon)
Ice therapy: Apply ice packs to the surgical area to reduce swelling and numb pain
Sitz baths: Warm water soaks can soothe the area and promote healing
Positioning: Use pillows to find comfortable positions for sitting and sleeping
Relaxation techniques: Deep breathing, meditation, or gentle yoga can help manage pain and reduce stress

Is it normal to experience pain several weeks after surgery? Some degree of discomfort is common for several weeks following rectal prolapse repair. However, if pain is severe, worsening, or accompanied by fever or excessive bleeding, contact your healthcare provider immediately as these could be signs of complications.

Follow-up Care and Long-term Outlook

Regular follow-up appointments with your surgeon are essential to monitor your recovery progress and address any concerns. These visits typically occur at scheduled intervals following your surgery.

What can patients expect during follow-up appointments?

Physical examination of the surgical site
Discussion of any ongoing symptoms or concerns
Adjustment of pain management strategies if needed
Guidance on gradually increasing activities
Recommendations for long-term care to prevent recurrence

What is the long-term outlook after rectal prolapse surgery? The success rate for rectal prolapse repair is generally high, with most patients experiencing significant improvement in symptoms and quality of life. However, a small percentage of patients may experience a recurrence of prolapse, particularly if underlying risk factors are not addressed.

To maintain good outcomes in the long term, patients should:

Maintain a high-fiber diet and stay well-hydrated
Avoid straining during bowel movements
Perform pelvic floor exercises as recommended by their healthcare provider
Maintain a healthy weight
Avoid heavy lifting and strenuous activities that increase abdominal pressure

Potential Complications and When to Seek Medical Attention

While most patients recover from rectal prolapse surgery without significant issues, it’s important to be aware of potential complications and know when to seek medical help.

What are some signs that warrant immediate medical attention?

Severe or worsening pain not controlled by prescribed medications
Fever above 101°F (38.3°C)
Excessive bleeding or discharge from the surgical site
Inability to urinate or have a bowel movement
Signs of infection such as redness, warmth, or foul-smelling discharge
Severe constipation or diarrhea
Persistent nausea or vomiting

How can patients reduce the risk of complications? Following your surgeon’s post-operative instructions carefully is crucial. This includes taking medications as prescribed, maintaining good hygiene, adhering to dietary recommendations, and avoiding strenuous activities until cleared by your doctor.

Emotional and Psychological Aspects of Recovery

The recovery process after rectal prolapse surgery isn’t just physical; it also involves emotional and psychological aspects that are important to address.

How can patients cope with the emotional challenges of recovery?

Be patient with your body and give yourself time to heal
Stay connected with friends and family for emotional support
Join support groups or online forums to connect with others who have undergone similar procedures
Practice stress-reduction techniques such as meditation or deep breathing exercises
Maintain open communication with your healthcare team about any concerns or anxieties
Consider speaking with a mental health professional if you’re struggling with anxiety or depression during recovery

Is it normal to feel frustrated or discouraged during recovery? Yes, it’s completely normal to experience a range of emotions during the healing process. Recovery takes time, and progress may not always be linear. It’s important to celebrate small victories and remember that healing is a gradual process.

The Role of Physical Therapy in Recovery

Physical therapy can play a significant role in recovery after rectal prolapse surgery, particularly in strengthening the pelvic floor muscles and improving overall function.

What types of exercises might a physical therapist recommend?

Kegel exercises to strengthen pelvic floor muscles
Core strengthening exercises
Breathing techniques to reduce pressure on the pelvic floor
Posture improvement exercises
Techniques for proper bowel movement mechanics

When does physical therapy typically begin after surgery? In most cases, patients can start gentle pelvic floor exercises within a few days after surgery, as directed by their surgeon. More intensive physical therapy may begin 2-4 weeks post-surgery, depending on individual recovery progress.

Lifestyle Modifications for Long-term Success

Adopting certain lifestyle changes can help ensure the long-term success of rectal prolapse repair and reduce the risk of recurrence.

What lifestyle modifications are recommended after rectal prolapse surgery?

Maintain a healthy weight to reduce pressure on the pelvic floor
Incorporate regular, low-impact exercise into your routine
Practice good toilet habits, avoiding straining and prolonged sitting
Quit smoking, as it can weaken tissues and impair healing
Manage chronic conditions like diabetes that can affect tissue health
Consider dietary changes to promote regular, easy bowel movements

How can patients ensure they stick to these lifestyle changes? Set realistic goals and make gradual changes. Work with your healthcare team to develop a personalized plan that fits your lifestyle and needs. Regular follow-ups can help track progress and provide motivation to maintain these positive changes.

The Importance of Patient Education and Preparation

Proper education and preparation before and after rectal prolapse surgery can significantly impact recovery outcomes and patient satisfaction.

What should patients know before undergoing rectal prolapse repair?

Details of the surgical procedure and expected outcomes
Potential risks and complications
Expected recovery timeline and post-operative care instructions
Pain management strategies
Dietary recommendations for before and after surgery
Activity restrictions and guidelines for returning to normal activities

How can healthcare providers ensure patients are well-prepared for surgery and recovery? Offering comprehensive pre-operative education sessions, providing written materials, and encouraging patients to ask questions can help ensure they feel confident and prepared for the surgical experience and recovery process.

Rectal Prolapse Surgery Recovery | Colorectal Surgeons Long Island, NY

BY DEAN PAPPAS M.D.

Following rectal prolapse, surgery may be needed to address the problem. The results of these surgical procedures are quite successful so long as patients follow our instructions for post-op care. This is why the entire team at Colon & Rectal Surgical Specialists of New York take time explaining healing and recovery after women’s rectal prolapse surgery and men’s rectal prolapse repair.

Overall, recovery from prolapse repair will take about six weeks, though the exact time will depend on the nature and extent of your surgery. Below is a general overview of the recovery process and what you can expect. Our Garden City, NY team can discuss these matters with you in greater detail during the consultation process.

Taking Time Off from Work

Given the nature of the prolapse repair surgery, it’s imperative that patients take some time off from work. A few weeks may be necessary deepening on the nature of the patient’s job and the duties that are expected of them. This can be discussed during the consultation process. Upon returning to work, you may need to modify some of your duties or request reasonable accommodations from your employer as you are recovering, so please keep that in mind.

Common Side Effects After Surgery

Following prolapse repair surgery, common side effects may include:

Soreness
Swelling
Bruising
Minor bleeding

Your surgeon will be able to recommend pain killers and over-the-counter pain medications that can help minimize post-op discomfort. In addition, recommendations will be made regarding sleeping and sitting positions to help reduce soreness as you are healing.

Use of Stool Softeners

Following surgery, patients will be told to use stool softeners to help avoid excessive straining while moving their bowels. This helps aid in healing, and prevents re-injury of the rectum after it has been repaired. The use of stool softeners will also be essential for pain management in the first days of recovery.

Adjusting Your Diet to Aid in Recovery

In addition to using stool softeners, patients will also be asked to alter their diet to prevent constipation and straining when moving their bowels. Patients will typically start with a clear liquids diet, transitioning to soft foods and eventually solid foods over the course of a few weeks. High-fiber diets will be ideal during this healing period. Pay attention to all dietary recommendations made by your surgeon.

Drink Lots of Fluids

In order to help keep stools soft and prevent difficult bowel movements, it’s important that patients drink plenty of fluids and stay well hydrated as they recover. Stick to water and avoid sugary beverages, alcohol, and soft drinks. This is just good advice in general, and an important part of good tip for digestive health and overall wellness.

Avoid Heavy Lifting and Strenuous Activity

To prevent re-injury and other complications, patients should avoid heavy lifting and all sots of strenuous activity for a few weeks. This includes cardio, squatting, and bending at the waist. Your surgeon will be able to provide you with guidelines on when you can return to these activities.

Attend Follow-up Visits as Scheduled

Multiple follow-up visits with your surgeon will occur during the recovery process. This is to help monitor your healing and make sure that you do not suffer from any kinds of health problems while you are getting well. Be sure to attend all of these visits, and to contact your surgeon any time you have an urgent concern.

Learn More About Colorectal Surgery

For more information about recovering from colorectal surgery, be sure to contact our team of doctors and surgeons. Colon & Rectal Surgical Specialists of New York is here to help. You can reach our primary Long Island office located in Garden City by phone at (516) 844-0248.

Rectal prolapse repair Information | Mount Sinai

Rectal prolapse surgery; Anal prolapse surgery

Rectal prolapse repair is surgery to fix a rectal prolapse. This is a condition in which the last part of the intestine (called the rectum) sticks out through the anus.

The rectum is the final portion of the large intestine. It empties stool from the body through the anus. The rectum is anchored in position by ligaments. When these ligaments weaken, the rectum can move out of its normal position, downward, and pass through the anus. This is called rectal prolapse.

Description

Rectal prolapse may be partial, involving only the inner lining of the bowel (mucosa). Or, it may be complete, involving the entire wall of the rectum.

For most adults, surgery is used to repair the rectum because there is no other effective treatment.

Children with rectal prolapse do not always need surgery, unless their prolapse does not improve over time. In infants, prolapse often disappears without treatment.

Most surgical procedures for rectal prolapse are done under general anesthesia. For older or sicker people, epidural or spinal anesthesia may be used.

There are three basic types of surgery to repair rectal prolapse. Your surgeon will decide which one is best for you.

For healthy adults, an abdominal procedure has the best chance of success. While you are under general anesthesia, the doctor makes a surgical cut in the abdomen and removes a portion of the colon. The rectum may be attached (sutured) to the surrounding tissue so it will not slide and fall out through the anus. Sometimes, a soft piece of mesh is wrapped around the rectum to help it stay in place. These procedures can also be done with laparoscopic surgery (also known as keyhole or telescopic surgery).

For older adults or those with other medical problems, an approach through the anus (perineal approach) might be less risky. It might also cause less pain and lead to a shorter recovery. But with this approach, the prolapse is more likely to come back (recur).

One of the surgical repairs through the anus involves removing the prolapsed rectum and colon and then suturing the rectum to the surrounding tissues. This procedure can be done under general, epidural, or spinal anesthesia.

Very frail or sick people may need a smaller procedure that reinforces the sphincter muscles. This technique encircles the muscles with a band of soft mesh or a silicone tube. This approach provides only short-term improvement and is rarely used.

Risks

Risks of anesthesia and surgery in general include:

Reactions to medicines
Breathing problems
Bleeding, blood clots, infection

Risks of this surgery include:

Infection. If a piece of rectum or colon is removed, the bowel needs to be reconnected. In rare cases, this connection can leak, causing infection. More procedures may be needed to treat the infection.
Constipation is very common, although most people have constipation before the surgery.
In some people, incontinence (loss of bowel control) can get worse.
Return of prolapse after abdominal or perineal surgery.

Before the Procedure

During the 2 weeks before your surgery:

You may be asked to stop taking medicines that make it harder for your blood to clot. Some of these are aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), clopidogrel (Plavix), ticlopidine (Ticlid), and apixaban (Eliquis).
Ask your health care provider which medicines you should still take on the day of your surgery.
If you smoke, try to stop. Ask your provider for help.
Be sure to tell your surgeon if you get sick before your surgery. This includes a cold, flu, herpes flare-up, urinary problems, or any other illness.

The day before your surgery:

Eat a light breakfast and lunch.
You may be told to drink only clear liquids such as broth, clear juice, and water in the afternoon.
Follow instructions about when to stop eating or drinking.
You may be told to use enemas or laxatives to clear out your intestines. If so, follow those instructions exactly.

On the day of your surgery:

Take any medicines that your provider told you to take with a small sip of water.
Be sure to arrive at the hospital on time.

After the Procedure

How long you stay in the hospital depends on the procedure. For open abdominal procedures it may be 5 to 8 days. You will go home sooner if you had laparoscopic surgery. The stay for perineal surgery may be 2 to 3 days.

You should make a complete recovery in 4 to 6 weeks.

Outlook (Prognosis)

The surgery usually works well at repairing the prolapse. Constipation and incontinence can be problems for some people.

Galandiuk S, Netz U, Morpurgo E, et al. Colon and rectum. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 52.

Russ AJ, Delaney CP. Rectal prolapse. In: Fazio the Late VW, Church JM, Delaney CP, Kiran RP, eds. Current Therapy in Colon and Rectal Surgery. 3rd ed. Philadelphia, PA: Elsevier; 2017:chap 22.

Last reviewed on: 2/28/2022

Reviewed by: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Delorme operation for rectal prolapse

Prices Doctors Our centers

Delorme operation is a surgical intervention that effectively eliminates rectal prolapse. It is characterized by minimal invasiveness, therefore it is considered the most physiological and safe approach.

Indications Contraindications Preparation
Progress of the operation Recovery Forecasts

After the intervention, the intestines retain their functions, and the person does not experience any restrictions in the future.
Surgeons-proctologists of SM-Clinic successfully carry out such operations and help patients solve the problem once and for all.

Readings

The operation is prescribed for the development of rectal prolapse, when all layers of the rectum come out through the anus.
Sometimes the prolapse occurs in one moment, but more often it is formed gradually as a result of regular lifting.
burden or after multiple births in women.

With such a pathology, conservative treatment is ineffective, so the only way out is an operation that will restore
functions of the large intestine and completely eliminate the prolapse.

Contraindications

The Delorme operation is safe, so it is prescribed even for elderly patients with severe concomitant diseases. Allocate
only general contraindications that apply to any proctological surgery:

the presence of inflammatory processes in the anus;
exacerbation of chronic pathologies;
blood clotting disorders.

Preparation

In preparation for surgery, the surgeon examines the clinical case in detail and examines the patient.
It is necessary to study the structure of the pelvis, the position of the internal organs, assess the severity of prolapse and other parameters,
which determine the features of the further operation.

To create a complete picture and identify contraindications, the doctor prescribes:

endoscopic examinations – sigmoidoscopy, colonoscopy;
contrast radiography of the intestine;
defecography or proctography;
magnetic resonance imaging of the pelvic organs;
blood and urine tests.

The patient also needs to consult a general practitioner, anesthetist, women should see a gynecologist.
Preparation on the eve of the operation includes a special diet and a complete bowel cleansing.

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Operation procedure

The patient is put under general anesthesia before the operation. After that, the surgeon performs the intervention using one of two
technician:

Access through the rectum. The doctor excised part of the prolapsed mucous membrane, and the muscles are collected on
surgical thread and fixes in front of the sphincter. This additional muscle layer strengthens the sphincter and
minimizes the possibility of relapse. This method is more often used in the treatment of elderly patients who may
Eliminate physical activity from your life.
Perineal access. The surgeon also removes the mucosa, while the muscle layer is sutured to
synthetic mesh. The implant is fixed on the periosteum of the first sacral vertebra. The operation is suitable for
young patients, as it allows them to continue to lead an active life, play sports.

Rehabilitation

The postoperative period of inpatient therapy is about 5-7 days. Care is reduced to dressings, reception
antibiotics and painkillers. Features of care depend on age, comorbidities. Complications
develop quite rarely and may include inflammation, bleeding, constipation, urinary retention.

If there are no complications, after a week, you can continue to recover at home. The attending physician provides individual
recommendations for care and nutrition.

Forecasts

The operation allows you to get good prognosis even in complex medical cases. After full recovery
patients do not experience discomfort and do not have to adhere to any restrictive measures. Probability of relapse
with this method of treatment, prolapse is 10-15%.

Specialists in this field 21 doctors

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Marina B. Petrushina

Surgeon, proctologist

Work experience: 42 years Ramyan David Surenovich

Surgeon, coloproctologist, oncologist, mammologist

Work experience: 13 years

Malaya Balkanskaya, 23

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Ardashov Pavel Sergeevich

Coloproctologist-surgeon

Work experience: 9 years

Udarnikov, 19

Ladozhskaya metro station

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metro Prosveshcheniya

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Head of the Center for Surgery and Oncology

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Sinyagina (Nazarova) Maria Andreevna

Surgeon, proctologist

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Leninsky Prospect metro station

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Coloproctologist, surgeon. Candidate of Medical Sciences.

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Sol Anton Alexandrovich

Work experience: 15 years

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metro Prosveshcheniya

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Fomenko Nikolai Aleksandrovich

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Leninsky Prospect metro station

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Khangireev Alexander Bakhytovich

Surgeon, oncologist, coloproctologist

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002 Dunayskaya metro station

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Surgeon, oncologist, coloproctologist

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Vyborgskoe highway, 17

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Chuprina Susanna Vladimirovna

Coloproctologist of the highest category

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Udarnikov, 19

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Coloproctologist

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Malaya Balkanskaya, 23

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