Anterior/posterior prolapse

[Cassandra]

Had this surgery in 2017 - since then I have had problems trying to clean around my bum - there’s a little bit protruding which I know is not piles. After a bowel movement and using copious amount of toilet paper/wipes etc there is still leakage which is very embarrassing as well as causing itching and soreness due to not being able to get cleaned properly.

I have tried in vain getting in touch with lady who performed my op but she has moved on and will not respond to my emails (I had op at private hospital). Does anyone know if this is something that can be repaired?

[wobblybee Administrator Pioneer]

🤔 For the best advice on your individual problem see your GP.

Rectal prolapse surgery can be done through the abdomen (rectopexy) — either with a large incision (open surgery) or laparoscopic methods — or through the region around the anus (perineum).

The surgery might be done with general anesthesia, in which you're asleep; a spinal block, in which your lower half is numb; or a combination of relaxing medication and local anesthesia to numb your anus (perianal block).

Which approach your surgeon uses depends on a number of factors, such as your age, your other health problems, your surgeon's experience and preferences, and equipment available. No procedure is considered the best overall. Discuss your options with your surgeon.

Types of rectal prolapse surgery:

Rectal prolapse repair through the abdomen. Using an incision in the abdomen, the surgeon pulls the rectum back in place. Using sutures or a mesh sling, he or she anchors the rectum to the back wall of the pelvis (sacrum). In some cases, such as a long history of constipation, the surgeon removes a portion of the colon.

Laparoscopic rectal prolapse surgery. Also done through the abdomen, this procedure uses several smaller incisions. The surgeon inserts special surgical tools and a tiny camera through the abdominal incisions to repair the rectal prolapse. An emerging robotic approach uses a robot to perform the operation.

Rectal prolapse repair through the area around the anus (perineal rectosigmoidectomy). During the more commonly performed form of this procedure (Altemeier procedure), the surgeon pulls the rectum through the anus, removes a portion of the rectum and sigmoid and attaches the remaining rectum to the large intestine (colon). This repair is typically reserved for those who are not candidates for open or laparoscopic repair.

Another method for repairing a rectal prolapse through the perineum (Delorme procedure) is more typically done for short prolapses. The lining of the rectum is removed and the muscular layer folded to shorten the rectum.

Copied from mayoclinic.com