In abdominal surgery, the
surgeon makes a cut in the abdomen. He or she may secure part of the large
intestine or the rectum, or both, to the inside of the abdominal cavity with
sutures or a piece of mesh (rectopexy). This surgery can restore a
natural shape to the large intestine. The surgeon may also remove part of the
large intestine and sew the ends together. Other conditions that may be present
(such as a
prolapsed uterus) can also be repaired. Depending on
the type of problems present, the surgeon may make a large, single cut (open
surgery) or may make several small cuts along with using an instrument with a
small camera that allows the surgeon to see inside the body (laparoscopic
surgery). Rectal prolapse will come back in fewer than 1 out of 10 people who have this surgery.1
In perineal surgery, the surgeon
goes through the perineum or
anus. The surgeon can place a piece of mesh or suture
material around the circular muscle that controls the anus (anal sphincter). This type of surgery does not stress the body as much as
other types of surgery. But it is more likely that prolapse will occur again.
It is most often used for frail, older adults who have other serious medical
problems. It does not correct the condition that is causing the prolapse and
can lead to problems with constipation or blockage. People who have this type
of surgery may need frequent laxatives or enemas. Rectal prolapse will come
back in about 1 to 3 out of every 10 people who have this surgery.1
If the surrounding tissue is no longer holding part of large
intestine in the correct position, your surgeon may have to remove part of the
intestine and then reattach it to the rectum.
Bowel incontinence is the inability to control bowel movements. It's a common problem, especially among older adults.
Bowel incontinence is usually not a serious medical problem. But it can seriously interfere with daily life. People with bowel incontinence may avoid social activities for fear of embarrassment.
Many effective treatments can help people with bowel incontinence. These include:
minimally invasive procedures
Talking to your doctor is the first step toward...
This information is produced and provided by the National
Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National
Institute via the Internet web site at http://
.gov or call 1-800-4-CANCER.
WebMD Medical Reference from Healthwise
April 15, 2013
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this