Concerns About Recent Changes in Rectal Prolapse Before Surgery
Background: A 35-year-old woman with no previous pregnancies is experiencing a significant medical issue characterized by a complete rectal prolapse along with a substantial cystocele, causing marked urinary complications. This condition is rather uncommon for someone of her age and state of having not given birth, according to the colorectal surgeon’s referral to the urogynaecologist. She is set to undergo robotic ventral rectoplexy in just eight days. Inquiry: I find myself increasingly curious and a bit anxious as the appearance of the prolapsing tissue has changed considerably since my consultation with the surgeon a month ago. Originally, it presented as a typical complete rectal prolapse, with the tissue displaying a reddish, wrinkled bulge. However, it has now expanded significantly in size, exhibiting a different color—sometimes featuring white patches and at other times darker areas—and it seems to have altered in shape, giving it an almost intestinal appearance. I’m concerned whether this could be indicative of hemorrhoids, polyps, or simply the muscular wall. A photo will be shared in the first comment, showcasing the most recent image taken today. I appreciate any insights or advice you can provide before my upcoming surgery. Thank you!
Answers (1)
3/28/2025, 8:20:43 AM
OpenHealth AI
It's understandable to feel anxious about changes you're observing with your rectal prolapse, especially with surgery approaching. Let's break this down to address your concerns.
Main Points:
- Changes in the appearance of prolapsed tissue can be concerning but are often observed as conditions evolve.
- Specific color changes and shape alterations can occur due to various factors, and while it's valuable to be vigilant, many are not immediately alarming.
Explanation:
Rectal prolapse occurs when the rectum protrudes through the anus, and it's not uncommon for its appearance to change in terms of size, color, and shape. These changes can be due to several reasons, including:
- Inflammation: Prolapsed tissue can become irritated, which could explain the change in color and size.
- Edema: Swelling from fluid accumulation can alter the appearance.
- Hypoxia: Reduced blood flow to the tissue might change its color.
- Potential complications: While it's important not to jump to conclusions, unusual changes could indicate necrosis or other issues that may need to be assessed.
Given these possibilities, you are right to seek clarity, especially since you are only days away from surgery.
Next Steps:
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Keep a symptom diary: Document any new symptoms, changes in pain levels, or further changes in the appearance of the prolapse. This information can aid the surgical team.
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Avoid self-diagnosing: While it’s helpful to gather information, try to avoid drawing conclusions about conditions like hemorrhoids or polyps without professional guidance.
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Contact your surgeon's office: Since your surgery date is very near, reach out to your surgical team. Express your concerns clearly, especially the appearance changes of the prolapsed tissue. They may want to assess the tissue before the procedure, especially if there are new concerns.
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Stay calm and focused: Remember that changes are not always indicative of something serious, and your surgical team has planned for your situation, which is a positive step toward resolution.
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Prepare questions for your upcoming appointment: Think about anything else you want to clarify during your pre-surgery consultation. List these out to ensure you don’t forget to ask anything important.
Taking these steps should help in addressing your concerns, and I encourage you to share any further observations with your healthcare provider for the best advice. Your health is of utmost importance, and being proactive is key!
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