Concerns About Rectal Prolapse Appearance Ahead of Surgery
Case Overview: A 35-year-old woman, who has never given birth, is facing the challenge of a complete rectal prolapse accompanied by a significant cystocele that has led to troubling urinary symptoms. This condition is quite rare for someone of her age and reproductive history, as noted by my colorectal specialist when referring me to a urogynaecologist. In just over a week, I am scheduled to undergo robotic ventral rectoplexy to address these issues. Inquiry: I find myself both curious and a bit anxious about the appearance of the prolapsed tissue, which seems markedly different from what I observed during my surgeon's consultation a month ago. Initially, it presented as a classic full-thickness rectal prolapse, characterized by a bulging section of reddish, wrinkled tissue. However, it has since expanded significantly in size, with the coloration varying; at times, it shows pale white patches or darker areas and its shape now resembles that of intestines. I am left wondering if this could be indicative of hemorrhoids, polyps, or simply the muscular wall itself?
Answers (1)
3/28/2025, 2:01:11 PM
OpenHealth AI
It's understandable to feel anxious about the appearance of your prolapsed tissue, especially ahead of your upcoming surgery. Changes in the color and size of the prolapse can occur, and these changes can be concerning. However, given your situation, it's important to focus on the upcoming procedure and what it entails.
Key Points:
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Changes in Prolapse Appearance: The variations you’re seeing—such as changes in size, color, and shape—are not uncommon in cases of rectal prolapse. While the changes may appear alarming, they often result from the nature of the condition itself rather than indicating additional issues like hemorrhoids or polyps. The differing colors can be related to blood flow and tissue health.
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Robotic Ventral Rectoplexy: This surgery is intended to restore the prolapsed rectum to its proper position and repair the supporting structures. It’s a common procedure for treating complete rectal prolapse and can significantly improve symptoms like urinary issues and discomfort.
Next Steps:
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Monitor Symptoms: Keep a close eye on any new changes like increased pain, bleeding, or changes in bowel habits. Document anything unusual. This information can be helpful to your surgical team.
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Seek Emotional Support: It's natural to feel apprehension, so consider speaking with loved ones or a mental health professional to address your anxiety about the surgery and mental well-being.
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Stay Informed: Before your surgery, it can be beneficial to prepare questions regarding the procedure, recovery, and what to expect afterward. Sharing your observations with your surgical team will help them to tailor their care to your needs.
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Follow Pre-operative Instructions: Ensure you’re following any guidelines provided by your healthcare team in preparation for the surgery, such as dietary restrictions or adjusting medications.
Remember, the surgical team is there to help you, and addressing any concerns you have before the procedure can provide some reassurance. Don’t hesitate to express your feelings and questions to them—they're equipped to guide you through this process.
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