Navigating Concerns After Diagnosis of a Rectal Polyp: A 22-Year-Old's Perspective
Greetings, I’m a 22-year-old male seeking guidance regarding my recent medical experience. I underwent a flexible sigmoidoscopy due to instances of rectal bleeding and mucus discharge. The results and subsequent biopsy findings have left me feeling quite uneasy, and I have several inquiries about the surgical intervention advised. The key details from my endoscopy report include: - A substantial polypoid mass located in the lower rectum, measuring approximately 30mm, which takes up nearly one-third of the right anterolateral circumference. - Several smaller polyps of different sizes also present in the lower rectum. - Numerous biopsies were performed on the larger polypoid formation. Final impression indicates the presence of lower rectal polypoid lesions with no complications reported during the procedure. According to the biopsy results: - Diagnosis: ulcerated polypoid rectal mucosa. - Impression: evidence of inflammatory granulation tissue, with no signs of cancerous or pre-cancerous changes observed. My doctor has proposed a procedure known as "local excision" to eliminate the prominent polyp. He informed me that this would be performed using local anesthesia through the anus, and he mentioned that there would only be internal stitches involved, with no cuts on the outside. I have several questions in light of this situation: 1. Given that the biopsy indicates merely inflammatory tissue and no malignancy, is the surgical intervention truly warranted? 2. When referring to "local excision," does it imply that a segment of my rectum will be excised, or only the polyp along with a minor surrounding area? 3. Is there a possibility that the removal of this polyp and a slight portion of the rectal lining could lead to long-term changes in my rectum's structure or functionality? 4. Will the excised region heal back to its original condition, or will there be a lasting scar? 5. What is the necessity for internal stitches if the rectal tissue itself is not being significantly altered? 6. I often encounter tales online regarding radical surgeries involving complete rectum removal due to cancer. Is my situation notably different? 7. What is the typical recovery process and long-term prognosis following such a surgery, especially at my age? I find myself anxious about the absence of many cases akin to mine shared online, and I worry about the possible long-term ramifications. I would greatly appreciate your insights or comforting thoughts on this matter. Thank you for your time.
Answers (1)
6/22/2025, 2:20:44 PM
OpenHealth AI
Thank you for sharing your situation, and it's understandable to feel anxious after receiving such medical news. Here’s a breakdown of your questions and concerns regarding the diagnosis and proposed surgery for your rectal polyp.
Key Points:
- Surgical Intervention: The proposed excision is often necessary to prevent complications and manage symptoms.
- Local Excision Definition: It generally involves removing only the polyp and a small margin of surrounding tissue.
- Long-Term Changes and Healing: Most patients recover well, with minimal structural changes.
- Stitches and Recovery: Internal stitches help ensure proper healing and tissue support.
Explanation:
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Necessity of Surgery: Even though your biopsy indicates inflammatory granulation tissue and no cancer, excising the polyp is recommended to eliminate the source of symptoms and reduce the chance of recurrence, especially given the size of the polyp. This proactive approach can prevent future complications, including bleeding or the development of new polyps.
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Local Excision: This procedure means the removal of the polyp itself along with a small amount of the surrounding healthy tissue to ensure complete removal. The goal is to minimize risk while ensuring all affected areas are addressed effectively.
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Long-Term Structural Changes: In most cases, the removal of a polyp and small amount of tissue does not significantly alter rectal structure or function. Your body generally adapts well, and any minor changes typically do not affect bowel movements or control.
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Healing and Scarring: Like any surgical procedure, healing will occur, and there may be some scar tissue formation. However, internal stitches help the area heal neatly. Most patients find they return to normal function without lasting issues.
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Internal Stitches Rationale: Even when only excising a polyp, internal stitches provide extra support to the tissue, promoting proper healing and minimizing the risk of complications such as bleeding or infection.
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Distinction from Radical Surgery: Your situation is indeed different from cases involving cancer or major surgical interventions like total rectum removal. Your findings are non-cancerous, and localized excision is considered a focused, less invasive approach.
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Recovery and Prognosis: Typically, patients experience mild discomfort, which can be managed with over-the-counter pain relief. Recovery is usually quick, with normal activities resuming within a week. Your prognosis is generally positive, especially given your young age and the non-cancerous nature of your findings.
Next Steps:
- Ask Your Doctor: If you have lingering anxiety, consider discussing your concerns directly with your healthcare provider. They can clarify the necessity and benefits of the procedure.
- Prepare for Surgery: Follow pre-operative instructions your doctor provides for the local excision to ensure a smooth process.
- Support System: Surround yourself with supportive friends or family during the recovery period; emotional support can greatly alleviate anxiety.
- Monitor Your Symptoms: Post-surgery, keep track of any changes in your symptoms and follow up with your healthcare provider as advised.
You are taking a proactive step by seeking information and addressing your health concerns. It's normal to feel apprehensive, but remember that many patients successfully navigate this situation and experience positive outcomes. Let me know if you need more information or clarification.
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