Can you have children with rectal prolapse?

Written by Chen Tian Jing

Colorectal Surgery

Updated on September 30, 2024

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If a patient is diagnosed with rectal prolapse, they can still have children. However, childbirth can potentially worsen rectal prolapse, especially during natural delivery, where excessive straining in the pelvic and anal areas can exacerbate the condition. Therefore, if a patient already has rectal prolapse, it is advised to consider surgical removal treatment before pregnancy. If rectal prolapse occurs during pregnancy, external wash medications and hot compresses can be used to promote retraction. If rectal prolapse occurs during delivery, surgical treatment can also be carried out after childbirth. However, it is recommended that patients with severe rectal prolapse undergo cesarean delivery to avoid the excessive strain during natural childbirth, which could worsen the prolapse.

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Written by Xu Jun Hui

General Surgery

50sec

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The difference between rectal prolapse and rectal prolapse.

Rectal prolapse, also known as rectal prolapse, is characterized by partial prolapse of the rectal mucosa in the early stages and full-length prolapse of the rectum in the later stages. Early rectal prolapse is generally accompanied by a feeling of incomplete bowel movements, urgency followed by a feeling of incomplete relief, and perianal contact, with secretions leading to perianal eczema, itching, and infection in the later stages. If the prolapse cannot be reduced, entrapment can occur, causing pain. The initial treatment for rectal prolapse is to ensure smooth bowel movements and reduce factors that increase abdominal pressure to avoid causing the rectal mucosa to protrude outward. Severe rectal prolapse may require surgical treatment.

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Written by Chen Tian Jing

Colorectal Surgery

1min 4sec

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Causes of rectal prolapse

The causes of rectal prolapse primarily include older age or physical weakness leading to relaxation and sagging of the pelvic and rectal mucosa. Prolonged constipation can also lead to excessive straining during bowel movements, causing stress-induced sagging of the intestinal mucosa. Additionally, women who have gone through childbirth may experience rectal prolapse due to excessive straining of the pelvic floor muscles during delivery or increased abdominal pressure during pregnancy, which compresses the rectal mucosa. The treatment for rectal prolapse mainly consists of conservative medication or surgical removal. For mild cases of rectal prolapse, including those in children, traditional Chinese medicine enemas can be used. However, for moderate to severe cases, or cases where prolapse recurs frequently and significantly forms a complete prolapse, surgical removal is recommended.

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Written by Chen Tian Jing

Colorectal Surgery

54sec

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Rectal prolapse symptoms

The symptoms of rectal prolapse mainly refer to local mucosal relaxation in the anal canal, which leads to the prolapse of the internal mucosa outside the anus, or excessive relaxation of the mucosa that accumulates at the anus, forming an internal mucosal prolapse of the rectum. Rectal prolapse may also manifest as local bloating, pain, and a feeling of falling in the patient. Due to repeated prolapses, it may also cause difficulties in defecation due to mucosal accumulation at the anus, or form outlet obstructive constipation. Therefore, whether it is internal mucosal prolapse of the rectum or prolapse that leads to rectal prolapse, it is advisable for patients to undergo surgical treatment as soon as possible to avoid aggravating the condition and delaying treatment.

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Written by Chen Tian Jing

Colorectal Surgery

1min

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Can glycerin suppositories be used for rectal prolapse?

If a patient experiences difficulty in defecation or constipation due to rectal prolapse, enemas can be used to help facilitate bowel movements. The basic principle behind the defecation difficulties caused by rectal prolapse is due to the prolapsed, lax mucosa blocking the anal opening, preventing normal excretion of stool. Alternatively, when excretion does occur, it may be impeded by the mucosal obstruction, obstructing the normal passage of feces. Therefore, besides using enemas to address difficulty in defection and bowel movement, it is more necessary to surgically remove the lax mucosa to achieve a fundamental treatment. The use of enemas alone can only provide temporary relief of symptoms and does not address the root cause of the problem. For rectal mucosal prolapse, a stapled hemorrhoidopexy can be performed to surgically remove the prolapsed mucosa.

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Written by Chen Tian Jing

Colorectal Surgery

1min 3sec

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Rectal prolapse treatment

Rectal prolapse is primarily categorized into mild rectal prolapse as well as moderate and severe rectal prolapse. Mild rectal prolapse generally occurs in the early stages of the illness or in children and can be treated conservatively. Conservative treatment mainly involves Chinese herbal retention enemas. On the other hand, moderate and severe rectal prolapse can result in the protrusion of the local mucosa outside the anus, presenting as cylindrical or cone-shaped prolapses. Treating moderate to severe hemorrhoidal prolapse requires surgical intervention. The main surgical methods include hemorrhoidal mucosectomy with stapling and local submucosal sclerosant injections. It is also important to caution postoperative patients against squatting for long periods or straining during constipation, as these actions can exacerbate symptoms of submucosal prolapse.