Rectal Prolapse Treatment in Portland, OR
Rectal prolapse is a condition where the rectum, the last part of the large intestine, slips out of its normal position and protrudes through the anus. While it can be uncomfortable and distressing, rectal prolapse is treatable with the right care. At the Northwest Center for Colorectal Health, located in Portland, OR, our expert team of doctors — Dr. Scott M. Browning, Dr. Jeffrey V. Manchio, and Dr. Richard U. Kalu — specializes in diagnosing and treating rectal prolapse with advanced techniques and compassionate care. If you’re experiencing symptoms, we’re here to help you regain your comfort and quality of life.
What Is Rectal Prolapse?
Rectal prolapse occurs when the rectum loses its support and begins to slip downward. In some cases, it may protrude through the anus, especially during bowel movements. This condition can develop gradually over time and is more common in older women, although it can affect both men and women of all ages.
What Causes Rectal Prolapse?
Rectal prolapse is often caused by a weakening of the muscles and ligaments that support the rectum. This weakening can result from chronic constipation, straining during bowel movements, or a history of pelvic floor disorders. Other contributing factors include aging, nerve damage, or previous surgeries in the pelvic area. Women who have had multiple vaginal deliveries may also be at higher risk.
What Are the Symptoms of Rectal Prolapse?
The most noticeable symptom of rectal prolapse is the appearance of a bulge or protrusion from the anus, especially during or after a bowel movement. Other symptoms may include discomfort, difficulty controlling bowel movements, or a sensation of incomplete emptying after using the restroom. In many cases, rectal prolapse may cause irritation, bleeding, or mucus discharge.
How Is Rectal Prolapse Treated?
At Northwest Center for Colorectal Health, we take a comprehensive approach to treating rectal prolapse. Our doctors begin with a thorough evaluation to determine the severity of the condition and any underlying factors contributing to it. Distinguishing between rectal prolapse, prolapsing internal hemorrhoids, and most importantly protruding cancer is a critical first step and can almost always be determined during an exam with our providers. For mild cases or rectal prolapse, non-surgical treatments such as dietary changes, stool softeners, or pelvic floor therapy may be recommended to manage symptoms and prevent worsening.
For more advanced cases, surgical intervention is often necessary to repair the prolapse and restore normal function. Seeking treatment for rectal prolapse early is essential to prevent complications and improve outcomes. Left untreated, rectal prolapse can lead to chronic discomfort, difficulty with bowel movements, and an increased risk of infection or damage to the rectal tissue. Our team specializes in minimally invasive surgery, frequently using the da Vinci surgical robot for robotic rectopexy. For patients who should avoid major abdominal surgery, we may recommend an alternative approach, such as the Altemeier or Delorme procedure, to remove the prolapsing portion of the rectum through the anus. These procedures are designed to provide long-term relief and improve your quality of life.
At Northwest Center for Colorectal Health, we understand how challenging and uncomfortable rectal prolapse can be. Our team of skilled doctors combines years of experience with the latest diagnostic and treatment techniques to provide expert care in a compassionate and supportive environment. We’re dedicated to helping you regain your comfort and confidence.