Partial Rectal Prolapse

[medic1]

I am looking for information from anyone who has had to deal with this issue and possible options. I've been dealing with what I think is a partial rectal prolapse for the past 6-8 months. All signs and symptoms are pointing in this direction. Has anyone dealt with this? Had surgery to correct this issue?

[clk55pete]

I prolapse when pooping and push it back in, hold it there until the ring tightens up. It prolapses a bit when I take my hand away but then after a couple of hours I push it right in and its all good until the next poo. (I've been doing that for a few years now)

[Patrick Madsen]

Yeah went thru that. In the end, it took hours and hours trying to clear everything out and even then would have residual leakage. Finally the rectum quit all together. It got to the point of either giving up and dying or get a Sigmoid Loop colostomy. Got the colostomy and not problems at in the 7 years post. Had to find a new hobby to take up the time I used to spend on the pot. Sure makes it easier not having to worry about bowel care anymore.

[medic1]

So...I guess what are my options? 1. Live with it until I no longer find it an option to live with/deal with. I am at the beginning stages, only happens during bowel program and I dont have to manual put back in place. 2. Have surgery to have a colostomy or k-pouch or other option or 3. Is it possible to have the surgery to correct the prolapse issue. Or is it not recommended because of our issues. I do not perform dig stim and never have because it doesn't work. Neurogenic bowel, cauda equana, conus injury at L1 level. I had tried the peristeen program for about 6 months, however, it did not work for me. I have used the magic bullet, Miralax, and now Sena for 18 years.

[Califanna]

Just ran into this problem due to a hospital stay and nurses' refusal to do my bowel routine while staying there. The nurses installed a bowel catheter (Flexi-Seal Fecal Management System) that stayed in for 24 days (4 changes). The prolapsed bowel may have happened during the insertion or removal of the bowel catheter.

The colorectal specialist said that fixing the prolapse was more of a cosmetic solution due to the fact that I sit or lay in bed 24 hours a day. Definite Ableism on the part of this specialist when evaluating my options. The doc further factored in my age and the need for a temporary colostomy.

Try to find a good colorectal specialist who is willing to work for you and not the other way around. Good luck!

[SCI-Nurse]

Did you have diarrhea or very liquid stools for all 24 days? It is approved for use with liquid stool for up to 29 days. The Flexiseal is not indicated for management of formed stool. I cannot find anything in the literature about the Flexiseal causing or worsening rectal prolapse. There have been reports of the balloon causing worsened hemorrhoids and rectal hemorrhage, as well as autonomic dysreflexia in people with SCI.

Generally, if rectal prolapse can be manually reduced, surgery is not indicated. Only if it cannot be reduced and becomes "strangulated" would surgical repair be indicated. Colostomy (usually permanent) as an alternative is an option for many.

(KLD)