Rectopexy (rectum)
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Why a rectopexy?
A rectopexy is a surgical procedure performed to correct a rectal prolapse. This involves the rectum sinking partially or completely out of the anus (or vagina). This can be caused by weakened pelvic floor muscles, chronic constipation or a neurological condition.
Preparation
Once the doctor has determined that you need a rectopexy, further tests are sometimes needed. The tension and activity of the sphincter muscles, pelvic floor muscles and nerve supply of the rectal area are examined. This is done by anal manometry.
This is important for the success of the surgery. In order to properly hold stool after surgery, muscle activity must be sufficient and the nerves must not be damaged.
It is important to map the entire pelvis (rectum, vagina and bladder). In addition to a clinical examination, an NMR scan (MRI) or X-ray (colpocystodefaecography) is always performed.
Colpocystodefaecography (pelvic floor for urinary and bowel problems)
The operation
The surgeon attaches the rectum to the sacrum (just above the coccyx). A mesh made of plastic is used for this. The procedure is usually performed laparoscopically and with the help of the Da Vinci robot.
Aftercare
For the first six weeks after the procedure, you should not lift, strain or be sexually active. You will be prescribed medication to ease bowel movements.
To prevent a recurrence of constipation after the procedure, it is important that you follow the some lifestyle rules:
- Healthy, varied and high-fiber diet. Fiber is mainly found in whole grain products, vegetables, fruits, legumes, nuts and potatoes.
- Drink at least two liters of water a day.
- Get plenty of exercise.
- Go to the toilet when you feel urges.
A physical therapist can help you train your sphincter and pelvic floor muscles using special exercises. When needed, the doctor will refer you.