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Thread: Rectal Prolapse Surgical Treatment - Doctor Specialization

  1. #1

    Exclamation Rectal Prolapse Surgical Treatment - Doctor Specialization

    Dear friends,

    I would like to know if any General Surgeon has the necessary knowledge to treat rectal prolapse in people with SCI or only specialized general surgeons in SCI are recommended.

    Thanks.

  2. #2
    dimi,
    I have never heard of a surgeon who specializes in SCI, I don't believe there is such a critter. The surgery itself would be the same as for the able-bodied. The recovery may have to be modified however. You may want to have your physiatrist, or regular SCI doc, called in as a consult, if he has privileges at the same hospital. He could discuss any needed modifications to your post-op care, or even pre-op, with the surgeon. There are surgeons however that specialize in gastrointestinal disorders, GI surgeons, and there are even colorectal surgeons, who specialize in the lower end of the GI tract (and why anybody would choose this specialty has always escaped me )...... if you would like somebody more specific than a general surgeon. I am unsure how much skill repairing a rectal prolapse requires, but I can certainly understand why you would want it done right.

    If it were me, and I am a nurse, I would first be concerned about finding a competent surgeon. Competent in repairing rectal prolapses. I would then ask him to confer with my SCI doc, either formally as an in-house consult (he can visit you in the hospital and have access to your chart), or informally via phone/letter if he doesn't have the necessary privileges.

  3. #3
    HI,

    I agree with dunwawry above.

    I would also add that you give your surgeon a copy of the autonomic dysreflexia guidelines and assure he is familiar with the treatment; as well as the need for a good lying surface and the need for frequent turning pre- and post-op. I am not sure but this possibly could be done on an outpatient basis.

    aAD

  4. #4
    To add to SCI nurse (which was a very important point, AD is definitely something you want everyone to know about), if you have the surgery as an inpatient, I would have a copy of the AD guidelines posted by your bedside for the nurses. It doesn't do much good for your doc to know what to do, if the nurses don't. And I wouldn't count on them knowing, in fact, I would count on them NOT knowing. Maybe you can ask your doc to write an order to "have copy of AD guidelines posted at patient bedside" and give him a copy. Just to make things simple for everyone. KISS - keep it simple stupid, as they say. Less to get screwed up in the translation.

  5. #5
    Senior Member Foolish Old's Avatar
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    aAD

    I am unaware of an surgical procedure for rectal prolapse repair that would be done on an outpatient basis. Would you please elaborate?

    Thank you.
    Foolish

    "We have met the enemy and he is us."-POGO.

    "I have great faith in fools; self-confidence my friends call it."~Edgar Allan Poe

    "Dream big, you might never wake up!"- Snoop Dogg

  6. #6
    Senior Member Fragile's Avatar
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    Quote Originally Posted by Foolish Old
    I am unaware of an surgical procedure for rectal prolapse repair that would be done on an outpatient basis. Would you please elaborate?

    Thank you.
    I had the pph (pphinfo.com) done last april, only in the hospital for a couple hours. Moderate AD for about 6 hours following the procedure. Follow up 8 weeks later showed it corrected the prolapse, but still have severe colorectal pain.

  7. #7
    Senior Member Foolish Old's Avatar
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    Quote Originally Posted by Fragile
    I had the pph (pphinfo.com) done last april, only in the hospital for a couple hours. Moderate AD for about 6 hours following the procedure. Follow up 8 weeks later showed it corrected the prolapse, but still have severe colorectal pain.
    Fragile - thanks for the info and link.

    How advanced was your prolapse? Did this procedure require an incision? If so, where and how large? Did you receive general anaesthesia? Did you have the same degree of pain prior to the procedure?
    Foolish

    "We have met the enemy and he is us."-POGO.

    "I have great faith in fools; self-confidence my friends call it."~Edgar Allan Poe

    "Dream big, you might never wake up!"- Snoop Dogg

  8. #8
    I am not experienced in procedures for rectal prolapse, as there are many and depends on the size and area of involvement. When you see the surgeon, ask him/her for all your options for getting this corrected.
    Getting first hand info from others that have had this problem is also helpful but eveyone is different.

    AAD

  9. #9
    All I know is, if I need surgery in this area, I go to a colo-rectal surgeon. Nobody else is allowed! Make sure they are clear on AD issues. Mine had an anesthesiologist with us the whole time, to be safe.

  10. #10
    I developed a prolapse after 6yrs of BPs. It retracted during the days but was still uncomfortable to deal with every other morning, especially when I irritated it enough to bleed. I came close to having surgery on it, but opted for a colostomy instead. Haven't had any pain since, as I no longer need to sit in a hole to take a dump, plus it gave me a LOT of independence back. There are things I dislike about it, but the pros certainly outweighed the cons, and I'm glad I made the decision. Just food for thought.

    I agree with the notion to find a specialist. Colo-rectal / digestive health / whatever. Ask around.

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