Rectal prolapse
Do you or a loved one suffer from a rectal prolapse? Rectal prolapse treatment in Tunisia is a specialized proctologic surgery that allows refixation of the rectum and restoration of continence. Performed by experienced proctologic surgeons in modern clinics, this procedure offers durable results at competitive prices.
What is a rectal prolapse?
Rectal prolapse is a displacement of the rectum to the outside of the anus. It is more common than one might think and affects two very distinct populations. Young men have a congenital insufficiency of the rectal fixation means. Elderly women have a fixation defect of the pelvic floor. They also have a dehiscence of the sphincter apparatus.
What is the purpose of the surgical procedure?
The operation consists of refixing the rectum in the pelvic concavity. A mesh is used for this rectopexy. The procedure is performed laparoscopically or by laparotomy. It restores the normal anatomy of the rectum. It improves fecal continence and relieves symptoms. It prevents recurrences and complications. A gastric tube is generally not necessary. A bladder catheter is often placed to facilitate dissection.
How to prepare for the procedure? (Pre-operative)
Preparation before the operation is essential to ensure success. Regular transit should be promoted with laxatives. Hospitalization takes place the day before the operation. Do not shave the abdomen or perineum. An enema is prescribed the evening before. It is repeated on the morning of the operation.
What are the post-operative consequences?
The post-operative consequences of rectopexy are well codified. Drinks are allowed from the evening of the operation. A laxative is systematically prescribed post-operatively. Early mobilization is encouraged from the next day. Solid food resumes with a high-fiber diet. The IV line and bladder catheter are removed the next day. Discharge occurs between the 4th and 5th post-operative day. Work leave is one month for young patients.
When is the patient discharged?
The patient leaves the service with transit facilitators such as Duphalac. Standard painkillers such as Doliprane are prescribed. Dietary recommendations with a high-fiber diet are given. An appointment is made with the surgeon for follow-up. A functional rectal assessment is scheduled at 3 months. It is especially performed for young patients.
What are the risks and complications?
Rectopexy carries post-operative complications. Severe constipation is common, especially in cases of slow transit. Infections are to be feared in elderly patients. Erosion of the rectal wall can occur later. Fecal or urinary incontinence disorders may appear. Genito-urinary disorders are possible in young men. Recurrence occurs in 5 to 10% of cases, higher after perineal techniques.
What is the price of rectal prolapse treatment in Tunisia?
Tunisia offers very competitive prices for rectal prolapse treatment. Laparoscopic rectopexy costs between €2,500 and €4,000. Laparotomy rectopexy costs between €3,000 and €4,500. The perineal procedure ranges from €2,000 to €3,500. A complete package includes consultations, surgery, hospitalization of 4 to 5 days and post-operative care. These prices are up to 50 to 60% cheaper than in Europe, without compromising quality.
Frequently Asked Questions about Rectal Prolapse in Tunisia
1What is the difference between a rectal prolapse and a hemorrhoid?
Rectal prolapse is a displacement of the rectum to the outside of the anus, i.e., a part of the digestive tract (the rectum) coming out through the anus. Hemorrhoids are varicose veins (venous dilations) located in the anal canal. They can also protrude outside, but they are veins, not the rectal wall. A clinical examination by a proctologist allows distinction.
2Does rectal prolapse only affect the elderly?
No, rectal prolapse can affect two distinct populations: young men (20-40 years old), often due to congenital insufficiency of rectal fixation, and elderly women (after 60-70 years), in whom prolapse is linked to weakening of the pelvic floor and sphincters after pregnancies and menopause.
3What are the signs of a rectal prolapse?
Signs include: a sensation of mass or strangulation in the anal area, fecal incontinence (especially in the elderly), bleeding, severe constipation or conversely a feeling of incomplete evacuation, and anal pain. The diagnosis is confirmed by clinical examination and pelvic ultrasound or MRI.
4What surgical techniques are available for rectal prolapse?
There are two main surgical approaches. The abdominal approach (by laparotomy or laparoscopy): rectopexy, fixation of the rectum to the promontory using a mesh (Wells or Orr-Loygue type). The perineal approach: rectal resection (Delorme or Altemeier procedure), reserved for elderly or fragile patients, or for external prolapses.
5How long is the hospital stay for a rectopexy in Tunisia?
Hospitalization for laparoscopic rectopexy generally lasts between 3 and 5 days. Discharge can be considered between the 4th and 5th post-operative day for patients without complications. Early mobilization is encouraged from the day after surgery to prevent thromboembolic complications.
6Can rectal prolapse recur after surgery?
The recurrence risk is 5 to 10% according to series, higher for perineal techniques than for abdominal techniques (rectopexy). Recurrence is more frequent in cases of persistent chronic constipation, poor healing, or uncorrected pelvic floor disorders. A functional rectal assessment at 3 months allows monitoring of results.
7What are the mandatory pre-operative tests before a rectopexy?
Mandatory pre-operative tests include: pelvic ultrasound or MRI to assess the extent of prolapse and pelvic structures, anorectal manometry to evaluate sphincter function, continence assessment, and functional transit exploration (emptying tests, transit time measurement).
Why choose Tunisia for rectal prolapse treatment?
Tunisia is a recognized destination for proctology and pelvic floor surgery. Its proctologic surgeons are trained to international standards. They have extensive experience in laparoscopic rectopexy techniques. The clinics are modern with state-of-the-art operating rooms. Prices are competitive with significant savings. Care is rapid and personalized. Tunisia offers a pleasant setting for recovery.
In Conclusion
Rectal prolapse treatment is a specialized proctologic surgery that allows refixation of the rectum and restoration of continence. Tunisie Esthetic offers you quality care, performed by qualified proctologic surgeons, in modern clinics, at attractive prices. Do not hesitate to contact us to discuss your situation and obtain a personalized quote.