5 doctors weighed in:

Should an 86 year old woman with rectal prolapse have another surgery after one year. Are there other ways? She had one wire surgically put across her anus to keep her rectum from falling out one year ago, the dr, wants to do it again. Is there another

5 doctors weighed in
Dr. Peter Lydon
Surgery
3 doctors agree

In brief: This

This is a complicated problem. Treatment of rectal prolapse with a wire is outdated.
An altemeier procedure (perineal rectosigmoidectomy) is usually the procedure of choice. Previous mesh placed in the pelvis, however, will make this procedure next to impossible. If the problem is as bad as it sounds, a low anterior resection with rectopexy will be the best choice. It should be done by an experience colorectal surgeon. Find a new surgeon fast.

In brief: This

This is a complicated problem. Treatment of rectal prolapse with a wire is outdated.
An altemeier procedure (perineal rectosigmoidectomy) is usually the procedure of choice. Previous mesh placed in the pelvis, however, will make this procedure next to impossible. If the problem is as bad as it sounds, a low anterior resection with rectopexy will be the best choice. It should be done by an experience colorectal surgeon. Find a new surgeon fast.
Dr. Peter Lydon
Dr. Peter Lydon
Thank
Dr. Amer Alame
Surgery - Colorectal
1 doctor agrees

In brief: Dr.

Dr. Lydon hit all the major points.
Bottom line find a surgeon who specializes in colon and rectal surgery (a good one).

In brief: Dr.

Dr. Lydon hit all the major points.
Bottom line find a surgeon who specializes in colon and rectal surgery (a good one).
Dr. Amer Alame
Dr. Amer Alame
Thank
Dr. Anna-Maria Toker
Surgery - Colorectal
1 doctor agrees

In brief: A

A patient who can not have a major abdominal surgery is likely best served with an altmeier ( perineal proctectomy) or delorme procedure (muscosal rectopexy), especially in this condition where there is now an eroding foreign object present that should be removed.
Not only does she need a colorectal surgeon, she needs one who performs these procedures, because there are some colorectal surgeons who do not. Your location is pa, and there is a fellowship program in philadelphia, i bet there is someone there who can help her.

In brief: A

A patient who can not have a major abdominal surgery is likely best served with an altmeier ( perineal proctectomy) or delorme procedure (muscosal rectopexy), especially in this condition where there is now an eroding foreign object present that should be removed.
Not only does she need a colorectal surgeon, she needs one who performs these procedures, because there are some colorectal surgeons who do not. Your location is pa, and there is a fellowship program in philadelphia, i bet there is someone there who can help her.
Dr. Anna-Maria Toker
Dr. Anna-Maria Toker
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