Rectal Prolapse

Rectal Prolapse

What is rectal prolapse and what is the cause of rectal prolapse?

Rectal prolapse is a condition in which the rectum protrudes out of the anus.

Weakness of the anal sphincter muscle is often associated with rectal prolapse resulting in leakage of stool or mucus.

Several factors may contribute like

  • Straining during bowel movements

  • Injury during child birth process

  • Aging

  • Generalized pelvic floor dysfunction

  • Eurological problems, such as spinal cord transaction or spinal cord disease

How is rectal prolapse diagnosed?

Diagnose is by thorough history and complete anorectal examination.

To demonstrate the prolapse, patients may be asked to sit on a commode and “strain” as if having a bowel movement.

Occasionally, for internal rectal prolapse, an x-ray examination (videodefecogram) may be helpful.

Anorectal manometry may also be used to evaluate the function of the muscles around the rectum.

How is rectal prolapse treated?

Abdominal or rectal surgery may be suggested. An abdominal repair may be approached laparoscopically.

Chronic constipation and straining after surgical correction should be avoided.


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