Rectal prolapse

Rectal Prolapse Treatment

Rectal prolapse occurs when the rectum protrudes through the anus due to weakening of the pelvic floor muscles.

Symptoms

Visible protrusion of the rectum, pain, bleeding, fecal incontinence, and mucus discharge.

Diagnosis

Physical examination, defecography, and colonoscopy.

Surgical Treatments

  • Rectopexy
  • Perineal Procedures

Rectal prolapse occurs when the rectum protrudes through the anus due to weakening of the pelvic floor muscles. It can cause significant discomfort and complications if not treated properly.

Symptoms

  • Visible protrusion of the rectum through the anus
  • Pain and discomfort, especially during bowel movements
  • Bleeding and mucus discharge
  • Fecal incontinence or difficulty with bowel movements

Diagnosis

  • Physical Examination: Visual inspection and manual examination of the rectum.
  • Defecography: Imaging test to evaluate rectal function during bowel movements.
  • Colonoscopy: To check for underlying conditions like polyps or tumors.
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Treatment Options

Conservative Treatments

Pelvic Floor Exercises: Strengthening exercises to improve muscle tone and support. Dietary Changes: High-fiber diet and stool softeners to reduce straining.

Surgical Treatments

Rectopexy: Surgical attachment of the rectum to the sacrum to prevent prolapse, often performed laparoscopically for minimal invasiveness and faster recovery. Perineal Procedures: Altemeier Procedure: Removal of the prolapsed section of the rectum through the perineum. Delorme Procedure: Tightening the rectal muscles and removing the prolapsed mucosa.