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Rectal Prolapse
Aka: Rectal Prolapse
- Definitions
- Rectal Prolapse
- Protrusion of all or some layers of the Rectum via the anus with straining
- Intussception of the bowel through the anus
- Pathophysiology
- Weak pelvic support
- Types
- Full thickness Rectal Prolapse
- Internal prolapse (Internal Intussusception
- Prolapse not visible outside the anal canal
- Mucosal prolapse
- Progression of Hemorrhoids more than a pelvic support disorder
- Risk Factors
- Chronic Constipation
- Conditions predisposing to straining at stool (e.g. Multiple pregnancies)
- Increasing Age (esp. women)
- Symptoms
- Mass protruding from the anus
- Onset often after straining to stool
- Associated symptoms
- Rectal Pain
- Anal Discharge
- Rectal Bleeding
- Associated Conditions
- Pelvic Organ Prolapse (e.g. Rectocele, Cystocele)
- Hemorrhoids (especially with mucosal prolapse)
- Complications
- Incarcerated Hernia (rare)
- Management
- Surgery
- Resources
- Emedicine
- http://emedicine.medscape.com/article/196411
- References
- Cohee (2020) Am Fam Physician 101(1):24-33 [PubMed]
- Jones (2011) BMJ 342:c7099 [PubMed]