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Rectal mucosal prolapse (mucosal prolapse, anal mucosal prolapse) is a sub-type of rectal prolapse, and refers to abnormal descent of the rectal mucosa through the anus. [21] It is different to an internal intussusception (occult prolapse) or a complete rectal prolapse (external prolapse, procidentia) because these conditions involve the full ...
Patients may complain of bleeding, prolapse, personal discomfort and minor anal leakage. Where traditional non-surgical measures such as rest, suppositories and dietary advice fail to improve the condition, there is then a choice of further treatments. Opinion on the best management for patients varies considerably.
This is sometimes present in combination with internal rectal prolapse. enterocele, if causing symptoms. [8] Mucosal prolapse. [5] Obstructed defecation syndrome (which may be caused by external or internal rectal prolapse, but also by other conditions such as rectocoele, enterocoele, prolapse of the vaginal vault and cystocoele). [20]
When used to treat rectal prolapse or mucosal prolapse, it is injected into a wider area (not just into the hemorrhoid cushions, but also into parts of the rectal mucosa), leading to thickening and toughening of the anal canal and rectal wall. This has been shown to increase the maximal resting pressure of the anal canal.
In case of redundant prolapse, the prolapsed mucosal membrane is lifted and sutured (with the last suture minimum 5 mm above the pectinate line [4]), repositioning hemorrhoidal cushions in situ. This is different from a traditional hemorrhoidectomy, which focused on excising the hemorrhoidal bundle.
Treatment of SRUS is difficult and there is a lack of evidence-based guidelines. [4] The treatment is based on the pathophysiology of SRUS, [5] and the main aim is restoration of a normal pattern of defecation. [1] The exact treatment depends on the severity of the symptoms, the severity/type of SRUS, and whether rectal prolapse is present or ...
In medicine, prolapse is a condition in which organs fall down or slip out of place. It is used for organs protruding through the vagina, rectum, or for the misalignment of the valves of the heart. A spinal disc herniation is also sometimes called "disc prolapse". Prolapse means "to fall out of place", from the Latin prolabi meaning "to fall out".
Increased pudendal nerve terminal motor latency may indicate pelvic floor weakness. The various types of prolapse of the posterior compartment (e.g. external rectal prolapse, mucosal prolapse and internal rectal intussusception & solitary rectal ulcer syndrome) may also cause coexisting obstructed defecation. [citation needed]