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A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. [2] However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved.
A Chinese man suffered a severe instance of rectal prolapse after he sat on a toilet for half an hour while playing games on his cellphone, according to reports.. The Daily Mail reports that the ...
External rectal prolapse may give symptoms of obstructed defecation syndrome, fecal incontinence, or both, [17] [6] Other symptoms are bloody or mucous rectal discharge. [6] Relative indications are: Internal rectal prolapse (rectal intussusception), if it causes symptoms. [20] Anterior rectocele, if large and causing symptoms. [5]
Rectal prolapse is a condition in which part of the wall or the entire wall of the rectum falls out of place. Rectal prolapse can be a medical emergency. In some cases, the rectum may protrude. Symptoms of a rectal prolapse may be: Leakage of stool; Bleeding, anal pain, itching, irritation; Tissue that protrudes from the rectum
Sigmoidocele is a prolapse of peritoneum that contains a section of sigmoid colon. In females, these prolapses usually descend between the rectum and the vagina. They are most likely to be seen during straining. Rectal prolapse/Internal rectal intussusception: The rectum may be seen to prolapse, whether internally or externally.
Before the operation, antibiotic prophylaxis may be given. [10] The rectum is prepared with a phosphate enema at least 2 hours before the procedure. [ 10 ] The procedure can be carried out under local anesthetic on an out patient basis, or with caudal epidural anesthesia , [ 8 ] or with intravenous sedation , or under general anesthesia . [ 3 ]
Long term injury to the rectal mucosa and ischemic trauma are thought to be the main mechanisms. [5] In a report of 36 patients with SRUS, the underlying cause was internal prolapse (intussusception) in 20 patients, external rectal prolapse in 14 patients, and dyssynergic defecation (anismus) in 2 patients. [7]
Severe cases of hemorrhoidal prolapse will normally require surgery. Newer surgical procedures include stapled transanal rectal resection (STARR) and procedure for prolapse and hemorrhoids (PPH). Both STARR and PPH are contraindicated in persons with either enterocele or anismus .