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Women over 50 are six times more likely to develop rectal prolapse than men. It is rare in men over 45 and in women under 20. [21] When males are affected, they tend to be young and report significant bowel function symptoms, especially obstructed defecation, [5] or have a predisposing disorder (e.g., congenital anal atresia). [10]
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]
Ventral mesh rectopexy has become popular for rectal prolapse, internal rectal prolapse and ODS, especially in Europe. [ 61 ] [ non-primary source needed ] It is also used for rectoceles, [ 62 ] solitary rectal ulcer syndrome , [ 63 ] and can be combined with procedures for vaginal prolapse, for example sacrocolpopexy . [ 62 ]
According to the American Society of Colon and Rectal Surgeons, chronic constipation is present in 30 to 67 percent of patients diagnosed with anal prolapse, partially due to severe straining.
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
The signs and symptoms are variable, and in up to 25% of patients there may be no symptoms. [3] The most common signs and symptoms are bleeding, which can vary from minor to severe, rectal prolapse and incomplete evacuation (35%-76% of cases). [4]
Vaginal pessaries can immediately relieve prolapse and prolapse-related symptoms. [7] A high fiber diet, consisting of 25–30 grams of fiber daily, as well as increased water intake (typically 6–8 glasses daily), help to avoid constipation and straining with bowel movements, and can relieve symptoms of rectocele. [8] [9]
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