Rectal prolapse medical therapy

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Rectal prolapse Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]

Overview

Rectal prolapse cannot be corrected nonoperatively, although some of the symptoms associated with this condition can be reduced medically. Nonoperative treatments of rectal prolapse such as medications reducing edema, correction of constipation, exercises straining the perineum are helpful.

Medical Therapy

Rectal prolapse cannot be corrected nonoperatively, although some of the symptoms associated with this condition (such as fecal incontinence, pain, and constipation) can be reduced by medical therapy.[1]

In addition, most patients are elderly and general performance status is poor. In these cases nonoperative treatments such as medications reducing edema, correction of constipation, exercises straining the perineum, electric simulation, injection of a sclerosing agent, or rubber band ligation are helpful especially during the acute phase.[2]

References

  1. Bordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, Steele SR (2017). "Clinical Practice Guidelines for the Treatment of Rectal Prolapse". Dis. Colon Rectum. 60 (11): 1121–1131. doi:10.1097/DCR.0000000000000889. PMID 28991074.
  2. Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.

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