Rectal prolapse natural history, complications and prognosis: Difference between revisions
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==Natural History== | |||
Hemorrhage occurs frequently if the prolapsed rectum is left unreduced. If rectal prolapse is persistent for a long time, urological impairments (bladder stones or urethral stricture) may be associated.<ref name="pmid21431090">{{cite journal |vauthors=Shin EJ |title=Surgical treatment of rectal prolapse |journal=J Korean Soc Coloproctol |volume=27 |issue=1 |pages=5–12 |year=2011 |pmid=21431090 |pmc=3053504 |doi=10.3393/jksc.2011.27.1.5 |url=}}</ref> | Hemorrhage occurs frequently if the prolapsed rectum is left unreduced. If rectal prolapse is persistent for a long time, urological impairments (bladder stones or urethral stricture) may be associated.<ref name="pmid21431090">{{cite journal |vauthors=Shin EJ |title=Surgical treatment of rectal prolapse |journal=J Korean Soc Coloproctol |volume=27 |issue=1 |pages=5–12 |year=2011 |pmid=21431090 |pmc=3053504 |doi=10.3393/jksc.2011.27.1.5 |url=}}</ref> | ||
==Complications== | |||
*Common complications of rectal prolapse include:<ref name="pmid28991074">{{cite journal |vauthors=Bordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, Steele SR |title=Clinical Practice Guidelines for the Treatment of Rectal Prolapse |journal=Dis. Colon Rectum |volume=60 |issue=11 |pages=1121–1131 |year=2017 |pmid=28991074 |doi=10.1097/DCR.0000000000000889 |url=}}</ref><ref name="pmid24352613">{{cite journal |vauthors=Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE |title=Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies |journal=J. Gastrointest. Surg. |volume=18 |issue=5 |pages=1059–69 |year=2014 |pmid=24352613 |doi=10.1007/s11605-013-2427-7 |url=}}</ref> | *Common complications of rectal prolapse include:<ref name="pmid28991074">{{cite journal |vauthors=Bordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, Steele SR |title=Clinical Practice Guidelines for the Treatment of Rectal Prolapse |journal=Dis. Colon Rectum |volume=60 |issue=11 |pages=1121–1131 |year=2017 |pmid=28991074 |doi=10.1097/DCR.0000000000000889 |url=}}</ref><ref name="pmid24352613">{{cite journal |vauthors=Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE |title=Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies |journal=J. Gastrointest. Surg. |volume=18 |issue=5 |pages=1059–69 |year=2014 |pmid=24352613 |doi=10.1007/s11605-013-2427-7 |url=}}</ref> | ||
**[[Fecal incontinence]] (50-75%) | **[[Fecal incontinence]] (50-75%) | ||
| Line 16: | Line 16: | ||
**Rectal incarceration or even strangulation | **Rectal incarceration or even strangulation | ||
==Prognosis== | |||
*Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%. | *Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%. | ||
*Depending on the extent of the [tumor/disease progression/etc.] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent. | *Depending on the extent of the [tumor/disease progression/etc.] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent. | ||
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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
Natural History
Hemorrhage occurs frequently if the prolapsed rectum is left unreduced. If rectal prolapse is persistent for a long time, urological impairments (bladder stones or urethral stricture) may be associated.[1]
Complications
- Common complications of rectal prolapse include:[2][3]
- Fecal incontinence (50-75%)
- Constipation (25-50%)
- Rectal incarceration or even strangulation
Prognosis
- Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
- Depending on the extent of the [tumor/disease progression/etc.] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
- The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
- [Subtype of disease/malignancy] is associated with the most favorable prognosis.
- The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.
References
- ↑ 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.
- ↑ 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.
- ↑ Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). "Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies". J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.