Rectal prolapse

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Rectal prolapse
ICD-10	K62.3
ICD-9	569.1
OMIM	176780
DiseasesDB	11189
eMedicine	med/3533
MeSH	D012005

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Evidence Based Medicine
Cochrane Collaboration on Rectal prolapse Bandolier on Rectal prolapse TRIP on Rectal prolapse
Clinical Trials
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US National Guidelines Clearinghouse on Rectal prolapse NICE Guidance on Rectal prolapse NHS PRODIGY Guidance FDA on Rectal prolapse CDC on Rectal prolapse
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Commentary
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Definitions
Definitions of Rectal prolapse
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List of terms related to Rectal prolapse

Rectal prolapse normally describes a medical condition wherein the walls of the rectum protrude through the anus and hence become visible outside the body. There are three chief conditions which come under the title rectal prolapse:

• Full-thickness rectal prolapse describes the entire rectum protruding through the anus
• Mucosal prolapse describes only the rectal mucosa (not the entire wall) prolapsing
• Internal intussusception wherein the rectum collapses but does not exit the rectum

Causes

Progression

The condition of Rectal prolapse, a type of rectal rupture, undergoes progression: beginning with prolapsation during bowel movements, through Valsalva movements (sneezing and so forth), then through daily activities such as walking until finally it may become chronic and ceases to retract.

Treatment

Pharmaceutically, the condition may only be treated secondarily (by treating deficate) so as to avoid further straining.

The alternative is surgery, it may be divided into two forms of procedure: abdominal surgery and perineal surgery.

• Abdominal surgery - for younger patients, but is more dangerous
  • Anterior resection
  • Marlex rectopexy
  • Suture rectopexy
  • Resection rectopexy
• Perineal surgery - often performed on older patients and is less dangerous
  • Anal encirclement
  • Delorme mucosal sleeve resection
  • Altemeier perineal rectosigmoidectomy
  • Hemorrhoidectomy
• Children are treated with linear cauterization

Notes

Because most sufferers are elderly, the condition is generally under-reported.

External links

• Selected abstracts from recent medical literature on Rectal Prolapse
• Thiersch suture insertion:Operation Script on Wikisurgery

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