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Rectal Prolapse

Reviewed 06/2018
 


BASICS

Circumferential protrusion of the rectum beyond the anus 

DESCRIPTION

Three types 
  • Partial prolapse (1)[A]

    • Involves only mucosa

    • Frequently follows operative anal procedures (radial rectal folds prol...

DIAGNOSIS

HISTORY

Common historical elements 
  • Presence of palpable or visible rectal mass

  • Rectal pain, bleeding, or soiling

  • Prior anorectal surgery

  • Spinal cord injury or defect

  • Constipation and straining

    • Fee...

TREATMENT

GENERAL MEASURES

  • For acute cases: Prompt manual reduction. If there are signs of bowel compromise (e.g., gangrene), emergency surgery is indicated.

  • Place patient in lithotomy position or knee-...

ONGOING CARE

Biofeedback improves postoperative function, especially in patients with pelvic floor dyssynergia. 

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Monthly visits until possible need for surger...

REFERENCES

1
Madiba TE, Baig MK, Wexner SD. Surgical management of rectal prolapse. Arch Surg.  2005;140(1):63–73. [View Abstract on OvidMedline]
2
Melton GB, Kwaan MR. Rectal prolapse. Surg Clin No...

ADDITIONAL READING

  • Bachoo P, Brazzelli M, Grant A. Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev.  2000;(2):CD001758.

  • Cadeddu F, Sileri P, Grande M, et al. Focus on ab...

SEE ALSO

Hemorrhoids; Intussusception 

CODES

ICD10

K62.3 Rectal prolapse 

ICD9

569.1 Rectal prolapse 

SNOMED

  • 57773001 Rectal prolapse (disorder)

  • 71663002 Incomplete rectal prolapse

  • 197213004 Complete rectal prolapse

CLINICAL PEARLS

  • Rectal prolapse most commonly involves females in their 5th decade.

  • In children, rectal prolapse is most common in children <3 years and typically resolves spontaneously.

  • High-fiber d...

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