Rectal Prolapse — Patient Information
Rectal prolapse is a condition in which part or all of the rectal wall protrudes through the anus. It may be partial (mucosal) or full-thickness, and can be associated with incontinence, mucus discharge and bleeding. Surgical treatment is generally required for full-thickness prolapse.
Symptoms
- Visible protrusion of tissue from the anus, especially after defecation
- Mucus discharge or bleeding from the prolapsed tissue
- Sensation of incomplete evacuation
- Anal incontinence in some patients
Diagnosis
Diagnosis is usually clinical, sometimes assisted by asking the patient to strain to reproduce the prolapse. Additional tests such as defecography and colonoscopy may be advised based on age and symptoms.
Treatment options
Mucosal prolapse may respond to conservative care or local procedures. Full-thickness rectal prolapse generally requires surgery; abdominal or perineal approaches are selected based on patient factors.
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