Rectal Prolapse

Rectal prolapse is protrusion of full-thickness rectal wall through anus (vs mucosal prolapse), due to pelvic-floor weakness/long-standing constipation/neuropathy, presenting with protrusion, bleeding, mucus, and incontinence. Treatment: conservative (fiber/fluids, pelvic-floor exercises, biofeedback); surgical rectopexy (abdominal/perineal) for symptomatic full-thickness prolapse; resection (Altemeer) if redundant bowel; treat constipation/incontinence; monitor for recurrence/constipation; follow-up.

Common Symptoms

Protrusion; bleeding; mucus; incontinence; by pelvic-floor weakness/constipation

Causes and Pathogenesis

Pelvic-floor weakness/neuropathy allows full-thickness rectal prolapse.

Treatment

Conservative; surgical rectopexy/resection; treat constipation/incontinence

Preventive Measures

Avoid constipation; pelvic-floor exercises; treat straining.

Department to Visit

It is recommended to visit the Anorectal/Gastrointestinal-surgery/Urogynecology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.