Rectal prolapse

Rectal prolapse

Name = Rectal prolapse

|www.images/google/ Caption =
DiseasesDB = 11189
ICD10 = ICD10|K|62|3|k|55
ICD9 = ICD9|569.1
OMIM = 176780
MedlinePlus =
eMedicineSubj = med
eMedicineTopic = 3533
MeshID = D012005

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 anus


Rectal prolapse is caused by the weakening of the ligaments and muscles that hold the rectum in place. In most people, the anal sphincter is weak. Rectal prolapse is often associated with the following conditions: advanced age, long term constipation, long term diarrhea, long term straining during defecation, pregnancy and stresses of childbirth, previous surgery, cystic fibrosis, COPD, and sphincter paralysis.


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.


Partial prolapse may be treated by a diet high in fiber.Fact|date=August 2008

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
*Children are treated with linear cauterization

Recently, robotic-assisted surgery has been introduced as a treatment option.cite journal |author=Heemskerk J, de Hoog DE, van Gemert WG, Baeten CG, Greve JW, Bouvy ND |title=Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time |journal=Dis. Colon Rectum |volume=50 |issue=11 |pages=1825–30 |year=2007 |month=November |pmid=17690936 |pmc=2071956 |doi=10.1007/s10350-007-9017-2 |url=]


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

The condition can also occur in children.cite journal |author=Saleem MM, Al-Momani H |title=Acute scrotum as a complication of Thiersch operation for rectal prolapse in a child |journal=BMC Surg |volume=6 |issue= |pages=19 |year=2006 |pmid=17194301 |pmc=1785387 |doi=10.1186/1471-2482-6-19 |url=]


External links

* [ Selected abstracts from recent medical literature on Rectal Prolapse]

Wikimedia Foundation. 2010.

Look at other dictionaries:

  • rectal prolapse — prolapse of rectum protrusion of the rectal mucous membrane through the anus, which can occur to various degrees. Incomplete or partial prolapse is when there is no displacement of anal sphincter muscle; complete prolapse may be either with… …   Medical dictionary

  • Prolapse — literally means To fall out of place. In medicine, prolapse is a condition where organs, such as the uterus, fall down or slip out of place. It is used for organs protruding through the vagina, rectum, or for the misalignment of the valves of the …   Wikipedia

  • prolapse — n. /proh laps , proh laps/; v. /proh laps /, n., v., prolapsed, prolapsing. n. 1. Pathol. a falling down of an organ or part, as the uterus, from its normal position. v.i. 2. to fall or slip down or out of place. [1555 65; < LL prolapsus a… …   Universalium

  • Prolapso rectal — Saltar a navegación, búsqueda Prolapso rectal Clasificación y recursos externos Aviso médico CIE 10 K62.3; k …   Wikipedia Español

  • solitary rectal ulcer syndrome — prolapse or internal intussusception of the rectal mucosa with a single ulcer on the anterior aspect 4 to 12 cm from the anal verge, accompanied by constipation and hematochezia; the condition may sometimes be confused with malignancy, infection …   Medical dictionary

  • prolapsus recti — rectal prolapse …   Medical dictionary

  • Anal sex — This article is about the human sexual act. For anal sex in non human animals, see Animal sexual behaviour. Depiction of anal sex on 510 BC Attic red figure …   Wikipedia

  • Operation — Although there are many meanings to the word operation , in medicine it refers to a surgical procedure. To put matters more formally, an operation is an act or series of acts performed upon the body with the hand alone or by means of an… …   Medical dictionary

  • List of sexology topics — This is a list of topics related to sexology, human sexuality and marriage customs, and related topics such as human sexual anatomy, reproductive biology, andrology, gynaecology, obstetrics and, where relevant, anthropology. Note that this list… …   Wikipedia

  • sigmoidopexy — Operative attachment of the sigmoid colon to a firm structure to correct rectal prolapse. [sigmoido + G. pexis, fixation] * * * sig·moid·o·pexy sig mȯid ə .pek sē n, pl …   Medical dictionary