How is rectal prolapse diagnosed?

Physical exam: One can generally see prolapse by inspection while the patient is bearing down.

Examination: Rectal prolapse can be internal and not visible or external and visible. If external, it is usually obvious. You can see and feel a round lump of tissue the size of a base ball that you can push back in at the anus. Internal is seen on dynamic MRI or video defecography. Surgery is almost always indicated, but see you colorectal surgeon to discuss option.