Doctor insights on:
How Is Rectal Prolapse Generally Treated
Several different wa: The rx of rectal prolapse(rp) depends on age, muscle strength, and type of rp. In aged people, we do a perineal proctoplasty, removing the prolapsing rectum with out opening the abdomen. In younger people we usually resect the redundant sigmoid and /or tack the upper recum to the posterior fascia. The important thing is to avoid straining and you may avoid surgery at all. ...Read moreSee 1 more doctor answer
Uncommon: Full rectal prolapse is uncommon but not rare. More common in women, especially with prgenancy or birth issues. Related to lack of pelvic support; can be seen in patients with certain parasitic infections (whipworm), patients in chronic psychiatric hospitals. May be related to pelvic organ prolapse (uterine prolapse), rectocele, cystocele, solitary rectal ulcer. Treatable, may need surgery. ...Read moreSee 1 more doctor answer
Evaluation: First you need evaluation to differentiate mucosal prolapse from true complete rectal prolapse. If surgery is required after medical management fails, the correct surgery will be anything from a hemorrhoidectomy to an abdominal procedure and partial colon resection. So, please be sure of the diagnosis before consenting to surgery. ...Read moreSee 1 more doctor answer
What are the most common symptoms of rectal prolapse? Do I need to have all of them to really have it?
What it says...: Most common is "mass protruding through the anus" and most are not painful at all; typically protrudes with defication/straining and retracts when done (mild cases). More severe case may need physical "pushing back in". It may progress and get really severe and pushing back no longer adequate, which then will require surgical reduction/pin-up surgery. Consult your doc..Colorectal doc. Good luck. ...Read moreSee 1 more doctor answer
Anal mass: Rectal prolapse is the passage of a part of the rectum out through the anus. The patient usually becomes aware of something hanging out when it is time to wipe. Early on it may "reduce", or go back in, on it's own but as it enlarges it may need to be pushed back. Initially will only come out with bowel movements but later will come out with coughing etc. Usually will need surgery. ...Read moreSee 1 more doctor answer
Surgery: Pelvic prolapse, and, specifically, rectal prolapse, can be caused by: pregnancy, childbirth, obesity, menopause, chronic cough (asthma), to name a few. The only effective and long-term treatment is surgery, but this is almost always out-patient, with a fairly quick recovery. ...Read moreSee 1 more doctor answer
Variable: Variable. From not significant to serious complications, dependent upon degree.Can be minimal or minor requiring no treatment. Many procedures available to treat, from minor surgery to major surgery, with varying results. Complex question requiring consultation with colorectal specialist. ...Read moreSee 1 more doctor answer
A rectal prolapse: occurs when part or all of the wall of the rectum slides out of place, sometimes protruding from the anus. In an internal prolapse, the rectum does not protrude outside the anus. There may be some pain and changes in stool consistency or passage. Treatment involves changes in diet or sexual practices, medicine such as stool softener, or surgery depending on severity. I hope this helps. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
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