Doctor insights on:
How Would A Young Man Have A Rectal Prolapse
Rectal prolapse: Rectal prolapse is uncommon in young people. It is more frequent in elderly patients particularly after major weight loss. Diarrhea or constipation is predisposing factor. There is some association with malignancy. Treatment needs to correct the predisposing factor, to encourage weight gain, avoidance of constipation. Patients refractory to conservative treatment wil need surgery. ...Read more
Too much straining: Rectal prolapse is frequently seen in elderly women who have muscle weakness secondary to age and multiple pregnancies. When a young man has rectal prolapse it is nearly almost always due to severe straining when moving her bowels. A stool softener or mild laxative can help. Surgery is an option if nothing else works. If the patient is already incontinent, surgery will not make it better. ...Read more
Straing or rectal ma: Rectal prolapse is not common in men but when it occurs, it is usually from chronic diarrhea and straining at the stool. Rectal prolapse should usually be repaired by an experienced surgeon as there are several different techniques which can be applied depending on patient factors such as age, debility, assessment of anal sphincter tone and squeeze, etc. Colonoscopy is necessary. ...Read more
I'm just wondering if they know a general reason why someone at my young age has reoccurring pelvic and rectal prolapse. I've had 3 surgeries for reoc?
Prolapse: My guess is you have had one or more babies. Discuss with your team. ...Read more
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 more
Falling out: Prolapse of the rectum is basically when the tissue that lines the rectum falls down and out the anus. Almost like a sleeve that turns inside out and falls down. Sometimes due to straining as with chronic constipation, othertimes due to collagen problems. Many reasons that this can happen, though it is rare. ...Read more
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 more
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 more
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 more
Problem bulge: Prevention with stool softeners is the start. Once advanced enough it is treated surgically. Most of the time it is a bulge into the vagina (rectocele) and an outpatient vaginal surgery. A true prolapse of the rectum through the anus is rare and can be treated rectally, abdominally or vaginally. Vaginal surgery reduces the vaginal bulge and builds up the tissue b/w the anus and vagina to bolster. ...Read more
Bowel control will:
Suffer. When the rectum is prolapsing it is stretching the nerves as well as the sphincter muscles which keep stool in. The earlier the repair the less damage to the area.
If the prolapse is so large and gets stuck the bowel can get sick and you can get sick from that. ...Read more
Not high: It's uncommon.Get a more detailed answer ›
Avoid increasing: Avoid increasing your intranet-abdominal pressure.Get a more detailed 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 more
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. See a colorectal surgeon for diagnosis and treatment options. ...Read more
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