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
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
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