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'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


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==Overview==
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  eMedicineTopic = 3533 |
   MeshID        = D012005 |
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'''''Synonyms and Keywords: '''''Protrusion of rectum, Prolapse of rectum{{Rectal prolapse}}
'''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:
==[[Rectal prolapse overview|Overview]]==


*'''''Full-thickness rectal prolapse''''' describes the entire rectum protruding through the anus
==[[Rectal prolapse historical perspective|Historical Perspective]]==
*'''''Mucosal prolapse''''' describes only the rectal mucosa (not the entire wall) prolapsing
*'''''[[Internal intussusception]]''''' wherein the rectum collapses but does not exit the rectum


==Causes==
==[[Rectal prolapse classification|Classification]]==


===Progression===
==[[Rectal prolapse pathophysiology|Pathophysiology]]==
The condition of Rectal prolapse, a type of rectal rupture, undergoes progression: beginning with prolapsation during bowel movements, through [[Valsalva maneuver|Valsalva]] movements ([[sneezing]] and so forth), then through daily activities such as walking until finally it may become chronic and ceases to retract.


==Treatment==
==[[Rectal prolapse causes|Causes]]==
[[Pharmaceutical]]ly, the condition may only be treated secondarily (by treating deficate) so as to avoid further straining.
 
==[[Rectal prolapse differential diagnosis|Differentiating Rectal prolapse from other Diseases]]==


The alternative is surgery, it may be divided into two forms of procedure: abdominal surgery and perineal surgery.
==[[Rectal prolapse epidemiology and demographics|Epidemiology and Demographics]]==


*'''Abdominal surgery''' - for younger patients, but is more dangerous
==[[Rectal prolapse risk factors|Risk Factors]]==
**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
**[[Hemorrhoid]]ectomy
*Children are treated with linear cauterization


==Notes==
==[[Rectal prolapse screening|Screening]]==
Because most sufferers are elderly, the condition is generally under-reported.


==External links==
==[[Rectal prolapse natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
* [http://www.pelvicfloordigest.org/2005/prolapse_coloproctology.html Selected abstracts from recent medical literature on Rectal Prolapse]
*[http://www.wikisurgery.com/index.php?title=Thiersch-suture-insertion-Operationscript Thiersch suture insertion:Operation Script on Wikisurgery]


==[[Rectal prolapse diagnosis|Diagnosis]]==
[[Rectal prolapse history and symptoms|History and Symptoms]] | [[Rectal prolapse physical examination|Physical Examination]] | [[Rectal prolapse laboratory findings|Laboratory Findings]] | [[Rectal prolapse electrocardiogram|Electrocardiogram]] | [[Rectal prolapse abdominal x ray|Abdominal X Ray]] | [[Rectal prolapse CT|CT]] | [[Rectal prolapse MRI|MRI]] | [[Rectal prolapse ultrasound|Ultrasound]] | [[Rectal prolapse other imaging findings|Other Imaging Findings]] | [[Rectal prolapse other diagnostic studies|Other Diagnostic Studies]]


{{Gastroenterology}}
==Treatment==
[[Rectal prolapse medical therapy|Medical Therapy]] | [[Rectal prolapse surgery|Surgery]] | [[Rectal prolapse primary prevention|Primary Prevention]] | [[Rectal prolapse secondary prevention|Secondary Prevention]] | [[Rectal prolapse cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Rectal prolapse future or investigational therapies|Future or Investigational Therapies]]
==Case Studies==
[[Rectal prolapse case study one|Case #1]]


[[Category:Surgery]]
[[Category:Medicine]]
[[Category:Proctology]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
 
[[Category:Up-To-Date]]
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Latest revision as of 14:54, 27 February 2018


For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]

Rectal prolapse
ICD-10 K62.3
ICD-9 569.1
OMIM 176780
DiseasesDB 11189
MeSH D012005

Synonyms and Keywords: Protrusion of rectum, Prolapse of rectum

Rectal prolapse Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rectal Prolapse from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Abdominal X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Risk calculators and risk factors for Rectal prolapse

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rectal prolapse from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | Abdominal X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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