Rectal prolapse
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Overview
Rectal prolapse | |
ICD-10 | K62.3 |
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ICD-9 | 569.1 |
OMIM | 176780 |
DiseasesDB | 11189 |
eMedicine | med/3533 |
MeSH | D012005 |
WikiDoc Resources for Rectal prolapse |
Articles |
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Most recent articles on Rectal prolapse Most cited articles on Rectal prolapse |
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Powerpoint slides on Rectal prolapse |
Evidence Based Medicine |
Clinical Trials |
Ongoing Trials on Rectal prolapse at Clinical Trials.gov Trial results on Rectal prolapse Clinical Trials on Rectal prolapse at Google
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Guidelines / Policies / Govt |
US National Guidelines Clearinghouse on Rectal prolapse NICE Guidance on Rectal prolapse
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Definitions |
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Patient resources on Rectal prolapse Discussion groups on Rectal prolapse Patient Handouts on Rectal prolapse Directions to Hospitals Treating Rectal prolapse Risk calculators and risk factors for Rectal prolapse
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Causes & Risk Factors for Rectal prolapse |
Continuing Medical Education (CME) |
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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:
- Full-thickness rectal prolapse describes the entire rectum protruding through the anus
- 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
Progression
The condition of Rectal prolapse, a type of rectal rupture, undergoes progression: beginning with prolapsation during bowel movements, through Valsalva movements (sneezing and so forth), then through daily activities such as walking until finally it may become chronic and ceases to retract.
Treatment
Pharmaceutically, the condition may only be treated secondarily (by treating deficate) so as to avoid further straining.
The alternative is surgery, it may be divided into two forms of procedure: abdominal surgery and perineal surgery.
- Abdominal surgery - for younger patients, but is more dangerous
- 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
- Hemorrhoidectomy
- Children are treated with linear cauterization
Notes
Because most sufferers are elderly, the condition is generally under-reported.
External links
- Selected abstracts from recent medical literature on Rectal Prolapse
- Thiersch suture insertion:Operation Script on Wikisurgery