Clin Colon Rectal Surg 2017; 30(01): 016-021
DOI: 10.1055/s-0036-1593431
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation, Diagnosis, and Medical Management of Rectal Prolapse

Jamie A. Cannon
1   Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama
› Author Affiliations
Further Information

Publication History

Publication Date:
22 December 2016 (online)

Abstract

Full-thickness rectal prolapse, or procidentia, is the passage of the full-thickness wall of the rectum beyond the anal sphincters. This condition results in pain and fecal incontinence which greatly impairs the quality of life of those afflicted. It is associated with several anatomic abnormalities, including decreased anal sphincter tone, levator muscle diastasis, and a deep anterior cul-de-sac. The diagnosis of rectal prolapse is made based on physical examination, although several other modalities are used to provide additional information about the patients' condition. While medical management of rectal prolapse can be effective in some cases, the mainstay of management of rectal prolapse is surgical correction.

 
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