Learn About Rectal Prolapse

What is the definition of Rectal Prolapse?

Rectal prolapse occurs when the rectum sags and comes through the anal opening.

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What are the alternative names for Rectal Prolapse?

Procidentia; Rectal intussusception

What are the causes of Rectal Prolapse?

The exact cause of rectal prolapse is unclear. Possible causes may include any of the following:

  • An enlarged opening due to relaxed muscles in the pelvic floor, which is formed of muscles around the rectum
  • Loose muscles of the anal sphincter
  • An abnormally long colon
  • Downward movement of the abdominal cavity between the rectum and uterus
  • Prolapse of the small intestine
  • Constipation
  • Diarrhea
  • Chronic coughing and sneezing

A prolapse can be partial or complete:

  • With a partial prolapse, the inner lining of the rectum bulges partly from the anus.
  • With a complete prolapse, the entire rectum bulges through the anus.

Rectal prolapse occurs most often in children under age 6. Health problems that may lead to prolapse include:

  • Cystic fibrosis
  • Intestinal worm infections
  • Long-term diarrhea
  • Other health problems present at birth

In adults, it is usually found with constipation, or with a muscle or nerve problem in the pelvic or genital area.

What are the symptoms of Rectal Prolapse?

The main symptom is a reddish-colored mass that sticks out from the opening of the anus, especially after a bowel movement. This reddish mass is actually the inner lining of the rectum. It may bleed slightly and can be uncomfortable and painful.

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What are the current treatments for Rectal Prolapse?

Call your provider if a rectal prolapse occurs.

In some cases, the prolapse can be treated at home. Follow your provider's instructions on how to do this. The rectum must be pushed back inside manually. A soft, warm, wet cloth is used to apply gentle pressure to the mass to push it back through the anal opening. The person should lie on one side in a knee-chest position before applying pressure. This position allows gravity to help put the rectum back into position.

Immediate surgery is rarely needed. In children, treating the cause often solves the problem. For example, if the cause is straining because of dry stools, laxatives may help. If the prolapse continues, surgery may be needed.

In adults, the only cure for rectal prolapse is a procedure that repairs the weakened anal sphincter and pelvic muscles.

Who are the top Rectal Prolapse Local Doctors?
Elite
Highly rated in
12
conditions
General Surgery
Colorectal Surgery

Pelvic Health Center

Redwood City, CA 

Brooke Gurland is a General Surgeon and a Colorectal Surgeon in Redwood City, California. Dr. Gurland has been practicing medicine for over 28 years and is rated as an Elite doctor by MediFind in the treatment of Rectal Prolapse. She is also highly rated in 12 other conditions, according to our data. Her top areas of expertise are Rectal Prolapse, Bowel Incontinence, Levator Syndrome, and Encopresis. She is board certified in General Surgery and licensed to treat patients in Ohio. Dr. Gurland is currently accepting new patients.

Elite
Highly rated in
15
conditions

University Of Mansoura

Al Mansurah, DK, EG 

Sameh Emile is in Al Mansurah, Egypt. Emile is rated as an Elite expert by MediFind in the treatment of Rectal Prolapse. He is also highly rated in 15 other conditions, according to our data. His top areas of expertise are Rectal Prolapse, Gastrointestinal Fistula, Anal Fissure, and Bowel Incontinence.

 
 
 
 
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Elite
Highly rated in
8
conditions

Italian Ministry Of Health

Rome, IT 

Pierpaolo Sileri is in Rome, Italy. Sileri is rated as an Elite expert by MediFind in the treatment of Rectal Prolapse. He is also highly rated in 8 other conditions, according to our data. His top areas of expertise are Rectal Prolapse, Anal Fissure, Hemorrhoids, and Bowel Incontinence.

What is the outlook (prognosis) for Rectal Prolapse?

In children, treating the cause cures rectal prolapse. In adults, surgery usually cures the prolapse.

When rectal prolapse is not treated, constipation and loss of bowel control may develop.

When should I contact a medical professional for Rectal Prolapse?

Call your provider right away if there is a rectal prolapse.

How do I prevent Rectal Prolapse?

In children, treating the cause usually prevents rectal prolapse from happening again.

Rectal prolapse
Rectal prolapse repair - series
What are the latest Rectal Prolapse Clinical Trials?
Rate of Recurrence of Dyschezia in Rectal Prolapse, Rectocele and Elytrocele at 10 Years and Over After Rectopexy Intervention.
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A Prospective Study Evaluating the Clinical Outcome of a Modified d'Hoore Technique for Laparoscopic Ventral Mesh Rectopexy
What are the Latest Advances for Rectal Prolapse?
Laparoscopic Sutureless Rectopexy Using a Fixation Device for Complete Rectal Prolapse.
Laparoscopic Ventral Mesh Rectopexy (LVMR) for Internal and External Rectal Prolapse: An Analysis of 122 Consecutive Patients.
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Check Latest Advances
Adult residual rectourethral fistula and diverticulum presenting decades after imperforate anus repair: a case report.
What are our references for Rectal Prolapse?

Iturrino JC, Lembo AJ. Constipation. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 19.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Surgical conditions of the anus and rectum. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 371.

Madoff RD, Melton-Meaux GB. Diseases of the rectum and anus. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 136.