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A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. [2] However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved.
Vaginal pessaries can immediately relieve prolapse and prolapse-related symptoms. [7] A high fiber diet, consisting of 25–30 grams of fiber daily, as well as increased water intake (typically 6–8 glasses daily), help to avoid constipation and straining with bowel movements, and can relieve symptoms of rectocele. [8] [9]
Another way of categorizing surgery for prolapse of pelvic organs is suspensive or resective (involving removal of sections of the bowel wall). [10] Ventral rectopexy alone is a syspensive type surgery, a category which also includes colposacropexy. [11] Resection rectopexy additionally involves removal of a section of the sigmoid colon ...
Lastly, a line from the pubic symphysis to the puborectalis muscle sling is drawn, which is a measurement of the pelvic floor hiatus. Measurements greater than 6 cm are considered mild, and greater than 10 cm severe. The degree of organ prolapse is assessed relative to the hiatus. The grading for organ prolapse relative to the hiatus is more ...
"Gay bowel syndrome" is an obsolete classification of various sexually transmitted rectal infections observed in men who have sex with men.It was first used by Dr. Henry L. Kazal in 1976 to describe conditions he observed in his proctology practice, which had many gay patients. [1]
Gold-plated stem pessary (intrauterine device) from 1920A pessary is a prosthetic device inserted into the vagina for structural and pharmaceutical purposes. It is most commonly used to treat stress urinary incontinence to stop urinary leakage and to treat pelvic organ prolapse to maintain the location of organs in the pelvic region. [1]
[31] [9] [10] In one study, out of 30 cases of IRP which were managed without surgery, two of them (6.7%) went on to develop ERP after an average of 5.8 years. [9] Another study reported that only 1 out of 26 such cases later developed external rectal prolapse after a mean follow up time of 3.8 years, giving a rate of 3.8%. [ 9 ]
Rectopexy is a surgery for rectal prolapse. [3] A newer version of the procedure is termed ventral mesh rectopexy, which has also been used for SRUS. [14] It may be performed with or without anterior resection (removal of a portion of the front wall of the rectum). [9] A mesh may be used to reinforce the anterior rectal wall. [8]