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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.
One systematic review compared laparoscopic suture rectopexy with laparoscopic mesh rectopexy in the treatment of full-thickness rectal prolapse (external rectal prolapse, complete rectal prolapse). Compared to suture rectopexy, mesh rectopexy had lower rate of recurrence and longer operation time.
For example the mucosal changes that occur with external rectal prolapse can be separated from the mucosal changes seen in SRUS. [ 6 ] The excessive pressure caused by straining (dyssynergic defecation and constipation) may in the long term lead to development of the spectrum of rectal prolapse conditions (mucosal versus full-thickness prolapse ...
It has also been used for treatment of rectal prolapse and rectocele. [8] The material causes a local inflammatory reaction, followed by sclerosis and retraction of tissues. This results in a chronic granulomatous inflammatory process and persistent fibrosis. When used to treat rectal prolapse or mucosal prolapse, it is injected into a wider ...
This examination may show anal fissures, prolapsed hemorrhoids, internal intussusception, rectal prolapse, or other anorectal lesions. Patients with occult rectal prolapse may show heperemia and edema of the anterior (front) rectal wall, colitis cystica profunda or solitary rectal ulcer syndrome (blood, mucus, area of erythema and ulceration). [38]
According to the American Society of Colon and Rectal Surgeons, chronic constipation is present in 30 to 67 percent of patients diagnosed with anal prolapse, partially due to severe straining.
Rectal prolapse is a condition in which part of the wall or the entire wall of the rectum falls out of place. Rectal prolapse can be a medical emergency. In some cases, the rectum may protrude. Symptoms of a rectal prolapse may be: Leakage of stool; Bleeding, anal pain, itching, irritation; Tissue that protrudes from the rectum
Patients may complain of bleeding, prolapse, personal discomfort and minor anal leakage. Where traditional non-surgical measures such as rest, suppositories and dietary advice fail to improve the condition, there is then a choice of further treatments. Opinion on the best management for patients varies considerably.
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