Sphincter complete rectal prolapse rectal prolapse and internal rectal procidentia. Medical search. Frequent questions

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. (wikipedia.org)
Rectal prolapse and internal rectal intussusception has been classified according to the size of the prolapsed section of rectum, a function of rectal mobility from the sacrum and infolding of the rectum. (wikipedia.org)
Complete rectal prolapse (CRP) is defined as the circumferential and full-thickness protrusion of the rectum out of the anal verge. (thieme-connect.de)
C. Despite complete removal of the colon and rectum, transanal fecal flow can be preserved by means of an ileal pouch-anal anastomosis. (latestinterviewquestions.com)
Lockhart-Mummery's preferred operative treatment was linear cauterization of the prolapsed rectum, with recurrences treated by 5% phenol injection. (medscape.com)
One classification of rectal prolapse divides the entity into true prolapse (protrusion of all layers of the rectum) and procidentia (herniation of only the mucosa). (medscape.com)
Rectal prolapse is a painless protrusion of the rectum through the anus. (msdmanuals.com)
Rectal prolapse causes the rectum to turn inside out, so that the rectal lining (rectal mucosa) is visible outside the body as a dark red, moist projection from the anus. (msdmanuals.com)
Rectocele Pelvic organ prolapse involves relaxation or weakening of the ligaments, connective tissue, and muscles of the pelvis, causing the bladder, urethra, small intestine, rectum, or uterus to bulge. (msdmanuals.com)
In adults, prolapse of the rectal lining tends to persist and may worsen, so that more of the rectum protrudes. (msdmanuals.com)
A complete prolapse of the rectum (sometimes formally called procidentia, but this term can refer to any complete organ prolapse) occurs most often in women older than age 60. (msdmanuals.com)
Rectal prolapse occurs when part or all of the rectum slides out of place and sticks out of the anus, turning the rectum inside out. (everydayhealth.com)
The main sign of rectal prolapse is bright red tissue from the rectum sticking out of the anus. (everydayhealth.com)
Prolapse of the rectum is one of the first surgical entities described in the medical profession. (medscape.com)
Upon histologic examination, the anal canal consists of mucosa, submucosa, and 2 muscular layers: the internal anal sphincter (IAS), which is a continuation of the circular muscle of the rectum, and (2) the external anal sphincter (EAS), which lies outside the IAS as an elliptic cylinder and is continuous with the puborectalis muscle superiorly. (medscape.com)

Many sources differentiate between internal rectal intussusception and mucosal prolapse, implying that the former is a full thickness prolapse of rectal wall. (wikipedia.org)
Rectal prolapse starts as a mucosal extrusion from the mucocutaneous junction, which may eventually progress to full-thickness prolapse. (medscape.com)
Rectal prolapse in children is thought to begin as mucosal prolapse starting at the mucocutaneous junction, which may eventually progress to full-thickness prolapse. (medscape.com)

Rectal prolapse may occur without any symptoms, but depending upon the nature of the prolapse there may be mucous discharge (mucus coming from the anus), rectal bleeding, degrees of fecal incontinence, and obstructed defecation symptoms. (wikipedia.org)
But without treatment, a prolapse may grow larger and result in permanent issues with fecal incontinence. (everydayhealth.com)

However, a publication by the American Society of Colon and Rectal Surgeons stated that internal rectal intussusception involved the mucosal and submucosal layers separating from the underlying muscularis mucosa layer attachments, resulting in the separated portion of rectal lining "sliding" down. (wikipedia.org)
This may signify that authors use the terms internal rectal prolapse and internal mucosal prolapse to describe the same phenomena. (wikipedia.org)
Mucosal prolapse (partial rectal mucosal prolapse) refers to prolapse of the loosening of the submucosal attachments to the muscularis propria of the distal rectummucosal layer of the rectal wall. (wikipedia.org)
Most sources define mucosal prolapse as an external, segmental prolapse which is easily confused with prolapsed (3rd or 4th degree) hemorrhoids (piles). (wikipedia.org)
However, both internal mucosal prolapse (see below) and circumferential mucosal prolapse are described by some. (wikipedia.org)
Others do not consider mucosal prolapse a true form of rectal prolapse. (wikipedia.org)
Internal mucosal prolapse (rectal internal mucosal prolapse, RIMP) refers to prolapse of the mucosal layer of the rectal wall which does not protrude externally. (wikipedia.org)
The term "mucosal hemorrhoidal prolapse" is also used. (wikipedia.org)
Mucosal prolapse syndrome (MPS) is recognized by some. (wikipedia.org)

Image of young patient with full-thickness rectal prolapse with multiple circular folds seen on exposed mucosa. (medscape.com)
The many and varied procedures described for the treatment of rectal prolapse attempt to create a fixation of the anorectal mucosa to the submucosa, or the rectal wall to perirectal tissues. (medscape.com)

First degree prolapse includes the mucocutaneous junction. (medscape.com)
Second degree prolapse occurs without involvement of the mucocutaneous junction. (medscape.com)
Third degree prolapse is internal concealed or occult, and does not pass through the anal verge. (medscape.com)

External (complete) rectal prolapse (rectal procidentia, full thickness rectal prolapse, external rectal prolapse) is a full thickness, circumferential, true intussusception of the rectal wall which protrudes from the anus and is visible externally. (wikipedia.org)
Rectal prolapse refers to the circumferential extrusion of some or the entire rectal wall through the external anal sphincter. (medscape.com)

It can be defined as the protrusion of a few or all layers of the rectal wall through the anal sphincter (see the image below). (medscape.com)

[ 3 ] The prolapse can spontaneously reduce or may require digital reduction. (medscape.com)
[ 2 ] The prolapse can spontaneously reduce or it can be digitally reduced. (medscape.com)

Solitary rectal ulcer syndrome (SRUS, solitary rectal ulcer, SRU) occurs with internal rectal intussusception and is part of the spectrum of rectal prolapse conditions. (wikipedia.org)
A temporary prolapse of only the rectal lining often occurs in otherwise healthy infants, probably when the infant strains during a bowel movement, and is rarely serious. (msdmanuals.com)

Anorectal Manometry A thin tube is used to measure the strength of the sphincter. (everydayhealth.com)

Internal rectal intussusception (occult rectal prolapse, internal procidentia) can be defined as a funnel shaped infolding of the upper rectal (or lower sigmoid) wall that can occur during defecation. (wikipedia.org)

[ 1 ] Although, less common in Western societies, pediatric rectal prolapse is a relatively common benign disorder in children. (medscape.com)

It describes ulceration of the rectal lining caused by repeated frictional damage as the internal intussusception is forced into the anal canal during straining. (wikipedia.org)
SRUS can be considered a consequence of internal intussusception, which can be demonstrated in 94% of cases. (wikipedia.org)

Strapping the buttocks together between bowel movements usually helps the prolapse heal on its own. (msdmanuals.com)

Anatomy of internal and external anal sphincter mechanisms. (medscape.com)

A number of factors, such as chronic constipation, weak pelvic muscles, and older age, can increase your risk of developing rectal prolapse. (everydayhealth.com)

Recently, minimally invasive surgery for rectal prolapse (RP) repairs has gained wide acceptance because of advantages like relatively easier and magnified access to the pelvic recess and floor, decreased operative pain, faster recovery, and early discharge. (thieme-connect.de)

Internal prolapses are traditionally harder to treat and surgery may not be suitable for many patients. (wikipedia.org)
In the era of minimal access surgery, minimally invasive laparoscopic rectopexy has become a popular treatment option for patients with rectal prolapse (RP). (thieme-connect.de)
[ 6 ] Most patients (77%) with rectal prolapse presenting after anorectoplasty can be successfully managed with conservative treatment. (medscape.com)

It includes solitary rectal ulcer syndrome, rectal prolapse, proctitis cystica profunda, and inflammatory polyps. (wikipedia.org)

Sometimes, the prolapse may be internal, which can make diagnosis difficult. (everydayhealth.com)
This will allow your doctor to see the prolapse and help them make a diagnosis. (everydayhealth.com)

Straining during defecation predisposes children with constipation, diarrhea, or parasitosis to prolapse, as does childhood laxative usage. (medscape.com)
Your healthcare provider may work with you to manage the constipation that might be causing the prolapse by adding fiber to your diet and keeping hydrated. (everydayhealth.com)

Most external prolapse cases can be treated successfully, often with a surgical procedure. (wikipedia.org)

In children, rectal prolapse should always be considered a presenting sign of an underlying condition, and not a disease entity unto itself. (medscape.com)

Rectal prolapse may be uncomfortable, but it's not usually painful. (everydayhealth.com)
While it can be uncomfortable, rectal prolapse is usually not painful. (everydayhealth.com)

This disorder causes pain only when complications occur or when the prolapse is severe. (msdmanuals.com)

The surgical anal canal includes this entire muscular sphincter mechanism (see the images below). (medscape.com)

Background Trans-abdominal rectopexy for complete rectal prolapse (CRP) reportedly yields more definitive results as compared with trans-perineal surgery. (thieme-connect.de)
There's no single definitive cause of rectal prolapse, although a number of known factors can increase your risk of developing this condition. (everydayhealth.com)

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. (wikipedia.org)
Type III Complete, full-thickness rectal wall prolapse, associated with a sliding hernia of the Douglas pouch. (medscape.com)

Rectal prolapse is generally more common in elderly women, although it may occur at any age and in either sex. (wikipedia.org)

Deep, superficial, and subcutaneous external sphincter. (medscape.com)

Rectal prolapse in infants and children usually heals without surgery. (msdmanuals.com)

By feeling the anal sphincter with a gloved finger, a doctor often detects diminished muscle tone. (msdmanuals.com)

Prolapse is when an organ slips out of its normal position in the body. (msdmanuals.com)

The different kinds of rectal prolapse can be difficult to grasp, as different definitions are used and some recognize some subtypes and others do not. (wikipedia.org)

To determine the extent of a prolapse, a doctor examines the area while the person is standing or squatting and straining. (msdmanuals.com)
If you think you have rectal prolapse, your doctor will take your medical history and do a rectal exam. (everydayhealth.com)

Anatomy4

Diseases8

Analytical, Diagnostic and Therapeutic Techniques and Equipment2

Rectum15

Full thickness prolapse3

Fecal2

Mucosal9

Mucosa2

Degree prolapse3

Circumferential2

Protrusion1

Spontaneously reduce2

Occurs2

Anorectal1

Occult1

Benign1

Intussusception2

Bowel movements1

Anatomy1

Chronic1

Pelvic1

Patients3

Solitary1

Diagnosis2

Constipation2

Surgical procedure1

Entity1

Painful2

Disorder1

Mechanism1

Definitive2

Wall2

Occur1

External1

Children1

Diminished muscle1

Position1

Difficult1

Doctor2