• 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)
  • 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)
  • Supportive care should be provided according to the clinical picture, particularly in the presence of an irreducible prolapse and with gangrene or rupture of the rectal mucosa. (medscape.com)
  • Rectal prolapse presents as a red ring of mucosa protruding from the rectum after straining (see the image below). (medscape.com)
  • Diagram depicting clinical difference between true (full-thickness) prolapse (left), including all layers of rectum and with circular folds seen on prolapsed intestine, and procidentia, or mucosa-only prolapse (right), in which radial folds are seen in mucosa. (medscape.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)
  • 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)
  • 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)
  • Also, there is no substantial evidence that overt rectal prolapse represents the terminal stage of recto-anal intussusception or other anatomical disorders associating obstructive defaecation syndrome. (eu.com)
  • Digital examination can also distinguish prolapse from rectal intussusception. (medscape.com)
  • In the case of prolapsed intussusception, a finger can be passed into the space between the anal wall and the protruding mass. (medscape.com)
  • A prolapsed rectal polyp appears as a plum-colored mass that does not involve the entire anal circumference. (medscape.com)
  • If the nerves connecting to the rectal and anal muscles are damaged, it could result in rectal prolapse. (smileshospitals.com)
  • Rectal prolapse can result from other medical conditions such as hysterectomy, previous colorectal surgeries, abdominal surgeries, diabetes, and infections in the intestines. (smileshospitals.com)
  • If the prolapse cannot be reduced and the viability of the bowel is in question, emergency resection is required. (medscape.com)
  • the newly introduced stapled prolapse resection (PSPR). (eu.com)
  • Because most prolapses spontaneously reduce before arrival for evaluation, a brief examination of the patient in a sitting or squatting position and observation for recurrence of prolapse is recommended. (medscape.com)
  • Contraindications for surgical correction of rectal prolapse are based on the patient's comorbidities and his or her ability to tolerate surgery. (medscape.com)
  • Surgical techniques for the correction of rectal prolapse are divided to those applied transanally and those approached transabdominally. (eu.com)
  • This approach has intensified the controversy because it has decreased the morbidity of the abdominal approach to rectal prolapse in appropriate candidates. (medscape.com)
  • Surgical treatments can be divided into two categories according to the approach used to repair the rectal prolapse: abdominal procedures and perineal procedures. (medscape.com)
  • The main goal of any type of surgical repair should be the complete and definite reduction of the prolapse and restoration of the anorectal function. (eu.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)
  • Internal prolapses are traditionally harder to treat and surgery may not be suitable for many patients. (wikipedia.org)
  • Although no medical treatment is available for rectal prolapse, internal prolapse should always be first treated medically with bulking agents, stool softeners, and suppositories or enemas. (medscape.com)
  • Surgical therapy for internal prolapse is usually avoided because results are poor, with durable relief of symptoms occurring in fewer than 50% of patients. (medscape.com)
  • Rectal prolapse is usually painless, but it can cause mild discomfort, bleeding, and loss of bowel control. (rchsd.org)
  • Most external prolapse cases can be treated successfully, often with a surgical procedure. (wikipedia.org)
  • Data on the novel PSPR is limited, and the procedure is recommended for short prolapses of less than 10cm in length [Hetzer et al 2010]. (eu.com)
  • Rectal prolapse is generally more common in elderly women, although it may occur at any age and in either sex. (wikipedia.org)
  • With complete prolapse, the actual wall of the rectum may protrude out as much as 2 inches (5 centimeters) or more, especially following a bowel movement. (rchsd.org)
  • Other positions, such as jackknife or left lateral decubitus are frequently inadequate to reproduce the prolapse. (medscape.com)
  • Several maneuvers to help reduce the prolapse have been described and include sedation, field block with local anesthetic, and sprinkling the prolapse with either salt or sugar to decrease the edema and to reduce the prolapse. (medscape.com)
  • You will also have to undergo a physical exam, which may include a rectal exam. (smileshospitals.com)
  • In cases of uncomplicated rectal prolapse, arrange surgical follow-up care for further evaluation and definitive treatment. (medscape.com)
  • We talked with one of the Barcelona 2014 keynote speakers, Professor Evaghelos Xynos (Crete, Greece), who presented different treatment options for rectal prolapse in Barcelona. (eu.com)
  • Smiles Gastroenterology has rectal prolapse treatment doctors in Bangalore, who provide the best treatment that works for you best. (smileshospitals.com)
  • The rectal prolapse treatment doctors in Bangalore at Smiles Gastroenterology will look over your medical history in detail and ask about your symptoms. (smileshospitals.com)
  • If you have a prolapsed rectum, you can delay the treatment. (smileshospitals.com)
  • however, the parents (or patient) may need to manually reduce the prolapsed bowel. (medscape.com)