• Rectal prolapse starts as a mucosal extrusion from the mucocutaneous junction, which may eventually progress to full-thickness prolapse. (medscape.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)
  • Image of young patient with full-thickness rectal prolapse with multiple circular folds seen on exposed mucosa. (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)
  • 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)
  • 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)
  • 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)
  • 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)
  • Lockhart-Mummery's preferred operative treatment was linear cauterization of the prolapsed rectum, with recurrences treated by 5% phenol injection. (medscape.com)
  • Prolapse of the rectum is one of the first surgical entities described in the medical profession. (medscape.com)
  • Rectal prolapse is a painless protrusion of the rectum through the anus. (msdmanuals.com)
  • The rectum is the section of the digestive tract above the anus where stool is held before it passes out of the body through the anus. (msdmanuals.com)
  • Overview of the Anus and Rectum The anus is the opening at the end of the digestive tract where stool leaves the body. (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)
  • 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)
  • During one kind of abdominal operation (called rectopexy), the entire rectum is lifted, pulled back, and attached to the sacral bone in the pelvis. (msdmanuals.com)
  • 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)
  • 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 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)
  • SRUS can be considered a consequence of internal intussusception, which can be demonstrated in majority of cases. (manchestergeneralandcolorectalsurgery.co.uk)
  • We studied cases of RP who underwent laparoscopic posterior mesh rectopexy during the past 15 years (2005-2021), in our institution, operated upon by a single surgeon. (thieme-connect.de)
  • Results Of the total 14 patients, 12 were managed with laparoscopic posterior mesh rectopexy. (thieme-connect.de)
  • Conclusions Laparoscopic posterior rectopexy can be safely performed in older patients to achieve early postoperative ambulation and significantly shorten the hospital stay. (thieme-connect.de)
  • We evaluated patients of CRP and our experience with laparoscopic posterior mesh rectopexy, during the past 15 years (2005 to 2021). (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)
  • Dietary adjustments to reduce constipation and straining may help to some extent especially in patients unfit for surgery but prolapse symptoms are difficult to control with conservative measures alone. (manchestergeneralandcolorectalsurgery.co.uk)
  • 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)
  • Background Trans-abdominal rectopexy for complete rectal prolapse (CRP) reportedly yields more definitive results as compared with trans-perineal surgery. (thieme-connect.de)
  • 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)
  • Anatomy of internal and external anal sphincter mechanisms. (medscape.com)
  • Straining during defecation predisposes children with constipation, diarrhea, or parasitosis to prolapse, as does childhood laxative usage. (medscape.com)
  • To determine the extent of a prolapse, a doctor examines the area while the person is standing or squatting and straining. (msdmanuals.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)
  • 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)
  • Prolapse is when an organ slips out of its normal position in the body. (msdmanuals.com)
  • The term "mucosal hemorrhoidal prolapse" is also used. (wikipedia.org)