What is
Rectal Prolapse?
A condition in which part or the entire wall of the rectum protrudes through the anal opening.
Types Of Rectal Prolapse
Partial (Mucosal) prolapse
Only rectal mucosa protrudes.
Complete (Full-thickness) prolapse
Entire wall of rectum protrudes.
Internal prolapse (intussusception)
Rectum folds into itself without external protrusion.
Symptoms
Protrusion of a mass from the anus, especially during defecation
Mucous discharge or bleeding
Incontinence or leakage of stools
Sensation of incomplete evacuation
Constipation or obstructed defecation
Soiling of undergarments
Problems that may occur if the Rectal Prolapse is left untreated
- Chronic straining (constipation, difficulty in defecation)
- Weak pelvic floor muscles
- Multiparity (multiple childbirths)
- Advanced age
- Neurological conditions (e.g., spinal cord disease)
- Prior pelvic or anorectal surgery
- Congenital weakness of pelvic floor (in children)
- Conditions causing increased intra-abdominal pressure (chronic cough, prostate problems, etc.)
Complications:
- Ulceration of prolapsed mucosa
- Strangulation or ischemia of prolapsed bowel
- Worsening incontinence
Complications:
- Ulceration of prolapsed mucosa
- Strangulation or ischemia of prolapsed bowel
- Worsening incontinence
Important information for patients
- Fistula is a chronic disease, it does not go away with medication
- Early treatment reduces complications
- Modern methods (laser, VAAFT, LIFT) reduce pain and speed up recovery
- Sitz bath, cleanliness, and nutrition are mandatory after surgery
