Rectal Prolapse Questions & Answers

Updated: Jul 24, 2020
  • Author: Jan Rakinic, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Questions & Answers

Overview

What is rectal prolapse?

How is rectal prolapse defined?

What is the relevant anatomy of rectal prolapse?

What is the pathophysiology of rectal prolapse?

What causes rectal prolapse?

What are predisposing conditions of rectal prolapse?

What anatomic features are associated with rectal prolapse?

What is the prevalence of rectal prolapse in the US?

What is the global incidence of rectal prolapse?

How does the incidence of rectal prolapse vary by age?

How does the incidence of rectal prolapse vary by sex?

What is the prognosis of rectal prolapse?

What is the recurrence rate for rectal prolapse following anterior resection?

What is the recurrence rate for rectal prolapse following Marlex rectopexy?

What is the recurrence rate for rectal prolapse following resection and rectopexy?

What is the recurrence rate for rectal prolapse following Delorme mucosal sleeve resection?

What is the recurrence rate for rectal prolapse following Altemeier perineal rectosigmoidectomy?

Presentation

What is the progression of rectal prolapse?

What should be the focus of clinical history for rectal prolapse?

What are the physical signs characteristic of rectal prolapse?

How is rectal prolapse diagnosed?

DDX

What should be included in the differentials for rectal prolapse?

Workup

What are the approach considerations in the workup of rectal prolapse?

What is the role of lab studies in the workup of rectal prolapse?

How is the colon evaluated prior to surgical repair for rectal prolapse?

What is the role of video defecography in the workup of rectal prolapse?

What is the role of rigid proctosigmoidoscopy in the workup of rectal prolapse?

What is the role of anorectal manometry in the workup of rectal prolapse?

Treatment

What are the treatment options for rectal prolapse?

What is included in nonoperative management for rectal prolapse?

What are the surgical options for rectal prolapse?

When are abdominal surgical procedures used for repair of rectal prolapse?

How is anterior resection performed for the treatment of rectal prolapse?

How is Marlex rectopexy (Ripstein procedure) performed for the treatment of rectal prolapse?

What is a suture rectopexy for the treatment of rectal prolapse?

How is resection with rectopexy (Frykman-Goldberg procedure) performed for the treatment of rectal prolapse?

When are perineal surgical procedures performed for the treatment of rectal prolapse?

How is anal encirclement (Thiersch wire) performed for the treatment of rectal prolapse?

How is a Delorme mucosal sleeve resection performed for the treatment of rectal prolapse?

How is an Altemeier perineal rectosigmoidectomy performed for the treatment of rectal prolapse?

When is hemorrhoidectomy performed for the treatment of rectal prolapse?

What is the efficacy of perineal stapled prolapse resection for rectal prolapse?

What is included in postoperative care for rectal prolapse following abdominal procedures?

What is included in postoperative care for rectal prolapse following perineal procedures?

What causes postoperative bleeding in rectal prolapse and how is it managed?

What are complications of rectal prolapse?

How are postoperative infections managed in rectal prolapse?

What are the risks of bowel injury in rectal prolapse surgery?

How is anastomotic leakage managed in rectal prolapse?

What is the risk of altered bladder and sexual function following surgery for rectal prolapse?

How is postoperative constipation/outlet obstruction in rectal prolapse prevented?

What is included in long-term monitoring of rectal prolapse?

Medications

What is the medical treatment for rectal prolapse?

Which medications in the drug class Stool softeners are used in the treatment of Rectal Prolapse?