Rectal prolapse is protrusion of rectal tissue through the anus to the exterior of the body. The rectum is the final section of the large intestine. Symptom severity will increase with the dimensions of the prolapse, and whether or not it spontaneously reduces once defecation, requires manual reduction by the patient, or becomes irreducible. The symptoms are similar to advanced hemorrhoidal sickness. Fecal discharge causing staining of undergarments, Rectal haemorrhage, mucous rectal discharge, Rectal pain, Pruritis ani.
The only potentially curative treatment for complete rectal prolapse is surgery, however in those patients with medical problems that make them unfit for surgery, and those patients who have minima symptoms conservative measures may benefit. Dietary adjustments, including increasing dietary fiber may be beneficial to reduce constipation,and thereby reduce straining. A bulk forming agent (e.g. psyllium) or stool softener can also reduce constipation. Biofeedback retraining may be indicated to help the patient avoid straining during defecation. There is limited evidence that hypopressive exercises may be beneficial in mild pelvic organ prolapse.
3 patients (16%) had died of causes not related to the rectal prolapse or the surgery.3 patients (15.8%) reported recurrence of the rectal prolapsed (at 6, 18, and 29 months, respectively, after the operation). All 19 patients had incontinence to liquid stool, solid stool, and/or flatus preoperatively. Functional outcome could be evaluated in 16 of 19 patients. 12 (75%) of those 16 patients reported improved continence (5 (31.3%) were improved and 7 (43.7%) were completely recovered from incontinence) while 4 patients had unchanged incontinence. The CCISs at the end of follow-up were as follows: 7 patients had 0, 3 had 4, 3 had 6, 1 had 8, and 2 had 9.one patient (9%) without constipation preoperatively developed constipation after the operation.