WHAT IS RECTAL PROLAPSE?
Rectal prolapse is a condition where the rectum (the lower portion of the colon, just above the anal opening) becomes stretched and protrudes out of the anus. Weakness of the anal sphincter muscles is often associated with rectal prolapse. This can result in leakage of stool or mucous. It can occur in both sexes, but more so in women.
WHY DOES IT OCCUR?
Several factors contribute to rectal prolapse. Life long straining with bowel movements and childbirth are two factors. It is also part of the normal aging process. Over time, ligaments and muscles get stretched and weak, and no longer hold the rectum inside.
IS RECTAL PROLAPSE THE SAME AS HEMORRHOIDS?
Although some of the symptoms are the same, the causes are different. Hemorrhoids are dilated veins that can prolapse out of the anus, but usually only ½ -1 inch. Rectal prolapse can be 1-6 inches or more.
HOW IS RECTAL PROLAPSE DIAGNOSED?
A physician can often diagnose rectal prolapse, otherwise an exam by a colon and rectal surgeon. You may be asked to sit on the toilet and strain. This may produce the prolapse. If the rectal prolapse is difficult to see, xrays may be helpful.
HOW IS RECTAL PROLAPSE TREATED?
It is difficult to fix rectal prolapse, once it has become symptomatic, with out surgery. There are many surgical options, depending on age, health, and size of the prolapse. Laparoscopic abdominal repair versus pelvic repair under spinal anesthesia are two options.
HOW SUCCESSFUL IS TREATMENT?
Surgery is very successful. There are many factors that contribute to the success. Avoiding constipation and straining are important.