Materiały źródłowe

• #1

  https://umiamihealth.org/en/treatments-and-services/surgery/colorectal-surgery/rectal-prolapse

  When part of the bottom of the lower intestine (rectum) slips outside of the anus, this condition is known as rectal prolapse. This typically causes fecal incontinence (inability to control bowel movements) as well as seepage or soilage. Other signs and symptoms of rectal prolapse include: […] Your colorectal specialist will complete a thorough physical examination including gathering your health history to diagnose a rectal prolapse. […] As an initial course of treatment, your colorectal specialist may recommend you take stool softeners, suppositories, or other medications to try to correct the prolapsed rectum. […] In many cases, surgery will be required to correct the rectum that has slipped out of the anus. Depending on your personal history and situation, there are a number of surgical procedures that can be done to correct this condition. Approaches to this include robotic resection with fixation of the rectum, fixation of the rectum itself with or without use of a mesh, or even repair of the prolapse through the perineum.

• #1 Rectal Prolapse: Symptoms, Causes, Treatment, Surgery – Gastroenterology Consultants of Savannah

  https://www.gastrosav.com/blog/rectal-prolapse-symptoms-causes-treatment-surgery/

  Rectal prolapse is not incredibly common, affecting roughly 2.5 out of every 100,000 people. […] It is unlikely for children to suffer from rectal prolapse, but it is possible, particularly if they also suffer from a correlating disease or conditions, such as MS. […] Rectal prolapse isn’t a life-threatening emergency, especially in the beginning stages. However, it becomes a major quality of life issue in the middle and later stages and types if it is not addressed. Rectal prolapse will not get better on its own and will only increase in severity. If you think you may have rectal prolapse, then it is a good idea to see your physician as soon as possible before permanent damage is done (such as nerve damage), which can result in unwanted outcomes such as permanent fecal incontinence. […] The only way to effectively treat a rectal prolapse is through surgery. […] There are a few ways to prevent rectal prolapse, particularly if you meet one of the other risk factors. You can: […] Perform Kegel exercises to keep your pelvic floor muscles strong.

• #1 Rectal Prolapse – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/surgery/general-and-gastrointestinal-surgery/colorectal-and-intestines-disorders/rectal-prolapse

  Rectal prolapse is when the rectum (the lower part of the colon where stool forms) drops outside of the body, protruding through the anus. […] Symptoms of rectal prolapse include bleeding from the rectum and an uncontrolled loss of stool (fecal incontinence). […] Rectal prolapse may be partial, involving only the mucosa, or it may be complete, involving the entire wall of the rectum. […] If your rectal prolapse is severe enough and interferes with your quality of life, you may need surgery. […] Your surgeon may recommend non-surgical approaches to prevent rectal prolapse and relieve symptoms. […] Careful monitoring and the involvement of an experienced colon and rectal surgeon are important to the successful outcome for patients with colorectal conditions. […] After surgery, you will go to the post-surgical care unit where you will receive comprehensive care by an experienced surgical and nursing staff. […] Brigham and Womens Hospital provides a multidisciplinary approach to patient care, collaborating with colleagues who have extensive experience in diagnosing and treating rectal prolapse.

• #1 Rectal Prolapse I Ohio State Medical Center

  https://wexnermedical.osu.edu/digestive-diseases/rectal-prolapse

  If left untreated, rectal prolapse can lead to serious complications. […] Rectal prolapse is most common in children and older adults, particularly women. […] The main symptom is a reddish-colored mass sticking out from the anus, especially following a bowel movement. […] If untreated, rectal prolapse could lead to serious complications, such as leaking stool that gets worse or a damaged rectum. […] Call your health care provider if a rectal prolapse occurs. […] With rectal prolapse, the rectum must be pushed back inside manually. […] The affected person should be lying down on his or her side in a knee-chest position before applying pressure to allow gravity to help return the prolapse. […] In children, treating the underlying condition usually solves the problem. […] In adults, the only cure for rectal prolapse is an operation.

• #1 Rectal Prolapse Symptoms: How to Alleviate 5 Common Symptoms

  https://www.pelvicexercises.com.au/rectal-prolapse-symptoms/?srsltid=AfmBOopGNlc4z2th_npN-D4GtGY1QB4ZhU4aZG06aR2G6SRcxoYqfNqZ

  Rectal prolapse symptoms are often distressing they can impact on quality of life and self esteem. These Physiotherapist techniques can help manage and provide relief from commonly prolapsed rectum symptoms including soiling, bulging, constipation and wetness. […] Rectal prolapse symptoms can be classified into two groups; symptoms associated directly with the rectal prolapse, and symptoms that develop indirectly as a result of associated difficulties with cleanliness and hygiene. […] The main rectal prolapse symptom is a bulge or protrusion of red coloured tissue from the anus. […] In the case of more severe rectal prolapse, the rectal bulge becomes more apparent with heavy lifting, coughing or sneezing. […] When the rectal prolapse stays outside the rectum, this is a medical emergency and requires immediate medical assessment and treatment.

• #1 Rectal Prolapse | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/rectal-prolapse

  The main symptom of rectal prolapse is the protrusion of part or all of the rectum’s lining through your child’s anal sphincter. You may notice a dark red mass protruding from the anus, sometimes accompanied by blood or mucus, particularly when your child is straining. Rectal prolapse isn’t usually painful, but it can cause discomfort. Other symptoms may include: […] Most mild cases of rectal prolapse can be treated by your child’s physician, who will manually push the prolapse back in place. They will also make recommendations that address the cause of prolapse, such as giving your child a stool softener and increasing dietary fiber to improve regular bowel movements. […] Most children who experience mild rectal prolapse can be treated by their pediatrician and likely won’t have another one. But for kids who have frequent or severe prolapse, treatment by a specialist is often necessary. The skilled clinicians in the Colorectal and Pelvic Malformation Center at Boston Children’s Hospital see infants and children who experience rectal prolapse due to Hirschsprung’s disease and other chronic conditions.

• #1 Rectal Prolapse | Colon & Rectal Surgical Specialists

  https://www.crssny.com/conditions/rectal-prolapse-2/

  Women who are elderly or have had multiple pregnancies are particularly at-risk for rectal prolapse. At CRSSNY, our doctors treat rectal prolapse with both outpatient and surgical methods. […] Our advanced endoscopic surgical techniques can repair rectal prolapse. […] Other symptoms of rectal prolapse include: Bleeding from the rectum, Pain or discomfort, Constipation, Difficulty controlling bowel movements. […] Before recommending treatment, your colorectal specialist will conduct a physical examination and perform any necessary tests. If you are uncomfortable about certain diagnostic tests, our staff anesthesiologist offers several forms of sedation to ensure your comfort. […] For most patients, surgery relieves or greatly improves symptoms of rectal prolapse. […] While treating constipation is helpful in some cases, many patients with rectal prolapse will require surgery.

• #1

  https://www.singhealth.com.sg/patient-care/conditions-treatments/rectal-prolapse

  Rectal prolapse is a condition in which the rectum (the lower end of the colon, located just above the anus) drops downwards and turns inside out. […] In the early stage, the rectum stays inside the body, but as the condition worsens, it may protrude out through the anus. There is often weakness of the anal muscles, and this may result in leakage of stool or mucus. Rectal prolapse is more common in women than men. […] Just treating the constipation and straining may not be enough once rectal prolapse has occurred. There are different types of surgery for rectal prolapse. Your doctor will help you decide which method is most suited for you. […] Success depends on a few factors, including the strength of the anal muscles before surgery, the stage of the prolapse, the overall health of the patient and the type of surgery. A great majority of patients are completely relieved of symptoms, or are significantly helped, by the appropriate procedure.

• #1 Rectal Prolapse

  https://www.nationwidechildrens.org/conditions/anorectal-malformations-or-imperforate-anus/rectal-prolapse

  Rectal prolapse is a condition in which rectal wall tissue becomes stretched and protrudes through the anus. […] Rectal prolapse can be a problem because it produces wetness (mucus produced by the rectal tissue), which can pass through the underwear and clothes. […] Many children with anorectal malformations receive a colostomy at birth, followed by surgery to place the anus within limits of the sphincters. […] Prior to the colostomy closure, the rectal prolapse must be repaired. The procedure for rectal prolapse takes approximately 45 minutes and is painless. […] Rectal prolapse can worsen when a child is constipated. Children with anorectal malformations often need to receive laxative foods and/or laxative medications to make their bowel movements quick and easy episodes.

• #1 Rectal prolapse | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectal-prolapse

  While surgery through the abdomen gives better results, older people may be advised to undergo surgical correction of rectal prolapse via the anus, since this procedure is less stressful on the body. […] Surgery gives good results in most cases of rectal prolapse, but some people may find that symptoms such as constipation or the inability to completely empty the bowels continue. […] You can expect to return to work around six weeks after surgery. […] Attend follow-up appointments with your surgeon.

• #1 Rectal Prolapse Symptoms: How to Alleviate 5 Common Symptoms

  https://www.pelvicexercises.com.au/rectal-prolapse-symptoms/?srsltid=AfmBOopGNlc4z2th_npN-D4GtGY1QB4ZhU4aZG06aR2G6SRcxoYqfNqZ

  Rectal prolapse symptoms include faecal incontinence or involuntary loss of bowel contents. […] The protruding rectal tissue can be very difficult to clean after bowel movements. […] Loss of mucous from the anus is also associated with rectal prolapse. […] Constipation is a frequently reported rectal prolapse symptom. […] Rectal prolapse can be associated with a dull ache in the rectum, but not in all cases and this is a variable symptom from one individual to another. […] Bleeding of the lining of the rectum may be associated with rectal prolapse, but once again this is a variable symptom of rectal prolapse. […] If you have already undergone a thorough medical assessment, treatment from a trained Pelvic Floor Physiotherapist or Continence and Womens Health Physiotherapist can assist your further management of rectal prolapse symptoms.

• #1 Rectal prolapse | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectal-prolapse

  The rectum is the last 20 cm or so of the large bowel. It is the temporary storage area for bowel motions. Rectal prolapse occurs when the rectum turns itself inside out and comes out through the anus. Without treatment, the rectum will eventually need to be pushed back in manually. […] Treatment depends on many individual factors, such as the age of the person, the severity of the prolapse, and whether or not other pelvic abnormalities are present (such as prolapsed bladder). Treatment options can include: […] Surgery is sometimes used to secure the rectum into place. It can be performed through the persons abdomen or via their anus. […] After your operation for rectal prolapse or rectocele, things you can expect include: […] Be guided by your doctor, but general suggestions include:

• #1 Rectal Prolapse | Section of Colon and Rectal Surgery | Washington University in St. Louis

  https://colorectalsurgery.wustl.edu/colon-rectal-anus-patient-faqs/rectal-prolapse-surgery-questions/

  Rectal prolapse is a condition where the connections that hold the rectum inside weaken and the rectum can fall through the anus. Rectal prolapse may be associated with drainage of mucus, blood or stool, fecal incontinence, and can often times be uncomfortable or very painful. […] Rectal prolapse is often treated with surgery but if symptoms are not bothersome or surgery is not safe, patients can avoid an operation. If patients choose not to undergo surgery, the prolapse will typically not get better and may often times get worse as time goes on. Symptoms of prolapse such as the bulge, pain, bleeding and incontinence can all progress over time as the pelvic floor and anal muscles weaken with age and ongoing stretch from the prolapse. […] Non-surgical therapies may help some of the symptoms from rectal prolapse but will not fix the prolapse itself. This includes dietary and lifestyle changes, medications, work with a pelvic floor physical, and learning how to reinsert (reduce) the prolapse back into the anus to relieve pressure.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abr9675

  A rectal prolapse happens when part or all of the wall of the rectum slides out of place and sticks out of the anus. […] Your doctor may diagnose a rectal prolapse by asking questions about your symptoms and doing a rectal exam. Home treatment often helps the problem, but you may need surgery. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Avoid constipation. Drink plenty of water, and eat fruits, vegetables, and other foods that contain fibre. Changes in diet often are enough to improve or reverse a partial prolapse. […] Try Kegel exercises to help strengthen the muscles of the pelvic area. You do Kegel exercises by tightening your muscles as if you were holding back urine or gas.

• #1

  https://www.singhealth.com.sg/patient-care/conditions-treatments/rectal-prolapse

  The condition can be diagnosed by your doctor. To demonstrate the prolapse, patients may be asked to „strain” as if having a bowel movement or to sit on the commode and „strain” prior to examination. […] Anorectal manometry may also be used. This test measures the strength of the muscles of the anus.

• #1 Rectal Prolapse Treatment in Portland, OR | Colorectal Health Northwest | Colon & Rectal Surgeon

  https://www.nwcch.com/rectal-prolapse

  Rectal prolapse is a condition where the rectum, the last part of the large intestine, slips out of its normal position and protrudes through the anus. While it can be uncomfortable and distressing, rectal prolapse is treatable with the right care. […] Our doctors begin with a thorough evaluation to determine the severity of the condition and any underlying factors contributing to it. Distinguishing between rectal prolapse, prolapsing internal hemorrhoids, and most importantly protruding cancer is a critical first step and can almost always be determined during an exam with our providers. For mild cases or rectal prolapse, non-surgical treatments such as dietary changes, stool softeners, or pelvic floor therapy may be recommended to manage symptoms and prevent worsening. […] For more advanced cases, surgical intervention is often necessary to repair the prolapse and restore normal function. Seeking treatment for rectal prolapse early is essential to prevent complications and improve outcomes. Left untreated, rectal prolapse can lead to chronic discomfort, difficulty with bowel movements, and an increased risk of infection or damage to the rectal tissue. Our team specializes in minimally invasive surgery, frequently using the da Vinci surgical robot for robotic rectopexy. For patients who should avoid major abdominal surgery, we may recommend an alternative approach, such as the Altemeier or Delorme procedure, to remove the prolapsing portion of the rectum through the anus. These procedures are designed to provide long-term relief and improve your quality of life.

• #1 Pediatric Rectal Prolapse – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532308/

  Rectal prolapse refers specifically to the prolapse of some or all of the rectal mucosa through the external anal sphincter. In pediatric populations between infancy and age 4, rectal prolapse is usually a self-limiting condition, responding to conservative management. […] Conservative management of rectal prolapse includes stool softeners and/or laxatives, avoidance of prolonged straining, and treatment of any predisposing underlying conditions. Compliance with bowel regimens is important because patients who have repeat instances of rectal prolapse may be less responsive to rectal prolapse in the future. Generally, these conservative tools work for about 90% of patients who develop rectal prolapse before age 3. […] Rectal prolapse is ideally managed by an interprofessional team that involves a pediatrician, gastroenterologist, pediatric surgeon, and a pediatric nurse. All children with rectal prolapse should undergo testing for cystic fibrosis. While awaiting surgery, parents should be taught how to reduce rectal prolapse.

• #1 Rectal Prolapse | University of Michigan Health

  https://www.uofmhealth.org/conditions-treatments/rectal-prolapse

  Rectal prolapse is a condition in which the inside of the rectum turns inside out and comes out of the anus with bowel movements or sometimes spontaneously. […] The first line of treatment is aimed at preventing constipation and avoiding straining to have a bowel movement. A diet rich in fiber (2535 grams per day) along with 68 glasses of decaffeinated fluids every day will assist in keeping stools soft. Physical therapy can also help strengthen weakened muscles and improve pelvic muscle tone to make the pelvic floor stronger. […] Surgery is most successful for people who still have some control over their bowel movements. If the anal sphincter is already weak or damaged, surgery may correct the prolapse but not correct the fecal incontinence (lack of control of bowel movements) that usually accompanies prolapse. It is important to have strong muscles of the pelvic floor. It may be recommended to have a course of physical therapy before surgery.

• #1 Rectal Prolapse | CommonSpirit Health

  https://www.commonspirit.org/conditions-treatments/rectal-prolapse

  In a rectal prolapse, part or all of the wall of the rectum slides out of place and sticks out of the anus. […] If a rectal prolapse doesn’t improve with self-care, you may need surgery. Doctors may attach the rectum to the muscles of the pelvic floor or the lower end of the spine (sacrum). In some cases, they may also remove a section of the large intestine. […] Avoid constipation. Drink plenty of water, and eat fruits, vegetables, and other foods that contain fiber. Changes in diet often are enough to improve or reverse a partial prolapse. […] Try Kegel exercises to help strengthen the muscles of the pelvic area. You do Kegel exercises by tightening your muscles as if you were holding back urine or gas. […] Don’t strain during a bowel movement. Use a stool softener if you need to. […] If it happens again, and if your doctor says it’s okay, you can push the prolapse back into place.

• #1 Rectal Prolapse: Symptoms, Causes, Treatment, Surgery

  https://www.webmd.com/digestive-disorders/what-is-rectal-prolapse

  If your rectal prolapse is very minor and it is caught early, your doctor might recommend rectal prolapse self-care that includes taking stool softeners to make it easier to go to the bathroom and pushing the rectum’s tissue back up the anus by hand. […] Rectal prolapse surgery is used to put the rectum back in place, and there are several types. The kind of surgery your doctor recommends will depend on things like your overall health, age, and the seriousness of your condition. […] You will spend a short time in the hospital, maybe just overnight. You will drink liquids and then move to solid foods. Your doctor will want to make sure your bowel movements return to normal. […] To reduce rectal prolapse, try not to strain when you poop. Things that can also ease or prevent constipation that leads to straining include: Increasing your fiber intake by aiming for at least five servings of fruits and veggies each day, drinking 6-8 glasses of water a day, getting regular exercise, and keeping your weight at a healthy level or losing weight if you need to. […] If you have constipation often, talk to your doctor. They may direct you to take a stool softener or laxative.

• #1 Rectal Prolapse | Children’s Mercy Kansas City

  https://www.childrensmercy.org/departments-and-clinics/colorectal-center/rectal-prolapse/

  Rectal prolapse can be treated by avoiding straining while stooling. […] Avoiding prolonged sitting on the toilet is also recommended. […] Avoiding constipation using laxative and stool softening medications is important. […] Pushing the rectum back into place by hand may be necessary. […] After evaluation, there are situations where surgery to repair the rectal prolapse will be necessary. […] Rectal prolapse repair surgery offers patients a potential cure and reduces the risk of prolapse happening again. […] Your care team will work with you to develop the right treatment plan for your child. […] Some children can be treated through surgery. […] This is usually a same day surgery case and your child will be able to go home the day of surgery. […] We specialize in minimally invasive surgical approach to this surgical problem.

• #1 Rectal Prolapse: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.rectal-prolapse-care-instructions.abr9675

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] How can you care for yourself at home? […] Avoid constipation. Drink plenty of water, and eat fruits, vegetables, and other foods that contain fiber. Changes in diet often are enough to improve or reverse a partial prolapse. […] Try Kegel exercises to help strengthen the muscles of the pelvic area. You do Kegel exercises by tightening your muscles as if you were holding back urine or gas. […] Don’t strain during a bowel movement. Use a stool softener if you need to. […] If it happens again, and if your doctor says it’s okay, you can push the prolapse back into place.

• #1 Rectal prolapse Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/rectal-prolapse

  Rectal prolapse occurs when the rectum sags and comes through the anal opening. […] Contact your provider if a rectal prolapse occurs. […] In some cases, the prolapse can be treated at home. Follow your provider’s instructions on how to do this. The rectum must be pushed back inside manually. A soft, warm, wet cloth is used to apply gentle pressure to the mass to push it back through the anal opening. The person should lie on one side in a knee-chest position before applying pressure. This position allows gravity to help put the rectum back into position. […] In adults, the only cure for rectal prolapse is a procedure that repairs the weakened anal sphincter and pelvic muscles. […] Contact your provider right away if there is a rectal prolapse. […] In children, treating the cause usually prevents rectal prolapse from happening again.

• #1 Rectal Prolapse: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.rectal-prolapse-care-instructions.abr9675

  Call your doctor now or seek immediate medical care if: […] You have new or worse pain. […] You have new or worse bleeding from the rectum. […] You have new or worse leaking of stool (fecal incontinence). […] Watch closely for changes in your health, and be sure to contact your doctor if: […] The prolapse happens again. […] You cannot pass stools or gas. […] You do not get better as expected.

• #1 Rectal Prolapse Treatment & Management: Approach Considerations, Nonoperative Management, Surgical Options

  https://emedicine.medscape.com/article/2026460-treatment

  In adult patients, treatment of rectal prolapse is essentially surgical; no specific medical treatment is available. […] Although no medical treatment is available for rectal prolapse, internal prolapse should always be first treated medically with bulking agents, stool softeners, and suppositories or enemas. […] Supportive care should be provided according to the clinical picture, particularly in the presence of an irreducible prolapse and with gangrene or rupture of the rectal mucosa. […] If the prolapse cannot be reduced and the viability of the bowel is in question, emergency resection is required. […] In cases of uncomplicated rectal prolapse, arrangements should be made for surgical follow-up care to provide further evaluation and definitive treatment. […] Surgical treatments can be divided into two categories according to the approach used to repair the rectal prolapse: abdominal procedures and perineal procedures.

• #1 Rectal Prolapse Surgery (Rectopexy): Recovery & Complications

  https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy

  Rectal prolapse surgery is a procedure that fixes rectal prolapse. […] Rectal prolapse isn’t a medical emergency, but it gets worse over time if it isn’t fixed with rectal prolapse surgery. Your surgeon can put the tissue back where it belongs so you don’t develop pain, problems with pooping (incontinence or constipation) or other serious complications. […] Without surgery, rectal prolapse in adults gets worse and can lead to serious complications. […] After surgery, you may experience pain and tenderness in your rectal area and the incision sites. […] Surgery is the only way to treat rectal prolapse in adults. Failing to get rectal prolapse surgery can lead to constipation, fecal (bowel) incontinence, gangrene from an incarcerated (stuck) rectum, rectal ulcers and anemia. […] You should call your healthcare provider if you experience excessive rectal bleeding, severe or recurrent constipation, signs of another rectal prolapse, or signs of infection, such as fever or redness at the surgical site. […] Rectal prolapse won’t go away without surgery (rectopexy). In fact, the problem will only get worse the longer you wait. Getting rectal prolapse surgery can stop symptoms and improve your quality of life.

• #1 Rectal Prolapse

  https://krames.forthealthcare.com/Library/DiseasesConditions/Adult/Spine/134,176

  Rectal prolapse is when part of the rectum bulges out of the anus. […] Treatment often begins with steps to prevent constipation and straining. If your rectal prolapse is severe and interferes with your quality of life, your healthcare provider may advise surgery. […] Follow your healthcare providers advice for ways to prevent constipation.

• #1 Rectal Prolapse | Section of Colon and Rectal Surgery | Washington University in St. Louis

  https://colorectalsurgery.wustl.edu/colon-rectal-anus-patient-faqs/rectal-prolapse-surgery-questions/

  There are multiple surgical options that are safe and effective for patients of all age and fitness. The choice of which procedure to offer is based on the safest option for the patient. This is determined on the patients medical problems, previous surgeries, and safety of anesthesia. Surgery may be done with or without mesh. Sometimes, removing part of the colon to help with constipation is needed. If there are issues with prolapse of the vagina or bladder, your colorectal surgeon will recommend a specialist who fixes these issues (a urologist or a urogynecologist) to discuss combination surgery to fix both issues at the same time.

• #1 Rectal prolapse and perineal repair – Overview | Guy’s and St Thomas’ NHS Foundation Trust

  https://www.guysandstthomas.nhs.uk/health-information/rectal-prolapse-and-perineal-repair

  A rectal prolapse can be treated by surgery called a perineal repair (Delormes operation or Altemeier procedure). […] A specialist nurse or physiotherapist can teach you a combination of correct techniques for going to the toilet, pelvic floor exercises, and methods of emptying your bowels (having a poo) to avoid discomfort. This can prevent further prolapse or incontinence. […] If you decide to have the procedure or treatment, we will ask you to sign a consent form. This says that you understand what is involved and agree to have the treatment.

• #1 Rectal prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectal-prolapse/diagnosis-treatment/drc-20450472

  Our caring team of Mayo Clinic experts can help you with your rectal prolapse-related health concerns […] Treatment for rectal prolapse often involves surgery. Treatment for constipation with stool softeners, suppositories and other medicines are often needed. There are different surgical methods for treating rectal prolapse. Your health care provider will pick the best treatment for you after going over your age, health problems and how your bowels work. […] Rectal prolapse care at Mayo Clinic

• #1

  https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse-expanded-version

  Rectal prolapse is a condition in which the rectum (the last part of the large intestine before it exits the anus) loses its normal attachments inside the body, allowing it to telescope out through the anus, thereby turning it inside out. […] Definitive treatment of rectal prolapse requires surgery. […] The optimal treatment depends on the size of the prolapse and the patients overall health. […] An abdominal approach offers the best chance for a long-term successful repair of rectal prolapse, provided the patient is medically fit for surgery. […] The choice to undergo a perineal approach to repair of rectal prolapse depends upon a number of factors, but these patients tend to be older, with more serious medical problems, or are undergoing emergency surgery for incarcerated prolapse (where the rectum is stuck on the outside) with worsening damage to the rectum.

• #1

  https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse-expanded-version

  For rectal prolapse repair through the abdomen, the surgeon might make an incision in the lower abdomen, or use minimally invasive techniques such as laparoscopy or robotic-assisted surgery. […] Following abdominal rectopexy, 15% of patients will develop constipation for the first time and at least half of those who were constipated prior to surgery are made worse. […] Sexual dysfunction may be reported in some patients following the extensive pelvic dissection involved in this surgery. […] Incontinence is improved in 40-50% of patients after this procedure. […] Prolapse can return in up to 26% of patients, and is generally felt to be higher than with perineal rectosigmoidectomy. […] For a large majority of patients, surgery relieves or greatly improves symptoms.

• #1 Rectal Prolapse | Colon & Rectal Surgical Specialists

  https://www.crssny.com/conditions/rectal-prolapse-2/

  For patients who need surgery, our state-of-the-art surgical center is equipped with the latest technology. Our surgeons use advanced endoscopic techniques to treat rectal prolapse. […] During your procedure, your surgeon will precisely target the prolapsed area and return it to the proper place. By performing your procedure endoscopically, you can experience shorter recovery times and less discomfort after treatment. […] Left untreated, most rectal prolapses continue to become worse, causing increasingly significant issues. Our colorectal surgeons are specialists in a range of surgical and non-surgical treatments. We can help relieve uncomfortable and embarrassing symptoms and improve your quality of life.

• #1 Rectal prolapse surgery – Mayo Clinic

  https://www.mayoclinic.org/tests-procedures/rectal-prolapse-surgery/about/pac-20384704

  Rectal prolapse occurs when the rectum becomes stretched out and slips out of the anus. […] Rectal prolapse surgery can be done to relieve pain and discomfort. It also can treat symptoms that may accompany rectal prolapse, such as: […] Rectal prolapse surgery carries serious risks. […] To prepare for rectal prolapse surgery, your doctor may ask that you: […] You’ll spend one or more days in the hospital after rectal prolapse surgery. […] Rectal prolapse surgery requires anesthesia. […] Your doctor is likely to recommend drinking lots of fluids, using stool softeners and eating a fiber-rich diet in the weeks after surgery. […] For most people, rectal prolapse surgery relieves symptoms and improves fecal incontinence and constipation. […] Recurrence of rectal prolapse after surgery occurs in about 2% to 5% of people.

• #1 Rectal Prolapse: Symptoms, Surgery, Causes, and More

  https://www.healthline.com/health/rectal-prolapse

  After rectal prolapse surgery, you may need to stay in the hospital to recover and regain bowel function. […] Generally, most people are able to fully recover and return to their normal daily activities within 6 weeks of surgery. […] During your hospital stay, you will slowly transition from drinking clear liquids back to eating solid foods. […] Your doctor may also advise you on strategies to avoid a recurrence or a return of rectal prolapse. These strategies may involve: staying hydrated, eating enough fiber, using a stool softener to prevent constipation. […] The outlook is generally positive for someone undergoing rectal prolapse surgery. You’ll be on a diet of liquids and soft foods for a while, and you’ll need to take a stool softener at first. This is to prevent constipation or straining during a bowel movement. […] Rectal prolapse is rare and can be uncomfortable and painful, but it’s treatable. The sooner you see a doctor about your symptoms, the easier the surgery and recovery will be.

• #1 Rectal Prolapse (Inpatient Care)

  https://www.drugs.com/cg/rectal-prolapse-inpatient-care.html

  A rectal prolapse is a condition that causes your rectum to come through your anus. A prolapse may happen during a bowel movement. A prolapse may happen more often in women after childbirth or who are older than 50 years. […] Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine. […] Manual reduction of a rectal prolapse is a procedure to place your rectum back inside of the anus. Your healthcare provider may give you medicine to help you relax before the procedure. […] Surgery may be needed if other treatments do not work. The type of surgery may depend on the cause of your rectal prolapse. Surgery can help position your rectum so that it does not come down through your anus. Surgery may include placing sutures or mesh to hold the rectum in place. It may also involve removing part of the rectum. […] You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.

• #1 Rectal Prolapse Treatment & Management: Approach Considerations, Nonoperative Management, Surgical Options

  https://emedicine.medscape.com/article/2026460-treatment

  The choice between an abdominal procedure and a perineal procedure is mainly dictated by the patients age and comorbidities. […] Regardless of the type of procedure being planned, full mechanical and antibiotic bowel preparation should be carried out before surgery. […] After abdominal procedures for rectal prolapse, patients usually have ileus and incisional pain. […] Patients who have undergone perineal procedures do well postoperatively, with minimal pain and a short hospital stay. […] Follow-up care after the immediate postoperative period depends on which type of surgical procedure the patient underwent, but it usually consists of one or two visits over the ensuing month to ensure that all incisions are well healed and that the patient is not having difficulties with bowel evacuation.

• #1 Perineal (Trans-anal) Repair Of Rectal Prolapse – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/perineal-trans-anal-repair-of-rectal-prolapse/

  You had surgery to remove a rectal prolapse through the anus (this is often referred to as a Delorme or Altmeier Procedure). Complete recovery from hemorrhoid surgery typically takes about 4 weeks. Following your surgery, you will experience pain or discomfort in your rectal area. You may also experience constipation, difficulty urinating, and possibly some rectal bleeding. The following are some general guidelines for proper care after your procedure. […] A small amount of bleeding is common following rectal surgery. A sanitary napkin or gauze may be worn over the anal opening to keep the underclothing clean. If there is prolonged or profuse bleeding with passage of clots, call the office at once. […] Difficulty urinating after rectal surgery is usually due to spasm of the urinary sphincter resulting from pain due to the surgery. Getting the pain under control and relaxing the sphincter usually allows for the urine to pass.

• #1 Perineal (Trans-anal) Repair Of Rectal Prolapse – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/perineal-trans-anal-repair-of-rectal-prolapse/

  If you are unable to urinate in the first eight hours after your surgery, notify the doctors office. After hours, go to the nearest emergency room or urgent care center. A bladder catheter will be placed and remain in place for 2 days, you may call the office to have the catheter removed. […] Once you have started to urinate, drink plenty of water and fruit juices (such as prune juice) after your surgery. […] You will be given a prescription for pain medication. Follow the directions given by your doctor for taking this medication. To avoid upset stomach, take your pain medication as prescribed with food in your stomach. Take these drugs exactly as directed. Never take more than the recommended dose, and do not take the drugs more often than directed. If the drugs do not seem to be working, call the office for advice.

• #1 Rectal prolapse in the pediatric population—a narrative review of medical and surgical management – Kodia – Translational Gastroenterology and Hepatology

  https://tgh.amegroups.org/article/view/8810/html

  Numerous conditions contribute to rectal prolapse in children, including constipation, gastrointestinal infectious and non-infectious etiologies, cystic fibrosis, malnutrition, neurogenic, anatomic, lead points, and abuse. […] Initial management of rectal prolapse is medical management, addressing the underlying condition associated with rectal prolapse along with attempted manual reduction. […] For patients with recurrent rectal prolapse, a variety of noninvasive and procedural management options are available including injection sclerotherapy and anal encirclement in addition to surgical rectopexy by open and newer minimally invasive methods. […] Despite significant advances in the evaluation, procedural and surgical management of pediatric anorectal conditions in the last few decades, there continues to be substantial variation in clinicians and surgeons practice for the treatment of rectal prolapse in children and adolescents.

• #1 Evaluation and Management of Rectal Prolapse Among Geriatric Patients – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36269812/

  Evaluation and management of older adults within emergency care settings is often complex and has the potential for avoidable complications. […] For geriatric patients presenting with rectal prolapse, unique management strategies, including the use of granulated sugar and gentle pressure, may assist in the reduction of the prolapsed tissue. […] Additional interventions that are important to incorporate into the older adult’s plan of care include gentle approaches to positioning, involvement of family/caregivers, avoiding harmful medications, reducing risk for delirium, and a successful transition of care. […] A manual reduction completed in the emergency department can relieve discomfort and prevent further complications while the patient awaits surgical evaluation and intervention. […] Prompt evaluation and management by the advanced practice registered nurse may not only expedite recognition of the prolapse, but can reduce iatrogenic complications that may occur from delayed treatment.

• #1 Understanding Rectal Prolapse: A Guide to Healing

  https://www.laparoscopicsurgeryindia.com/blog/the-impact-of-rectal-prolapse-on-quality-of-life-and-mental-health/

  Rectal prolapse is a condition where the rectum, the last part of the large intestine, protrudes through the anus. This condition significantly impacts a persons quality of life and mental health, leading to a range of physical and emotional challenges. Understanding these effects are significant for managing the condition effectively and improving overall well-being. […] Rectal prolapse or mucosal hemorrhoidal prolapse often causes discomfort and pain, which affect daily activities and reduce overall quality of life. The protruding rectum leads to sensations of pressure, itching, and even bleeding, all of which can be distressing. […] Many individuals with mucosal hemorrhoidal prolapse experience fecal incontinence, which is the inability to control bowel

• #1 Pediatric Rectal Prolapse – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532308/

  Coordination of care for rectal prolapse requires a highly organized interprofessional team. For diagnosis and conservative management, physicians, nurses, and families must work together for effective treatment and maintenance at home. If these treatments are effectively communicated and orchestrated, the patient will ultimately have a better outcome. If surgery is indicated for prolapse, coordination is also needed between physicians, nurses, pharmacists, and other members of the healthcare team. The importance of communication, patient-centered care, and professionalism cannot be understated when working with pediatric populations.

• #1 Everything You Need to Know About Rectal Prolapse and How to Treat It — Gastro Florida

  https://gastrofl.com/everything-you-need-to-know-about-rectal-prolapse-and-how-to-treat-it/

  Rectal prolapse is a medical condition that occurs when part or all of the rectum slides out of place and protrudes from the anus. It can be an uncomfortable and embarrassing experience, but there are treatments available to reduce symptoms and help prevent further complications. […] The treatment options for rectal prolapse depend on the severity of the condition but typically involve surgery or non-surgical approaches such as exercises and lifestyle changes. […] Therefore, it’s essential to consult your healthcare provider if you experience rectal prolapse symptoms and to follow their recommendation for the appropriate treatment. […] It is important to seek prompt medical care for rectal prolapse to avoid complications and maintain quality of life. […] It is important to seek medical advice if you are experiencing symptoms of rectal prolapse, as early intervention can lead to better outcomes and a better quality of life. […] Making changes to your daily routine and incorporating healthy habits into your life can help combat rectal prolapse and improve your overall quality of life. […] Don’t wait until it’s too late; take care of your health and consult with a doctor as soon as symptoms of rectal prolapse arise.

• #2 Rectal Prolapse | Colon & Rectal Surgical Specialists

  https://www.crssny.com/conditions/rectal-prolapse-2/

  Women who are elderly or have had multiple pregnancies are particularly at-risk for rectal prolapse. At CRSSNY, our doctors treat rectal prolapse with both outpatient and surgical methods. […] Our advanced endoscopic surgical techniques can repair rectal prolapse. […] Other symptoms of rectal prolapse include: Bleeding from the rectum, Pain or discomfort, Constipation, Difficulty controlling bowel movements. […] Before recommending treatment, your colorectal specialist will conduct a physical examination and perform any necessary tests. If you are uncomfortable about certain diagnostic tests, our staff anesthesiologist offers several forms of sedation to ensure your comfort. […] For most patients, surgery relieves or greatly improves symptoms of rectal prolapse. […] While treating constipation is helpful in some cases, many patients with rectal prolapse will require surgery.

• #2 Rectal Prolapse I Ohio State Medical Center

  https://wexnermedical.osu.edu/digestive-diseases/rectal-prolapse

  If left untreated, rectal prolapse can lead to serious complications. […] Rectal prolapse is most common in children and older adults, particularly women. […] The main symptom is a reddish-colored mass sticking out from the anus, especially following a bowel movement. […] If untreated, rectal prolapse could lead to serious complications, such as leaking stool that gets worse or a damaged rectum. […] Call your health care provider if a rectal prolapse occurs. […] With rectal prolapse, the rectum must be pushed back inside manually. […] The affected person should be lying down on his or her side in a knee-chest position before applying pressure to allow gravity to help return the prolapse. […] In children, treating the underlying condition usually solves the problem. […] In adults, the only cure for rectal prolapse is an operation.

• #2 Rectal Prolapse Surgery (Rectopexy): Recovery & Complications

  https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy

  Rectal prolapse surgery is a procedure that fixes rectal prolapse. […] Rectal prolapse isn’t a medical emergency, but it gets worse over time if it isn’t fixed with rectal prolapse surgery. Your surgeon can put the tissue back where it belongs so you don’t develop pain, problems with pooping (incontinence or constipation) or other serious complications. […] Without surgery, rectal prolapse in adults gets worse and can lead to serious complications. […] After surgery, you may experience pain and tenderness in your rectal area and the incision sites. […] Surgery is the only way to treat rectal prolapse in adults. Failing to get rectal prolapse surgery can lead to constipation, fecal (bowel) incontinence, gangrene from an incarcerated (stuck) rectum, rectal ulcers and anemia. […] You should call your healthcare provider if you experience excessive rectal bleeding, severe or recurrent constipation, signs of another rectal prolapse, or signs of infection, such as fever or redness at the surgical site. […] Rectal prolapse won’t go away without surgery (rectopexy). In fact, the problem will only get worse the longer you wait. Getting rectal prolapse surgery can stop symptoms and improve your quality of life.

• #2 Rectal Prolapse Symptoms: How to Alleviate 5 Common Symptoms

  https://www.pelvicexercises.com.au/rectal-prolapse-symptoms/?srsltid=AfmBOopGNlc4z2th_npN-D4GtGY1QB4ZhU4aZG06aR2G6SRcxoYqfNqZ

  Rectal prolapse symptoms include faecal incontinence or involuntary loss of bowel contents. […] The protruding rectal tissue can be very difficult to clean after bowel movements. […] Loss of mucous from the anus is also associated with rectal prolapse. […] Constipation is a frequently reported rectal prolapse symptom. […] Rectal prolapse can be associated with a dull ache in the rectum, but not in all cases and this is a variable symptom from one individual to another. […] Bleeding of the lining of the rectum may be associated with rectal prolapse, but once again this is a variable symptom of rectal prolapse. […] If you have already undergone a thorough medical assessment, treatment from a trained Pelvic Floor Physiotherapist or Continence and Womens Health Physiotherapist can assist your further management of rectal prolapse symptoms.

• #2 Rectal Prolapse | Conditions & Treatments | UR Medicine

  https://www.urmc.rochester.edu/conditions-and-treatments/rectal-prolapse

  Rectal prolapse can often be diagnosed with a physical examination. […] Our providers offer the most advanced surgeries to correct rectal prolapse, including: […] Patients receive advanced, specialized care for rectal prolapse at UR Medicines Division of Colon and Rectal Surgery. […] A dedicated team of specialists collaborates on personalized treatment plans, ensuring comprehensive, multidisciplinary care.

• #2 Rectal Prolapse: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.rectal-prolapse-care-instructions.abr9675

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] How can you care for yourself at home? […] Avoid constipation. Drink plenty of water, and eat fruits, vegetables, and other foods that contain fiber. Changes in diet often are enough to improve or reverse a partial prolapse. […] Try Kegel exercises to help strengthen the muscles of the pelvic area. You do Kegel exercises by tightening your muscles as if you were holding back urine or gas. […] Don’t strain during a bowel movement. Use a stool softener if you need to. […] If it happens again, and if your doctor says it’s okay, you can push the prolapse back into place.

• #2 Rectal Prolapse: Symptoms, Causes, Treatment, Surgery – Gastroenterology Consultants of Savannah

  https://www.gastrosav.com/blog/rectal-prolapse-symptoms-causes-treatment-surgery/

  Rectal prolapse is not incredibly common, affecting roughly 2.5 out of every 100,000 people. […] It is unlikely for children to suffer from rectal prolapse, but it is possible, particularly if they also suffer from a correlating disease or conditions, such as MS. […] Rectal prolapse isn’t a life-threatening emergency, especially in the beginning stages. However, it becomes a major quality of life issue in the middle and later stages and types if it is not addressed. Rectal prolapse will not get better on its own and will only increase in severity. If you think you may have rectal prolapse, then it is a good idea to see your physician as soon as possible before permanent damage is done (such as nerve damage), which can result in unwanted outcomes such as permanent fecal incontinence. […] The only way to effectively treat a rectal prolapse is through surgery. […] There are a few ways to prevent rectal prolapse, particularly if you meet one of the other risk factors. You can: […] Perform Kegel exercises to keep your pelvic floor muscles strong.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abr9675

  Don’t strain during a bowel movement. Use a stool softener if you need to. […] If it happens again, and if your doctor says it’s okay, you can push the prolapse back into place. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: The prolapse happens again.

• #2 Rectal Prolapse in Dogs: Causes and Treatment | PetMD

  https://www.petmd.com/dog/conditions/digestive/c_multi_rectal_prolapse

  Rectal prolapse in dogs is a condition in which rectal tissue protrudes through a dogs anus. […] A prolapsed rectum in dogs is a medical emergency. […] If caught early, a rectal prolapse in dogs can often be treated and may require surgery, especially if it reoccurs. […] However, if left untreated, the tissue can die which can lead to a potentially life-threatening situation. […] The main goal of treatment for rectal prolapse in dogs is to restore the protruding rectal and anal tissue to its normal position. This will reduce damage or the risk of tissue death. […] General anesthesia is often required to replace the prolapsed tissue. […] Once the prolapse has been reduced and is back in place, a purse-string suture (a special type of stitch) should be placed around the anal opening for five to seven days to prevent a recurrence of the prolapse.

• #2 Rectal prolapse | University of Iowa Health Care

  https://uihc.org/health-topics/rectal-prolapse

  Rectal prolapse is a condition that occurs when the rectum turns inside out and bulges through the anus. […] Surgery is necessary to repair the prolapse. […] If you think you have rectal prolapse, contact a health care provider. […] Rectal prolapse may first occur only after bowel movements but overtime it may occur sporadically, spontaneously, and more frequently. […] With rectal prolapse you also may experience anal/rectal pain, rectal bleeding, and fecal incontinence (when stool leaks). […] Surgery is needed to repair rectal prolapse. A range of operations can treat the condition, and your doctor will determine which one is best for you.

• #2

  https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse-expanded-version

  Rectal prolapse is a condition in which the rectum (the last part of the large intestine before it exits the anus) loses its normal attachments inside the body, allowing it to telescope out through the anus, thereby turning it inside out. […] Definitive treatment of rectal prolapse requires surgery. […] The optimal treatment depends on the size of the prolapse and the patients overall health. […] An abdominal approach offers the best chance for a long-term successful repair of rectal prolapse, provided the patient is medically fit for surgery. […] The choice to undergo a perineal approach to repair of rectal prolapse depends upon a number of factors, but these patients tend to be older, with more serious medical problems, or are undergoing emergency surgery for incarcerated prolapse (where the rectum is stuck on the outside) with worsening damage to the rectum.

• #2 Rectal Prolapse Treatment & Management: Approach Considerations, Nonoperative Management, Surgical Options

  https://emedicine.medscape.com/article/2026460-treatment

  The choice between an abdominal procedure and a perineal procedure is mainly dictated by the patients age and comorbidities. […] Regardless of the type of procedure being planned, full mechanical and antibiotic bowel preparation should be carried out before surgery. […] After abdominal procedures for rectal prolapse, patients usually have ileus and incisional pain. […] Patients who have undergone perineal procedures do well postoperatively, with minimal pain and a short hospital stay. […] Follow-up care after the immediate postoperative period depends on which type of surgical procedure the patient underwent, but it usually consists of one or two visits over the ensuing month to ensure that all incisions are well healed and that the patient is not having difficulties with bowel evacuation.

• #2 Rectal prolapse | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectal-prolapse

  While surgery through the abdomen gives better results, older people may be advised to undergo surgical correction of rectal prolapse via the anus, since this procedure is less stressful on the body. […] Surgery gives good results in most cases of rectal prolapse, but some people may find that symptoms such as constipation or the inability to completely empty the bowels continue. […] You can expect to return to work around six weeks after surgery. […] Attend follow-up appointments with your surgeon.

• #2 Rectal Prolapse: Symptoms, Causes, Treatment, Surgery

  https://www.webmd.com/digestive-disorders/what-is-rectal-prolapse

  If your rectal prolapse is very minor and it is caught early, your doctor might recommend rectal prolapse self-care that includes taking stool softeners to make it easier to go to the bathroom and pushing the rectum’s tissue back up the anus by hand. […] Rectal prolapse surgery is used to put the rectum back in place, and there are several types. The kind of surgery your doctor recommends will depend on things like your overall health, age, and the seriousness of your condition. […] You will spend a short time in the hospital, maybe just overnight. You will drink liquids and then move to solid foods. Your doctor will want to make sure your bowel movements return to normal. […] To reduce rectal prolapse, try not to strain when you poop. Things that can also ease or prevent constipation that leads to straining include: Increasing your fiber intake by aiming for at least five servings of fruits and veggies each day, drinking 6-8 glasses of water a day, getting regular exercise, and keeping your weight at a healthy level or losing weight if you need to. […] If you have constipation often, talk to your doctor. They may direct you to take a stool softener or laxative.

• #2 Perineal (Trans-anal) Repair Of Rectal Prolapse – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/perineal-trans-anal-repair-of-rectal-prolapse/

  If you are unable to urinate in the first eight hours after your surgery, notify the doctors office. After hours, go to the nearest emergency room or urgent care center. A bladder catheter will be placed and remain in place for 2 days, you may call the office to have the catheter removed. […] Once you have started to urinate, drink plenty of water and fruit juices (such as prune juice) after your surgery. […] You will be given a prescription for pain medication. Follow the directions given by your doctor for taking this medication. To avoid upset stomach, take your pain medication as prescribed with food in your stomach. Take these drugs exactly as directed. Never take more than the recommended dose, and do not take the drugs more often than directed. If the drugs do not seem to be working, call the office for advice.

• #2

  https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse-expanded-version

  For rectal prolapse repair through the abdomen, the surgeon might make an incision in the lower abdomen, or use minimally invasive techniques such as laparoscopy or robotic-assisted surgery. […] Following abdominal rectopexy, 15% of patients will develop constipation for the first time and at least half of those who were constipated prior to surgery are made worse. […] Sexual dysfunction may be reported in some patients following the extensive pelvic dissection involved in this surgery. […] Incontinence is improved in 40-50% of patients after this procedure. […] Prolapse can return in up to 26% of patients, and is generally felt to be higher than with perineal rectosigmoidectomy. […] For a large majority of patients, surgery relieves or greatly improves symptoms.

• #2 What Are the Symptoms of a Rectal Prolapse? – Allied Digestive Health

  https://allieddigestivehealth.com/rectal-prolapse-symptoms/

  Rectal prolapse tends to become worse if not treated. Untreated rectal prolapse can cause permanent fecal incontinence, as stretching of the anal sphincter muscle increases, and with the risk of nerve damage. You might start to experience episodes simply from standing up. […] In adults, rectal prolapse is treated surgically. Unfortunately, surgery is still considered to be the best treatment. […] Your surgeon will typically recommend that you increase your intake of fiber and fluids after the operation and may prescribe a stool softener. People who have had a rectal prolapse should take steps to reduce constipation. There is some risk of sexual dysfunction. […] Treatment is typically surgical, and post-surgical management involves increasing fluids and fiber to reduce constipation and possibly taking a stool softener.

• #2 Pediatric Rectal Prolapse – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532308/

  Rectal prolapse refers specifically to the prolapse of some or all of the rectal mucosa through the external anal sphincter. In pediatric populations between infancy and age 4, rectal prolapse is usually a self-limiting condition, responding to conservative management. […] Conservative management of rectal prolapse includes stool softeners and/or laxatives, avoidance of prolonged straining, and treatment of any predisposing underlying conditions. Compliance with bowel regimens is important because patients who have repeat instances of rectal prolapse may be less responsive to rectal prolapse in the future. Generally, these conservative tools work for about 90% of patients who develop rectal prolapse before age 3. […] Rectal prolapse is ideally managed by an interprofessional team that involves a pediatrician, gastroenterologist, pediatric surgeon, and a pediatric nurse. All children with rectal prolapse should undergo testing for cystic fibrosis. While awaiting surgery, parents should be taught how to reduce rectal prolapse.

• #2 Rectal Prolapse: Symptoms, Surgery, Causes, and More

  https://www.healthline.com/health/rectal-prolapse

  After rectal prolapse surgery, you may need to stay in the hospital to recover and regain bowel function. […] Generally, most people are able to fully recover and return to their normal daily activities within 6 weeks of surgery. […] During your hospital stay, you will slowly transition from drinking clear liquids back to eating solid foods. […] Your doctor may also advise you on strategies to avoid a recurrence or a return of rectal prolapse. These strategies may involve: staying hydrated, eating enough fiber, using a stool softener to prevent constipation. […] The outlook is generally positive for someone undergoing rectal prolapse surgery. You’ll be on a diet of liquids and soft foods for a while, and you’ll need to take a stool softener at first. This is to prevent constipation or straining during a bowel movement. […] Rectal prolapse is rare and can be uncomfortable and painful, but it’s treatable. The sooner you see a doctor about your symptoms, the easier the surgery and recovery will be.

• #2 Surgical approach to rectal procidentia (rectal prolapse) in adults – UpToDate

  https://www.uptodate.com/contents/surgical-approach-to-rectal-procidentia-rectal-prolapse-in-adults

  Rectal procidentia (rectal prolapse) is a disabling condition that mostly affects older adults, particularly women. Surgical repair is the treatment of choice for operative candidates who have a full-thickness rectal procidentia. This topic will discuss various surgical approaches to treating rectal procidentia. […] In patients who have a combined rectal/pelvic organ prolapse, an evaluation by a multidisciplinary team (ie, surgeon, gynecologist, urologist) for a combined surgical repair procedure may be required, depending upon the symptoms and patient risk profile.

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