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Rectal prolapse.

Stavros Gourgiotis1, Sotirios Baratsis

  • 1Clinical Attachment in Division of General Surgery and Oncology, Royal Liverpool University Hospital, 21 Millersdale Road, Mossley Hill, L18 5HG, Liverpool, UK. drsgourgiotis@tiscali.co.uk

International Journal of Colorectal Disease
|October 6, 2006
PubMed
Summary
This summary is machine-generated.

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Rectal prolapse, a protrusion of the rectum, affects all ages and often coexists with other pelvic floor disorders. Surgical intervention is reserved for cases unresponsive to medical treatment, with various abdominal and perineal approaches available.

Area of Science:

  • Colorectal surgery
  • Pelvic floor disorders

Background:

  • Rectal prolapse (procidentia) involves rectum protrusion beyond the anus, common in extreme age groups.
  • Often co-occurs with other pelvic floor disorders, presenting complex symptoms.
  • Limited research and interpretation challenges hinder understanding of this condition.

Purpose of the Study:

  • To review the etiology, symptoms, and treatment of rectal prolapse.
  • To synthesize current knowledge on surgical management strategies.
  • To highlight the need for standardized assessment and procedural identification.

Main Methods:

  • Comprehensive English-language literature search using Medline.
  • Inclusion of prospective, retrospective comparisons, and case reports.
  • Analysis of studies on rectal prolapse etiology, symptoms, and treatment.

Related Experiment Videos

Main Results:

  • Surgical management aims to correct prolapse and improve continence/constipation.
  • Interdisciplinary approaches are necessary for concurrent rectal and genital prolapse.
  • Numerous abdominal and perineal procedures exist, but optimal choice remains debated.

Conclusions:

  • Surgical treatment is indicated when medical management fails.
  • The optimal surgical approach for rectal prolapse is not definitively established.
  • Further research is needed to standardize diagnostic assessments and surgical techniques.