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Updated: Apr 23, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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Risk factors and clinical characteristics of rectal prolapse in young patients

C Sun1, T Hull1, G Ozuner1

  • 1Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, 9500, Euclid avenue, A30, 44195 Cleveland, OH, United States.

Journal of Visceral Surgery
|September 23, 2014
PubMed

Insights

Rectal prolapse in young adults is uncommon. Psychiatric patients with constipation and those with prior pelvic surgery are at higher risk. Recurrence rates were 14% after surgical repair.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Clinical Research

Background:

  • Rectal prolapse is common in children and the elderly, but rare in adults under 30.
  • Understanding risk factors and outcomes in young adults is crucial.

Purpose of the Study:

  • To identify risk factors and characteristics of rectal prolapse in patients younger than 30.
  • To evaluate surgical outcomes for rectal prolapse in this specific demographic.

Main Methods:

  • Retrospective review of surgically treated patients younger than 30 with rectal prolapse (September 1994 - September 2012).
  • Data collected included demographics, risk factors, associated conditions, clinical presentation, surgical management, and follow-up.
  • Institutional Review Board (IRB) approval was obtained.

Main Results:

  • Forty-four young adults (mean age 23) were analyzed.
  • Chronic psychiatric diseases (41%) were associated with significantly higher constipation rates (83% vs. 50%).
  • Previous pelvic surgery (30%) and rectal prolapse with hematochezia were common presentations. Recurrence rate was 14% after surgery.

Conclusions:

  • Medication-induced constipation in psychiatric patients may contribute to rectal prolapse.
  • Pelvic floor weakness, potentially from prior pelvic surgery, could be a contributing factor.
  • Surgical interventions included laparoscopic rectopexy, open abdominal repair, and perineal surgery.
Abstract

Keywords:
Laparoscopic surgeryRectal prolapseRisk factorsSurgical managementYoung patients

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