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Related Experiment Videos

Rectal prolapse in young adults.

A P Aluwihare1

  • 1Department of Surgery, Faculty of Medicine, University of Peradeniya.

Annals of the Academy of Medicine, Singapore
|July 1, 1987
PubMed
Summary

Young adults with rectal prolapse can be classified by their ability to retract the prolapse. This distinction guides treatment, potentially avoiding major surgery through conservative methods like bowel training.

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Area of Science:

  • Colorectal Surgery
  • Pelvic Floor Disorders
  • Clinical Electrophysiology

Background:

  • Rectal prolapse in young adults presents diagnostic challenges.
  • Electromyography (EMG) reveals distinct pelvic floor muscle abnormalities in some patients.
  • Patient's ability to manually reduce prolapse correlates with EMG findings.

Purpose of the Study:

  • To differentiate young adults with rectal prolapse based on clinical and electrophysiological parameters.
  • To evaluate the effectiveness of different treatment modalities for distinct patient groups.
  • To determine if clinical assessment can replace EMG for treatment selection.

Main Methods:

  • Electromyographic (EMG) studies were conducted on young adults with rectal prolapse.
  • Patients were categorized based on their ability to voluntarily retract the prolapse.
  • Treatment groups received either major pelvic floor surgery, circumanal nylon insertion, or bowel training.

Main Results:

  • Abnormal EMG findings were associated with inability to self-retract the prolapse.
  • Major pelvic floor surgery normalized EMG in patients with severe abnormalities.
  • Patients who could self-retract the prolapse improved with circumanal nylon.
  • Bowel training in the 'unable to retract' group led to EMG normalization and avoided major surgery in some cases.

Conclusions:

  • Clinical assessment of prolapse reducibility can differentiate patient groups.
  • Conservative management, including bowel training, may be effective for some patients.
  • Treatment selection can be guided by clinical evaluation, potentially avoiding invasive procedures.

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