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Related Experiment Videos

Rectal prolapse.

J W Roberts

    Clinics in Geriatric Medicine
    |May 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Rectal prolapse, often disabling in older women, requires surgery as medical treatments fail. Surgical correction improves incontinence, but persistent constipation and some incontinence remain challenges.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Rectal prolapse is a disabling condition primarily affecting geriatric females.
    • It stems from rectosigmoid intussusception due to prolonged straining.
    • Medical therapies are ineffective, necessitating surgical intervention.

    Purpose of the Study:

    • To review surgical options for rectal prolapse.
    • To discuss management of persistent constipation and incontinence post-surgery.

    Main Methods:

    • Review of surgical procedures for rectal prolapse, including low anterior resection, proctopexy, and Thiersch Wire procedure.
    • Discussion of post-operative management strategies for constipation and incontinence.

    Main Results:

    • Low anterior resection and proctopexy are primary surgical solutions.

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  • The Thiersch Wire procedure is an option for patients unfit for laparotomy.
  • Post-operative constipation is managed with diet, stool softeners, and enemas, avoiding laxatives.
  • Incontinence often improves after prolapse correction, but persistent cases lack uniformly successful treatments.

    • Conclusions:

    • Surgical correction is essential for rectal prolapse.
    • Managing persistent constipation and incontinence post-surgery requires specific strategies.
    • Further research may be needed for uniformly successful treatment of persistent incontinence.