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Concealed rectal prolapse.

A M Cuthbertson

    The Australian and New Zealand Journal of Surgery
    |April 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Many rectal prolapse patients are unaware of their condition, potentially delaying diagnosis and treatment. Early recognition is key, as primary prolapse responds well to surgery, unlike cases following prolonged straining.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Rectal prolapse is a condition where the rectal lining protrudes from the anus.
    • Patient awareness of rectal prolapse can vary significantly.
    • Delayed diagnosis can lead to complications and suboptimal treatment outcomes.

    Purpose of the Study:

    • To assess patient awareness of rectal prolapse in a clinical cohort.
    • To evaluate the impact of awareness on diagnosis and treatment success.
    • To differentiate outcomes based on the etiology of rectal prolapse.

    Main Methods:

    • Retrospective review of 97 patients diagnosed with rectal prolapse.
    • Analysis of patient-reported symptoms and awareness of prolapse.
    • Correlation of prolapse etiology with treatment response.

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    Main Results:

    • 36 out of 97 patients (37%) were unaware of their rectal prolapse.
    • Primary rectal prolapse cases showed good response to surgical repair.
    • Rectal prolapse following prolonged straining had less successful surgical outcomes.

    Conclusions:

    • A significant portion of rectal prolapse patients lack awareness, impacting timely intervention.
    • Surgical repair is effective for primary rectal prolapse.
    • Prolonged straining as a cause of rectal prolapse is associated with poorer surgical outcomes.