Rectal prolapse history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]

Overview

More common symptoms of rectal prolapse include pain, fullness or a lump inside rectum, fecal incontinence, constipation and bloody and/or mucous rectal discharge. Less common causes are urinary incontinence and incomplete evacuation.

History and Symptoms

Rectal prolapse can be diagnosed in outpatient clinics by history taking and inspection of the protruded rectum.^[1]

More common symptoms

Common symptoms of rectal prolapse include:^[2]^[3]

Pain (100%)
Rectal bleeding (75-100%)
Fecal incontinence (50-75%)
constipation (25-50%)
Fullness or a lump inside rectum
Bloody and/or mucous rectal discharge

Less common symptoms

Less common symptoms of rectal prolapse include:^[2]^[3]

Urinary incontinence (25-30%)
Incomplete evacuation
Vaginal vault prolapse

References

↑ Shin EJ (2011). “Surgical treatment of rectal prolapse”. J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.
↑ ^2.0 ^2.1 Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). “Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies”. J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.
↑ ^3.0 ^3.1 Bordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, Steele SR (2017). “Clinical Practice Guidelines for the Treatment of Rectal Prolapse”. Dis. Colon Rectum. 60 (11): 1121–1131. doi:10.1097/DCR.0000000000000889. PMID 28991074.

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[pmid21431090-1] Shin EJ (2011). “Surgical treatment of rectal prolapse”. J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.

[pmid24352613-2] 2.0 ^2.1 Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). “Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies”. J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.

[pmid28991074-3] 3.0 ^3.1 Bordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, Steele SR (2017). “Clinical Practice Guidelines for the Treatment of Rectal Prolapse”. Dis. Colon Rectum. 60 (11): 1121–1131. doi:10.1097/DCR.0000000000000889. PMID 28991074.

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