Rectal prolapse

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Overview

Rectal prolapse Classification and external resources
ICD-10	K62.3
ICD-9	569.1
OMIM	176780
DiseasesDB	11189
eMedicine	med/3533
MeSH	D012005

WikiDoc Resources for Rectal prolapse
Articles
Most recent articles on Rectal prolapse Most cited articles on Rectal prolapse Review articles on Rectal prolapse Articles on Rectal prolapse in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Rectal prolapse Images of Rectal prolapse Photos of Rectal prolapse Podcasts & MP3s on Rectal prolapse Videos on Rectal prolapse
Evidence Based Medicine
Cochrane Collaboration on Rectal prolapse Bandolier on Rectal prolapse TRIP on Rectal prolapse
Clinical Trials
Ongoing Trials on Rectal prolapse at Clinical Trials.gov Trial results on Rectal prolapse Clinical Trials on Rectal prolapse at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Rectal prolapse NICE Guidance on Rectal prolapse NHS PRODIGY Guidance FDA on Rectal prolapse CDC on Rectal prolapse
Books
Books on Rectal prolapse
News
Rectal prolapse in the news Be alerted to news on Rectal prolapse News trends on Rectal prolapse
Commentary
Blogs on Rectal prolapse
Definitions
Definitions of Rectal prolapse
Patient Resources / Community
Patient resources on Rectal prolapse Discussion groups on Rectal prolapse Patient Handouts on Rectal prolapse Directions to Hospitals Treating Rectal prolapse Risk calculators and risk factors for Rectal prolapse
Healthcare Provider Resources
Symptoms of Rectal prolapse Causes & Risk Factors for Rectal prolapse Diagnostic studies for Rectal prolapse Treatment of Rectal prolapse
Continuing Medical Education (CME)
CME Programs on Rectal prolapse
International
Rectal prolapse en Espanol Rectal prolapse en Francais
Businness
Rectal prolapse in the Marketplace Patents on Rectal prolapse
Experimental / Informatics
List of terms related to Rectal prolapse

Rectal prolapse normally describes a medical condition wherein the walls of the rectum protrude through the anus and hence become visible outside the body. There are three chief conditions which come under the title rectal prolapse:

• Full-thickness rectal prolapse describes the entire rectum protruding through the anus
• Mucosal prolapse describes only the rectal mucosa (not the entire wall) prolapsing
• Internal intussusception wherein the rectum collapses but does not exit the rectum

Causes

Progression

The condition of Rectal prolapse, a type of rectal rupture, undergoes progression: beginning with prolapsation during bowel movements, through Valsalva movements (sneezing and so forth), then through daily activities such as walking until finally it may become chronic and ceases to retract.

Treatment

Pharmaceutically, the condition may only be treated secondarily (by treating deficate) so as to avoid further straining.

The alternative is surgery, it may be divided into two forms of procedure: abdominal surgery and perineal surgery.

• Abdominal surgery - for younger patients, but is more dangerous
  • Anterior resection
  • Marlex rectopexy
  • Suture rectopexy
  • Resection rectopexy
• Perineal surgery - often performed on older patients and is less dangerous
  • Anal encirclement
  • Delorme mucosal sleeve resection
  • Altemeier perineal rectosigmoidectomy
  • Hemorrhoidectomy
• Children are treated with linear cauterization

Notes

Because most sufferers are elderly, the condition is generally under-reported.

External links

• Selected abstracts from recent medical literature on Rectal Prolapse
• Thiersch suture insertion:Operation Script on Wikisurgery

v • d • e WikiDoc Research Resources for Rectal prolapse
Articles on Rectal prolapse	Most recent articles on Rectal prolapse • Most cited articles on Rectal prolapse • Review articles on Rectal prolapse • Articles on Rectal prolapse in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Rectal prolapse	Powerpoint slides on Rectal prolapse • Images of Rectal prolapse • Photos of Rectal prolapse • Podcasts & MP3s on Rectal prolapse • Videos on Rectal prolapse
Evidence Based Medicine Regarding Rectal prolapse	Cochrane Collaboration on Rectal prolapse • Bandolier on Rectal prolapse • TRIP on Rectal prolapse
Cost Effectiveness of Rectal prolapse	Cost Effectiveness of Rectal prolapse
Clinical Trials Involving Rectal prolapse	Ongoing Trials on Rectal prolapse at Clinical Trials.gov • Trial results on Rectal prolapse • Clinical Trials on Rectal prolapse at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Rectal prolapse	US National Guidelines Clearinghouse on Rectal prolapse • NICE Guidance on Rectal prolapse • NHS PRODIGY Guidance • FDA on Rectal prolapse • CDC on Rectal prolapse
Textbook Information on Rectal prolapse	Books and Textbook Information on Rectal prolapse
Pharmacology Resources on Rectal prolapse	Dosing of Rectal prolapse • Drug interactions with Rectal prolapse • Side effects of Rectal prolapse • Allergic reactions to Rectal prolapse • Overdose information on Rectal prolapse • Carcinogenicity information on Rectal prolapse • Rectal prolapse in pregnancy • Pharmacokinetics of Rectal prolapse •
Genetics, Pharmacogenomics, and Proteinomics of Rectal prolapse	Genetics of Rectal prolapse • Pharmacogenomics of Rectal prolapse • Proteomics of Rectal prolapse
Newstories on Rectal prolapse	Rectal prolapse in the news • Be alerted to news on Rectal prolapse • News trends on Rectal prolapse
Commentary on Rectal prolapse	Blogs on Rectal prolapse
Patient Resources on Rectal prolapse	Patient resources on Rectal prolapse • Discussion groups on Rectal prolapse • Patient Handouts on Rectal prolapse • Directions to Hospitals Treating Rectal prolapse • Risk calculators and risk factors for Rectal prolapse
Healthcare Provider Resources on Rectal prolapse	Symptoms of Rectal prolapse • Causes & Risk Factors for Rectal prolapse • Diagnostic studies for Rectal prolapse • Treatment of Rectal prolapse
Continuing Medical Education (CME) Programs on Rectal prolapse	CME Programs on Rectal prolapse
International Resources on Rectal prolapse	Rectal prolapse en Espanol • Rectal prolapse en Francais
Business Resources on Rectal prolapse	Rectal prolapse in the Marketplace • Patents on Rectal prolapse
Informatics Resources on Rectal prolapse	List of terms related to Rectal prolapse

v • d • e Digestive system - Digestive disease - Gastroenterology (primarily K20-K93, 530-579)
Upper GI tract	Esophagus Esophagitis (Candidal) - Boerhaave syndrome - UES (Zenker's diverticulum) - LES (Barrett's esophagus, Mallory-Weiss syndrome) - Esophageal motility disorder (Nutcracker esophagus, Achalasia, Diffuse esophageal spasm, GERD) - Esophageal stricture Stomach Peptic (gastric) ulcer - Gastritis (Atrophic, Ménétrier's disease) - Gastroenteritis - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy - Gastric antral vascular ectasia - Gastric dumping syndrome
Intestinal	Duodenum/ileum Peptic (duodenal) ulcer - Duodenitis - Ileitis Enteritis & colitis/ enterocolitis noninfective: IBD (Crohn's disease, Ulcerative colitis) - noninfective gastroenteritis infective: Pseudomembranous colitis Vascular Abdominal angina - Mesenteric ischemia - Ischemic colitis - Angiodysplasia Malabsorption Coeliac - Tropical sprue - Blind loop syndrome - Whipple's - Short bowel syndrome - Steatorrhea Motility/ functional Ileus/Bowel obstruction (Intussusception, Volvulus) - Constipation - Diarrhea Functional colonic disease (IBS, Intestinal pseudoobstruction/Ogilvie syndrome) Rectum/anus Proctalgia fugax - Anal fissure/Anal fistula - Anal abscess - Rectal prolapse - Proctitis (Radiation proctitis) Other Diverticulitis/Diverticulosis - Megacolon/Toxic megacolon - Appendicitis
Accessory	Liver/hepatitis Alcoholic liver disease - Liver failure (Hepatic encephalopathy, Acute liver failure) - Cirrhosis - autoimmune (PBC, Autoimmune hepatitis) - Liver abscess - NASH - Fatty liver - Peliosis hepatis - Hepatic veno-occlusive disease - Portal hypertension - Hepatorenal syndrome Gallbladder Gallstones - common bile duct (Choledocholithiasis, Biliary dyskinesia) - Cholecystitis - Cholesterolosis - Rokitansky-Aschoff sinuses - Postcholecystectomy syndrome Biliary tree Cholangitis (PSC, Ascending) - Cholestasis/Mirizzi's syndrome - Biliary fistula Pancreatic Pancreatitis (Acute, Chronic, Hereditary) - Pancreatic pseudocyst - Exocrine pancreatic insufficiency - Pancreatic fistula
Hernia	Diaphragmatic: Congenital diaphragmatic - Hiatus Abdominal hernia: Inguinal (Indirect, Direct) - Umbilical - Incisional - Femoral Obturator hernia
Peritoneal	Peritonitis (Spontaneous bacterial peritonitis) - Hemoperitoneum - Pneumoperitoneum
GI bleeding	Upper (Hematemesis, Melena) - Lower (Hematochezia)
See also congenital, neoplasia

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .