RT Book, Section
A1 McQuaid, Kenneth R.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193152078
T1 Rectal Prolapse & Solitary Rectal Ulcer Syndrome
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193152078
RD 2024/04/24
AB Rectal  prolapse  is  protrusion  through  the  anus  of  some  or  all  of  the  layers  of  the  rectum.  Hemorrhoidal  (mucosal)  prolapse  is  common  (see  discussion  under  Hemorrhoids).  Full  thickness  is  uncommon  and  is  usually  caused  by  surgical  or  traumatic  injuries  or  from  chronic,  excessive  straining  at  stool  in  conjunction  with  weakening  of  pelvic  support  structures,  especially  in  patients  who  are  older,  psychotic,  or  paraplegic.  Although  prolapse  initially  reduces  spontaneously  after  defecation,  with  time  the  rectal  mucosa  becomes  chronically  prolapsed,  resulting  in  mucous  discharge,  bleeding,  incontinence,  and  sphincteric  damage.  Patients  with  complete  prolapse  require  surgical  correction.