Rectal Prolapse

Rectal prolapse is the protrusion of the rectum through the anus (ie the rectum turns inside out).  This is usually a condition that affects older patients and in particular, older women but men and children can also suffer from rectal prolapse. A number of risk factors are linked to development of rectal prolapse and this includes chronic constipation, straining to pass bowel movements and a weak pelvic floor. In early stages, the rectal prolapse may protrude with defaecation but this generally returns internally without the need for the prolapse to be manually pushed back. However, as the prolapse gets larger, it often progresses such that manual replacement of the prolapse becomes necessary.

There are three types of prolapse: internal prolapse, mucosal prolapse and external prolapse. The treatment can be different depending on the type.

Patients may experience: increased difficulty opening bowels, inability to control bowel movement (incontinence), the passage of mucus via the rectum and also discomfort when the prolapse is out. Surgery is usually recommended for external prolapse.