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Rectal prolapse is most common in people over age 60, and occurs much more frequently in women than in men.

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14y ago

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The overall incidence of rectal prolapse in the United States is approximately 4.2 per 1,000 people.10 per 1,000 among patients older than 65. Most patients with rectal prolapse are women; the ratio of male-to-female patients is one in six.


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Rectal prolapse?

DefinitionRectal prolapse is when the tissue that lines the rectum falls down into or sticks through the anal opening.Causes, incidence, and risk factorsRectal prolapse occurs most often in children under age 6 and in the elderly. It is often associated with the following conditions:ConstipationCystic fibrosisMalnutrition and malabsorption (celiac disease is an example)Pinworms (enterobiasis)Prior injury to the anus or pelvic areaWhipworm infection (trichuriasis)SymptomsThe main symptom is a reddish-colored mass that sticks out from the opening of the anus, especially following a bowel movement. The lining of the rectal tissue may be visible and may bleed slightly.Signs and testsThe health care provider will perform a physical exam, which may include a rectal exam. Tests will be done to determine the underlying cause.TreatmentCall your health care provider if a rectal prolapse occurs. In some cases, the prolapse can be treated at home.The rectal mucosa must be returned to the rectum manually. A soft, warm, wet cloth is used to apply gentle pressure to the mass to push it back through the anal opening. The affected person should be in a knee-chest position before applying pressure to allow gravity to help return the prolapse.Immediate surgery for repair is seldom needed. The underlying condition must be treated.Expectations (prognosis)Treating the underlying condition usually cures the problem. In otherwise-healthy elderly patients with recurrent rectal prolapse, surgery can repair anatomic problems that predispose them to prolapse.ComplicationsConstipationMalnutrition or malabsorptionOther complications of the condition that caused the prolapseCalling your health care providerCall your health care provider promptly if there is a rectal prolapse.PreventionTreating the underlying condition usually prevents further rectal prolapse.


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