Rectal prolapse is a protrusion of rectal wall tissue through the anus. In a normal individuals, rectal prolapse does not occur because the rectum is anchored to the pelvic structures by suspensory mechanisms of the normal rectum. Patients with anorectal malformations represent a spectrum of defects, that ranges from patients born with benign defects, good functional prognosis and almost normal sphincters who rarely suffer from rectal mucosal prolapse to these that are born with complex malformations, poor functional prognosis, poorly developed pelvic structures, poor or absent sphincters, poor nerves and, in general, poor mechanisms of suspension of the rectum. The rectal prolapse is problematic because it produces wetness mucus produced by the rectal tissue , which can pass through the underwear and the clothes of the patient.
Your rectum is the lower part of your colon, where stool forms. If the rectum drops out of its normal place within the body and pushes out of the anal opening, the condition is called rectal prolapse. In the early stages, a prolapse may happen only after a bowel movement. The protruding rectum may then slip back through the anal canal on its own.
A 45 years female presented with a complain of something coming out through her anus since one year, which comes on straining and reduces only after manual intervention. She had also, a history of constipation with occasional blood and mucus discharge in the stool. On examination, she was found to have full thickness rectal prolapse, which comes out on straining and reduces only after pushing it manually. With a diagnosis of complete rectal prolapse grade III, she underwent abdominal suture rectopexy and now she is doing well after six months of follow-up. One of the very close differential diagnosis of complete rectal prolapse is prolapsed internal hemorrhoid.
Your rectum is the last part of your colon. Rectal prolapse is when part of the rectum bulges out of the anus. At first, a prolapse may happen only after a bowel movement. The prolapsed part of the rectum may then slip back through the anal canal on its own. Over time, the prolapse may become more severe and may need surgery.