Under a rectal prolapse refers to the painless protrusion of the rectum through the anus. Under a Rektumsenkung means the entire incident to the rectal wall. The diagnosis is obtained by the inspection. In adults, usually operating intervention.

(See also Clarification of Anorektalkrankheiten.)

Under a rectal prolapse refers to the painless protrusion of the rectum through the anus. Under a Rektumsenkung means the entire incident to the rectal wall. The diagnosis is obtained by the inspection. In adults, usually operating intervention. (See also Clarification of Anorektalkrankheiten.) A temporary, limited to the rectal mucosa prolapse often occurs in otherwise normal children. In adults, the Rektumschleimhautprolaps can persist and worsen over. Under a Rektumsenkung means the entire incident to the rectal wall. The primary cause of a prolapse is unknown. In most patients, there are women> 60 years. Symptoms and signs The most prominent symptom of rectal prolapse and “procidentia” is protrusion. It can occur even when pressed or when walking or standing. Rectal bleeding can occur and incontinence is often, pain is rare, unless it occurs incarceration or a significant prolapse on. Diagnosis Clinical Evaluation The diagnosis is made by a sigmoidoscopy, colonoscopy or barium enema one. In order to estimate the full extent of prolapse, the doctor should examine the patient standing or squatting and pressingly. The Rektumvorfall can be distinguished from hemorrhoids by the presence of zirkumferenziellen mucosal folds. The anal sphincter tone is usually decreased. To rule out other diseases, you should perform a sigmoidoscopy, colonoscopy or barium enema with barium one. Primary neurological diseases (for. Example, tumors of the spinal cord) must be excluded. Therapy eliminate the causes for pressing In infants and children: occasional tight squeezing the buttocks For adults: Sometimes surgery in infancy and childhood, conservative treatment is most effective. Causes of presses must be eliminated. A fixed compression of the buttocks with ribbons in the period between the feces facilitating a spontaneous reduction of the prolapse. In the simple Schleimhautprolaps in adults, the excess mucosa is excised. In a Rektumsenkung, a rectopexy is dissolved in the rectum and the sacrum attached, may be required. In elderly patients or poor general condition can be a wire or synthetic plastic noose around his sphincter cart (Thiersch method). More perineal operations (eg. B. Procedure after Delorme or Old Meier) should be considered.

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