gastrointestinal disorders
Rectal Prolapse and Procidentia
Treatment of Rectal Prolapse and Procidentia
Elimination of causes of straining For infants and children: Sometimes strapping buttocks together For adults: Usually surgery (See also the American Society of Colon and Rectal Surgeons'2017 clinical practice guidelinesfor the treatment of rectal prolapse.) In infants and children, conservative treatment is most satisfactory. Causes of straining should be eliminated. Firmly strapping the buttocks together with tape between bowel movements usually facilitates spontaneous resolution of the prolapse. For simple mucosal prolapse in adults, the excess mucosa can be excised. For procidentia, rectopexy, in which the rectum is mobilized and fixed to the sacrum, may be required in patients who can tolerate a laparotomy. In patients who cannot tolerate a laparotomy, perineal operations (eg, Delorme or Altemeier procedure) can be considered. 