Rectal Prolapse, Rectal Intussusception, Rectocele, Solitary Rectal Ulcer Syndrome, and Enterocele
Section snippets
Definition, Etiology, and Pathogenesis
A complete rectal prolapse is defined as the protrusion of all layers of the rectal wall through the anal canal. If the rectal wall prolapses but does not protrude through the anus it is called an āoccult rectal prolapseā or a ārectal intussusception.ā A rectal prolapse should be distinguished from a mucosal prolapse; in the latter there is only protrusion of the rectal or anal mucosa. The incidence of rectal prolapse is approximately 2.5 per 100,000 inhabitants,1 with a highest incidence among
Definition, Etiology, and Pathogenesis
Rectal intussusception, occult rectal prolapse, or internal procidentia is an intussusception of the rectal wall that does not protrude through the anus and can be classified into high-grade (intrarectal) and low-grade (intra-anal) intussusception based on the level of mucosa protruding.47 Although it is associated with solitary rectal ulcer, rectal prolapse, or perineal descent, the finding per se is not pathologic. In 50% to 60% of healthy volunteers a rectal intussusception can be
Definition, Etiology, and Pathogenesis
SRUS was first described in 1830 by Cruveilhier, but was recognized as a clinical entity in 1969 by Madigan and Morson.65 The estimated annual incidence is 1 to 3.6 per 100,000.66 About 80% of patients are less than 50 years. Gender distribution is either equal or there is a slight female preponderance.66 The mean age of presentation is 49Ā years, and about 25% present after 60 years.67 The condition is associated with an evacuation disorder. Defecography has shown that an intussusception is
Definition, Etiology, and Pathogenesis
A rectocele is a protrusion of the anterior rectal wall usually toward the vagina. Weakness of the pelvic floor leads to a deficiency in the rectovaginal septum (the fascia of Denonvilliers, which is continuous with the perineal body) (Fig.Ā 7). Deficiency in the upper half of the septum produces a high rectocele, and that of the lower half a low rectocele. A rectocele can be classified as low, midvaginal, or high according to the new standardized terminology.85
Obstetric injury is the major
Definition, Cause, Pathogenesis
Enterocele is defined as a peritoneum-lined sac herniating down between the vagina and rectum filled with abdominal content, often the small bowel.113 It was first reported in 1932 and considered a rare clinical entity, until in 1973 after a larger series was presented114 the phenomena became more known in the gynecologic literature. With the increasing interest in dyssynergic defecation gastroenterologists and colorectal surgeons have focused more on pelvic floor abnormalities.115 The
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Evacuation proctography
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Resolution of symptoms of rectal prolapse after repair of vaginal prolapse: A report of two cases
2024, Case Reports in Women's HealthAnorectal disorders: Fecal impaction, structural disorders of the pelvic floor and anorectal pain syndromes
2023, Handbook of Gastrointestinal Motility and Disorders of Gut-Brain Interactions, Second EditionA case report of largest rectal prolapse in the literature successfully treated with Altemeier's procedure
2022, Annals of Medicine and SurgeryRectal mucosal prolapse with an emphasis on endoscopic ultrasound appearance
2021, Digestive and Liver DiseaseCurrent Approaches to Complete Rectal Prolapse and Internal Intussusception
2019, Shackelford's Surgery of the Alimentary Tract: 2 Volume SetDyssynergic defecation and defecation disorders
2019, Clinical and Basic Neurogastroenterology and Motility