Rectal Prolapse (Procidentia)


Pathophysiology

Diagnosis

Treatment

  1. Sedation & analgesia
  2. Manually attempt to reduce protruding mucosa proximal to anorectal ring
  3. In children, after reducing, strap buttocks together to maintain reduction
  4. Surgery consult; usually treated by surgery unless prolapse is minimal
  5. R/O underlying tumor, sigmoidoscopy

Disposition

  1. Home if minor; stays reduced
  2. Admit: vascular compromise, signs necrotic tissue, continuous bleed or perforation bowel