Problem with rectum prolapses
I am suffering from a rectal prolapse
A rectal prolapse is a very complex disorder with a variety of manifestations and causes. A common factor is the involvement of the mucous membrane or the wall of the rectum. It is always necessary to distinguish individual disorders from each other. Prolapses of the mucous membrane of the rectum must especially be distinguished from a prolapse of the intestine.
A rectocele (bulging of the front wall of the rectum into the back wall of the vagina) is another form of the rectal (and concomitant vaginal) prolapse. About 40% of the female population suffers from some form of rectocele.
What is the cause
This condition involves many factors. It cannot be said that any single cause is the actual, overall cause of the problem. The following causes may play a role: chronic constipation, repeated pregnancies, vaginal birth(s), severe pelvic injuries, pelvic irradiation or extensive pelvic surgery. However, possible causes also include constipation and difficult voiding. Most patients suffer from urinary incontinence at the same time, some with stool incontinence.
How the problem is diagnosed
Most people don't actually suffer any problems. Sometimes the patient comes to the doctor as a result of feeling some gentle resistance from stools or when squatting. At the other extreem, a large part of the intestine sometimes "protrudes" from the rectum. The diagnostic-therapeutic process is managed by a proctologist.
How the problem is treated
Apart from a basic clinical examination, which includes an examination of the rectum with the use of a finger, an anoscopy is required and sometimes a colonoscopic examination is also necessary. In specific cases, imaging techniques are used: ultrasound including an examination through the interior of the rectum, and, for women, also within the vagina, an assessment of intestinal motility and so-called transit time (re. the passing of food through the digestive system), an anorectal manometry (measuring pressures within the rectum), CT or magnetic resonance imaging, a defecogram.
Treatment does not usually involve surgery, but in certain cases an operation is appropriate.