Anatom3DRectal prolapse
Prolapsus recti · Výhřez konečníku
What it is
The rectum slides out through the anus, mostly in older women after years of straining; it does not heal by itself.
Symptoms & signs
- A lump coming out on straining, sometimes staying out
- mucus and blood
- faecal incontinence
- constipation, feeling of incomplete emptying
- discomfort
🚩 Get help if…
- call 112 / 911 now Bulge that will not go back, turning dark red, purple or black
- call 112 / 911 now Heavy bleeding from the back passage
- see a doctor soon Bulge from the back passage when you strain
- see a doctor soon Leaking stool or mucus
Where it strikes
Medical treatment
- Examination while straining; defecography
- abdominal rectopexy, often keyhole
- perineal operations (Delorme, Altemeier) for the frail
- Choice of operation — the PROSPER trial found no clear winner mixed evidence
- treat constipation
Natural & lifestyle
- Fibre and fluids
- avoid straining
- pelvic-floor exercises
Emerging & experimental
- Robotic rectopexy
- biological mesh
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Pelvic yoga — untested anecdotal / traditional
- Herbal laxatives — ease constipation only; do not reduce the prolapse anecdotal / traditional
ICD codes
- ICD-10 K62.3
- ICD-11 DB31.2 Rectal prolapse