Archoptosis

Rectal prolapse - loss through the anus all the layers of the rectal wall. It is more common in men. Factors contributing to the loss of the rectum, are to increase intra-abdominal pressure, anal trauma and pelvic floor muscles. The main complaint of the patient: rectal prolapse during bowel movements, physical activity, coughing, walking. There are three stages of loss: I stage - only with defecation; Stage II - during exercise, coughing; Stage III - when walking or moving body into the vertical position. At constant rectal prolapse shown wearing support bandages, bandages. Often patients complain of mucus from the rectum, least likely to have streaks of blood in the stool or bloody blot on linen. Pain syndrome is rare, as a rule, only at the infringement of the prolapsed intestine.

Diagnosis is established on the basis of complaints and identification of the prolapsed bowel straining. Research carried out in the patient squatting position on the pelvis.

Rectal prolapse is differentiated with loss of hemorrhoids (see. Hemorrhoids), the anal canal wall, perineal hernia, for which there is no characteristic of rectal prolapse even loss of all layers of the rectum.

If the infringement of the prolapsed rectum and no deep necrotic changes of the intestinal wall should try to straighten it. Intestine precipitated profusely smeared with vaseline oil and reduce a carefully using wipes moistened with mineral oil or any ointment in the position of a patient lying on the side or on all fours with his head down. In severe cases, reduction of the rectum is performed under general anesthesia. With deep necrotic changes precipitated part of the colon shows the abdominal-perineal resection of the rectum with colostomy.

Treatment of rectal prolapse in children possible with the help of physical therapy techniques to create conditions for defecation after the enema in the supine position, the introduction of fiber adrectal sclerosing agents. Treatment of adult patients only operative.

The prognosis for timely treatment generally favorable, but relapses.

Prevention is a timely treatment of diseases that cause a weakening of the pelvic floor muscles, and promote the development of rectal prolapse.