Rectal Prolapse
11 results
1 - 11
Debate: Is Internal Rectal Prolapse an Operative Condition?- Diagnosis and Management of Rectoceles
- A 38-year-old woman G2P2 presents with fecal incontinence of a “nugget” sized piece of solid stool after bowel movements. She has optimized stool texture and reports a Bristol 5 bowel movement once or twice a day. Anorectal manometry demonstrates resting tone of 50 mmHg, a squeeze tone of 110 mmHg and push tone of 30 mmHg with appropriate sensation thresholds and no contractile fatigue. Defecogram demonstrates a 4 cm anterior rectocele that does not fully empty with evacuation. There is no rectal intussusception or rectal prolapse. The best treatment option for her is
- A 58-year-old woman G3P3 presents with fecal incontinence of small pieces of formed stool after bowel movements and clear fluid intermittently throughout the day. She has optimized stool texture and reports a Bristol 5 bowel movement once or twice a day. While seated on the commode, she has circumferential mucosal prolapse about 1 cm past the anorectal verge and a posterior vaginal bulge. Anorectal manometry demonstrates resting tone of 50 mmHg, a squeeze tone of 90 mmHg without fatigue and push tone of 30 mmHg with appropriate sensation thresholds. Defecogram demonstrates a 4 cm anterior rectocele that does not fully empty with evacuation and grade IV rectal intussusception through the anal sphincters. The best treatment for her is
- A 65 year old woman with history of posterior rectopexy presents with recurrent symptoms of prolapse. While seated on the commode she is noted to have a pronounced posterior vaginal bulge and pronounced anterior based rectal bulge extending 2 cm from the anal verge with a well-supported posterior aspect of the rectum. The most likely diagnosis is
- A 65 year old woman with history of posterior rectopexy presents with recurrent symptoms of prolapse. While seated on the commode she is noted to have a pronounced posterior vaginal bulge and pronounced anterior based rectal bulge extending 2 cm from the anal verge with a well-supported posterior aspect of the rectum. In this scenario, the best study to confirm the diagnosis is
- BACKGROUND
- PRESENTATION AND DIAGNOSIS
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