Rectal Prolapse

It is the condition where the last part of the large intestine (rectum), which should normally remain inside the body, protrudes outside by telescoping into itself or completely passing through the anal muscles.

Hemorrhoids are the prolapse of enlarged small blood vessel clusters in the anal region. In rectal prolapse, it is not the blood vessels, but the tissue of the intestine itself that prolapses outward in the shape of a tube (sometimes 10-15 cm).

Chronic constipation lasting for many years, excessive straining in the toilet, multiple difficult vaginal deliveries, weakening of the pelvic floor muscles with advancing age, or previous traumas loosen the ligaments holding the intestine, causing it to prolapse.

A red piece of tissue protruding from the anus, especially during defecation, is the clearest sign. Although it can be pushed back inside initially, it remains outside over time. This is accompanied by fecal incontinence, bleeding, mucous discharge, and a feeling of fullness in the anal region.

The prolapse is observed by having the patient strain during the physical examination by a general surgeon. Tests such as defecography (defecation X-ray) or anorectal manometry may be requested to evaluate functional damage.

Yes. It is not possible to fix the prolapsed intestine back into place with medication or creams. The only solution is surgery. Depending on the patient's age, procedures such as suspending the intestine from within the abdomen (laparoscopic rectopexy) or cutting and suturing the prolapsed part from the anus are performed.