The difference between rectal prolapse and rectal prolapse

Written by Chen Tian Jing
Colorectal Surgery
Updated on November 25, 2024
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The difference between rectal prolapse and rectal procidentia mainly lies in the location and extent of the lesions, as well as the degree of the lesions. Rectal prolapse mainly includes internal rectal mucosal prolapse and external rectal mucosal prolapse, and external rectal mucosal prolapse is mainly referred to as rectal procidentia. Hence, rectal procidentia is a manifestation of rectal prolapse, while rectal prolapse is a generalized term for rectal procidentia. If it is an internal rectal mucosal prolapse, one can choose traditional Chinese medicine retention enema or oral medication for treatment. However, if rectal procidentia is confirmed and recurs, the only treatment method is surgery to excise the prolapsed mucosa. To prevent rectal prolapse or rectal procidentia, it is advised not to engage in excessive physical activities.

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Written by Chen Tian Jing
Colorectal Surgery
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Clinical manifestations of rectal prolapse

The clinical manifestations of rectal prolapse mainly involve the contents within the anal canal, especially the prolapse of the rectal mucosa outside the anus, which is most common. Severe cases of rectal prolapse may lead to a cylindrical or conical prolapse. The common type of rectal prolapse mainly refers to rectal prolapse, but there can also be internal prolapse of the rectal mucosa. Internal prolapse of the rectal mucosa is characterized by excessive relaxation and accumulation of the rectal mucosa at the anus, causing symptoms such as a sense of blockage, downward pressure, and obstruction during bowel movements. This can be definitively diagnosed through an anal examination and defecography. Regardless of whether it is internal prolapse of the rectal mucosa or rectal prolapse, when the disease progresses to a severe degree affecting the patient's normal life, surgical treatment is recommended.

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Written by Chen Tian Jing
Colorectal Surgery
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Which department to consult for rectal prolapse?

Rectal prolapse is generally divided into internal mucosal prolapse and external prolapse. External mucosal prolapse is commonly known as rectal prolapse, which falls under the category of proctological diseases. Therefore, patients who suspect they have rectal prolapse should promptly visit a proctology department for relevant examinations and treatment. The examination and diagnosis of rectal prolapse mainly involve digital rectal examination, anoscopy, and defecography to confirm the diagnosis. Especially for internal mucosal prolapse, which cannot be seen with the naked eye, defecography is necessary for differentiation. In cases of rectal prolapse, one can generally see a ring-like protrusion outside the anus, and in severe cases, there may be conical or cylindrical prolapse. Regardless of whether it is internal mucosal prolapse or rectal prolapse, surgical treatment is necessary.

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Written by Chen Tian Jing
Colorectal Surgery
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Can rectal prolapse heal itself?

Rectal mucosal prolapse primarily refers to a condition where the rectal mucosa becomes excessively relaxed, accumulates near the anus, and presents symptoms such as a distinct feeling of fullness and downward pressure at the anal area. Sometimes, the prolapsed mucosa may congest the anal opening, causing difficulty in defecation or even constipation. Rectal mucosal prolapse cannot heal completely on its own. Treatment options include medication to alleviate symptoms or surgery to remove the prolapsed mucosa. Patients with rectal mucosal prolapse should avoid straining excessively during bowel movements. If constipation occurs, patients should not strain too hard and may use enemas to assist with bowel movements.

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Written by Deng Heng
Colorectal Surgery
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Is rectal prolapse the same as hemorrhoids?

Rectal prolapse and hemorrhoids are two different diseases. Rectal prolapse refers to the condition where the rectal mucosa, or sometimes the entire rectal wall, prolapses downwards during defecation, prolonged standing, or fatigue, especially in severe cases. Hemorrhoids, on the other hand, involve the prolapse of vascular cushions and anal padding, sometimes accompanied by symptoms like rectal bleeding. The causes, mechanisms, pathology, symptoms, and treatment methods of these two conditions are distinct, making rectal prolapse and hemorrhoids two separate diseases.

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Written by Xu Jun Hui
General Surgery
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The difference between rectal prolapse and rectal prolapse.

Rectal prolapse, also known as rectal prolapse, is characterized by partial prolapse of the rectal mucosa in the early stages and full-length prolapse of the rectum in the later stages. Early rectal prolapse is generally accompanied by a feeling of incomplete bowel movements, urgency followed by a feeling of incomplete relief, and perianal contact, with secretions leading to perianal eczema, itching, and infection in the later stages. If the prolapse cannot be reduced, entrapment can occur, causing pain. The initial treatment for rectal prolapse is to ensure smooth bowel movements and reduce factors that increase abdominal pressure to avoid causing the rectal mucosa to protrude outward. Severe rectal prolapse may require surgical treatment.