Management of Rectal Prolapse, and Common Anorectal Conditions
Management of Rectal Prolapse, and Common Anorectal Conditions
Management of Rectal Prolapse, and Common Anorectal Conditions
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Summary<strong>Rectal</strong> prolapse (Dx clinically)Emergency tx as indicatedFlexible sigmoidoscopy<strong>Anorectal</strong> manometry,pudendal nerve testAssess symptomatalogy, patientpr<strong>of</strong>ile & Stratify surgical riskConstipation?Incontinence?Young malesexually active?Length <strong>of</strong> prolapse?Good risk, fitVery high riskAbdominal proceduree.g. Laparoscopic resectionalsutured rectopexyPerineal proceduree.g. Delorme’s operation orAltemeier + levatorplasty