Etiology

There are two theories regarding development of rectal prolapse. Moschowitz proposed in 1912 that rectal prolapse is a sliding hernia that protrudes through a defect in the pelvic floor. He found that patients with rectal prolapse have a deep cul-de-sac, which he believed resulted from herniation of the small intestine into the anterior wall of the rectum. He suggested that the herniation pushed the rectum down, resulting in rectal prolapse. This idea is supported by the finding of a deep cul-de-sac in many prolapse patients.

Brodén and Snellman (1968) used defecography and could demonstrate that rectal prolapse starts as an internal rectal intussusception. They demonstrated that rectal prolapse starts as anorectal intussusception 6 to 8 cm up in the rectum and as the patient strains, the intussusception progresses and extends down through the rectum and out through the anus.

The underlying mechanism for the rectum to prolapse remains unclear. A mobile rectum, a weak pelvic floor, and excessive straining at stool, all predispose for development of rectal prolapse. Lack of rectal support is of etiological importance, but rectal prolapse also develops in young men and in nulliparous women with normal pelvic floor and anal sphincter function.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

Get My Free Ebook


Post a comment