Rectal Prolapse – Causes, Symptoms, and Modern Treatment Options
Rectal prolapse occurs when the final portion of the rectal lining partially or completely protrudes into the anal canal. In advanced cases, the rectum may even visibly extend outside the anus. The most common causes include chronic constipation with excessive straining, multiple pregnancies, connective tissue weakness, and several other contributing factors.
Typical symptoms include difficulity with bowel emptying, often described as the sensation of stool passing through a tight outlet. Complete evacuation is frequently not possible, resulting in multiple small bowel movements per day. As the condition progresses, anal sphincter function may be impaired, leading to bleeding, leakage, soiling of underwear, and, in some cases, ulcerations in the rectal area.
Diagnosis is based on a thorough clinical and proctological examination and is supplemented by a colonoscopy to rule out other diseases. In addition, specialized radiological diagnostics are used, in close collaboration with experienced radiologists.
Surgical treatment is usually necessary, as quality of life is often significantly affected. Depending on the severity of the prolapse and individual circumstances, the operation may be performed either minimally invasively through the abdomen (laparoscopic rectopexy) or through the anal canal (Delorme or Altemeier procedure). I determine the most appropriate method together with the patient to ensure the best possible outcome.
As a specialized proctologist, I take plenty of time for thorough consultation and diagnosis. Thanks to many years of experience and a high number of cases in my practice, I am able to successfully treat this rare but— within specialized care — commonly encountered condition.
