Mucosal prolapse Rectal prolapse

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1 mucosal prolapse

1.1 symptoms
1.2 cause
1.3 diagnosis
1.4 treatment





mucosal prolapse

rectal mucosal prolapse (mucosal prolapse, anal mucosal prolapse) sub-type of rectal prolapse, , refers abnormal descent of rectal mucosa through anus. different internal intussusception (occult prolapse) or complete rectal prolapse (external prolapse, procidentia) because these conditions involve full thickness of rectal wall, rather mucosa (lining).


mucosal prolapse different condition prolapsing (3rd or 4th degree) hemorrhoids, although may similar.


rectal mucosal prolapse can cause of obstructed defecation (outlet obstruction). , rectal malodor.


symptoms

symptom severity increases size of prolapse, , whether spontaneously reduces after defecation, requires manual reduction patient, or becomes irreducible. symptoms identical advanced hemorrhoidal disease, , include:



fecal leakage causing staining of undergarments
rectal bleeding
mucous rectal discharge
rectal pain
pruritus ani

cause

the condition, along complete rectal prolapse , internal rectal intussusception, thought related chronic straining during defecation , constipation.


mucosal prolapse occurs when results loosening of submucosal attachments (between mucosal layer , muscularis propria) of distal rectum. section of prolapsed rectal mucosa can become ulcerated, leading bleeding.


diagnosis

mucosal prolapse can differentiated full thickness external rectal prolapse (a complete rectal prolapse) orientation of folds (furrows) in prolapsed section. in full thickness rectal prolapse, these folds run circumferential. in mucosal prolapse, these folds radially. folds in mucosal prolapse associated internal hemorrhoids.


treatment

eua (examination under anesthesia) of anorectum , banding of mucosa rubber bands








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