, Volume 25, Issue 6, pp 2000-2003,
Open Access This content is freely available online to anyone, anywhere at any time.
Date: 08 Dec 2010

Controversy in the treatment of symptomatic internal rectal prolapse: suspension or resection?

This is an excerpt from the content

Internal rectal prolapse (IRP) is a full-thickness intussusception of the rectum during defecation. Radiologically, different grades have been proposed: from low-grade (rectorectal intussusception) to high-grade (rectoanal intussusception) prolapse. This prolapse may lead to an outlet obstruction and/or fecal incontinence. IRP plays an important role in the pathophysiology of obstructed defecation (OD), which is the inability to empty the rectum satisfactorily during defecation and is more specifically defined in the Rome III criteria.

There has been debate for decades about the clinical significance of IRP. However, there appears to be a renewed interest in the clinical relevance and treatment of IRP. The long disputed progression into ERP has been made more plausible by recent data published by Wijffels et al. [1] on the natural history of IRP. Moreover, various recent publications on new surgical techniques have shown improved functional outcome after prolapse correction compared wit