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Complexities in Colorectal Surgery pp 173–183Cite as

Rectal Prolapse: Current Evaluation, Management, and Treatment of a Historically Recurring Disorder

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Abstract

Although rectal prolapse occurs mostly in elderly females, this disorder affects patients of both genders and all ages. The surgical approach is guided by a thorough history and physical examination, specifically addressing the presence of fecal incontinence or constipation as well as medical fitness. Adjunctive testing may be helpful for patients with lifelong constipation. Surgical treatments vary by approach (transabdominal vs. perineal) and method of rectal fixation and mobilization. Although the transabdominal approach is associated with lower recurrence, it is plagued by more complications, longer hospitalization, and need for general anesthesia. Yet it remains the preferred approach for medically fit patients for initial or recurrent repair.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL, 60153, USA

    Dana M. Hayden MD, MPH

  2. Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA

    Steven D. Wexner MD, PhD (Hon), FACS, FRCS, FRCS(Ed)

Authors
  1. Dana M. Hayden MD, MPH
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  2. Steven D. Wexner MD, PhD (Hon), FACS, FRCS, FRCS(Ed)
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Corresponding author

Correspondence to Steven D. Wexner MD, PhD (Hon), FACS, FRCS, FRCS(Ed) .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Madigan Army Medical Center, Fort Lewis, WA, USA

    Scott R. Steele MD

  2. Division of Colorectal Surgery Department of Surgery, UMass Memorial Medical Center University of Massachusetts Medical School, Worcester, MA, USA

    Justin A. Maykel MD

  3. Division of Colon and Rectal Surgery Department of Surgery, Case Western Reserve University School of Medicine University Hospitals, Cleveland, OH, USA

    Bradley J. Champagne MD

  4. Division of Colon and Rectal Surgery Department of Surgery, Louisiana State University Health Science Center LSU School of Medicine, New Orleans, LA, USA

    Guy R. Orangio MD

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© 2014 Springer Science+Business Media New York

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Hayden, D.M., Wexner, S.D. (2014). Rectal Prolapse: Current Evaluation, Management, and Treatment of a Historically Recurring Disorder. In: Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (eds) Complexities in Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9022-7_11

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  • DOI: https://doi.org/10.1007/978-1-4614-9022-7_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9021-0

  • Online ISBN: 978-1-4614-9022-7

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