Editing Rectal prolapse (section)

== '''Presentation''' ==

* Sensation of external tissue     after defecation (or continuously)
* Rectal bleeding/mucus     discharge after defecation, especially with chronically incarcerated     prolapse
* Faecal incontinence (due to     impaired anorectal sensation) - 50-75%
* Tenesmus
* Constipation
* Urinary incontinence
* Pudendal neuropathy seen in     50%
* There are case reports of     incarcerated and even strangulated rectal prolapse, but this seems to be     very rare, and occurs in the setting of a giant prolapse that has reached     venous strangulation due to being incarcerated. If it can be reduced, it's     not strangulated.
** If the prolapse cannot be      reduced or there is mucosal necrosis, need emergency resection of the      prolapsed rectum, possibly meaning Altemeier's perineal      rectosigmoidectomy