Clinical features, pathological outcomes and management of internal rectal prolapse-combined retro-prospective observational study

Authors

  • Basharat Majeed Lone Department of General and Minimally Invasive Surgery, Jaipur National University Hospital, Institute of Medical Sciences and Research Centre, Jaipur, Rajasthan, India
  • Manzoor Ali Department of Surgery and Minimally Invasive Surgery, Jaipur National University Hospital, Institute of Medical Sciences and Research Centre, Jaipur, Rajasthan, India
  • Humayoon Rasool Department of Surgery, SKIMS Medical College, Srinagar, Jammu and Kashmir, India
  • Aliya Shah Department of Microbiology, GB Pant Hospital, Srinagar, Jammu and Kashmir, India
  • Muzzafar Zaman Department of Surgery, SKIMS Medical College, Srinagar, Jammu and Kashmir, India
  • Akif Mutahar Shah Department of Anaesthesia, GMC Srinagar, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20223272

Keywords:

Rectal, Prolapse, Defecation, Rectopexy

Abstract

Background: Internal rectal prolapse probably represents the first stage of a progressive anomaly that eventually leads to full thickness external prolapse. Non-surgical treatment modalities like dietary advice and feedback therapy should be used before doing any surgical intervention in such cases. This study focuses on clinical features, pathological outcomes and treatment modalities of internal rectal prolapse.

Methods: The study is a combined prospective (from Aug. 2018 to Aug. 2020) and retrospective (from Aug. 2015 to Aug. 2018) conducted at Sher-I-Kashmir institute of medical sciences, Soura, Srinagar

Results: A total of 79 patients were studied out of which 39 were retrospective and 40 were prospective. Internal rectal prolapse is usually missed by surgeons as a cause of obstructed defecation syndrome. So, it was worthwhile to study this entity in our patients.

Conclusions: Before choosing any treatment strategy for internal rectal prolapse, conservative trial with dietary modification and feedback therapy should be attempted.

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Author Biographies

Basharat Majeed Lone, Department of General and Minimally Invasive Surgery, Jaipur National University Hospital, Institute of Medical Sciences and Research Centre, Jaipur, Rajasthan, India

GENERAL AND MINIMALLY INVASIVE SURGERY

Manzoor Ali, Department of Surgery and Minimally Invasive Surgery, Jaipur National University Hospital, Institute of Medical Sciences and Research Centre, Jaipur, Rajasthan, India

GENERAL AND MINIMALLY INVASIVE SURGERY

Humayoon Rasool, Department of Surgery, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

GENERAL AND MINIMALLY INVASIVE SURGERY

Aliya Shah, Department of Microbiology, GB Pant Hospital, Srinagar, Jammu and Kashmir, India

PEDIATRIC MICROBIOLOGY

Muzzafar Zaman, Department of Surgery, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

SURGERY

Akif Mutahar Shah, Department of Anaesthesia, GMC Srinagar, Jammu and Kashmir, India

ANAESTHESIA

References

Wexner A. edited by Zbar AP, Steven D. Internal rectal intussusceptions. Coloproctology. New York: springer. 2010;143.

Collinson R, Cunningham C, Lindsey I. Rectal intussusceptions: results of surgical repair. Dis Colon Rectum. 1992;35:1026.

Wolffet BG. The ASCRA text book of colon and rectal surgery. Newyork: Springer. 2007;647.

Kohlim SI. Rectal prolapsein pregnancy, a case report. Int J Reprod Contracept Obset Gynecol. 2017;6:5648-9.

Burgel RE, Carrington EV, Lunnisspj O. Assessment of rectal afferent neuronal function and brain activityin patientswith constipation and rectal hyposensitivity. Neuro Gastro Entrol. 2013;25:260-7.

Broden B, Snellman B. Procidentia of rectum studied with cine radiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum. 1968;11(5):330-47.

Theuerkauf FJ, Iraj K Jr, Hoffman MJ, Fry RD. Rectal prolapse and internal intussusceptions of the rectum: Diagnosis and surgical treatment. Colon, Rectum Anal Surg. 1970;76-90.

Shorvon PJ, Mc Hugh S, Diamant NE, Somers S, Stevenson GW. Defecography in normal volunteers: results and implications. Gut. 1989;30:1737-49.

Mellgren A, Schultz, Johanson C, Dolk A. Internal rectal intussusceptions seldom develops into total rectal prolapse. Dis Colon Rectum. 1997;40(7):817-20.

Nygard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J et al. Prevelance of symptomatic pelvic disorders in US women. JAMA. 2008;300:11.

Park AG, Porter NH, Hard CJ. The syndrome of the descending perineum. Proc R Soc Med. 1996;59(6):477-82.

Devorkin LS, Gladman MA, William NS, Lunniss PJ. Rectal intussusceptions: a study of biomechanics and viscera perception. Am J Gastroenterol. 2005;100(7):1578-85.

Fleshman JW, Kodner IJ, Fry RD. Internal intussusceptions of the rectum: achanging peresceptive. Neth J Surg. 1989;41:1245-148.

Hwangh YH, Person B, Choi JS. Biofeed back therapy for rectal intussusceptions. Tech Colo Proctol. 2006;10:11-6.

Broden B, Snellman B. Procidentia of rectum studied with cineradiography. Acontribution to the discussion of causative mechanisim. Dis Colon Rectum. 1968;11(5):330-47.

Shorvon PJ, Mchughs, Diamant NE, Somers S, Stevenson AGW. Defecography in normal volunteers: Results and implications. Gut. 1989;30(12):1737-49.

Christiansen J, Zhu BW, Rasmussen OO, Sorensen M. Internal rectal intussusceptions: Results of surgical repair. Dis Colon Rectum. 1992;35:1026-9.

Hwang YH, Person B, Choi JS. Biofeed back for rectal intussusceptions. Tech Coloproctol. 2006;10:11-6.

Corson JD, Williamson RCN. Anal canal, Surgical anatomy, Rectal prolapse in surgery. Mos by 2001;17:12-7.

William NS. The Rectum. In Bailey and Love. Short practice of surgery. Russel RCG, Williams NS, Bulstrode CJK, London: Arnold. 2000: 1097-1101.

Dvorkin LS, Glandman MA, Epstein J, Scott SM, Williams NS, Lunniss PJ. Rectal intussusceptions in symptomatic patients is different from that in asymptomatic volunteers. Br J Surg. 2005;92(7):866-72.

Mercer-Jones MA, Hoore DA, Dixon AR. Consensus on ventral recto-pexy: report of panel of experts. Color Dis. 2014;16:82-8.

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Published

2022-12-30

How to Cite

Lone, B. M., Ali, M., Rasool, H., Shah, A., Zaman, M., & Shah, A. M. (2022). Clinical features, pathological outcomes and management of internal rectal prolapse-combined retro-prospective observational study. International Journal of Research in Medical Sciences, 11(1), 62–68. https://doi.org/10.18203/2320-6012.ijrms20223272

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Original Research Articles