What are the symptoms of internal rectal prolapse?
Article first published online: 27 FEB 2013
© 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland
Volume 15, Issue 3, pages 368–373, March 2013
How to Cite
Wijffels, N. A. T., Jones, O. M., Cunningham, C., Bemelman, W. A. and Lindsey, I. (2013), What are the symptoms of internal rectal prolapse?. Colorectal Disease, 15: 368–373. doi: 10.1111/j.1463-1318.2012.03183.x
- Issue published online: 27 FEB 2013
- Article first published online: 27 FEB 2013
- Accepted manuscript online: 23 JUL 2012 10:31AM EST
- Received 4 December 2011; accepted 28 May 2012; Accepted Article online 23 July 2012
- Internal rectal prolapse;
Aim Although high-grade internal rectal prolapse is believed to cause functional symptoms such as obstructed defaecation, little has been published on the exact distribution and frequency of symptoms. The aim of this study was to identify the most common symptoms of patients with high-grade internal rectal prolapse.
Method Patients were diagnosed with high-grade prolapse (grade 3 and 4) on proctography using the Oxford Rectal Prolapse Grade. Information from a prospectively collected database was supplemented by a retrospective case note review.
Results Eighty eight patients (94% of them women) were included for analysis. Faecal incontinence (56%) was the most common symptom at presentation. Symptoms related to obstructed defaecation syndrome were the next most common, including incomplete evacuation (45%), straining (34%), digital assistance (34%) and repetitive toilet visits (33%).
Conclusion A variety of symptoms may be caused by high-grade internal rectal prolapse Although symptoms of obstructed defaecation were frequent, urge faecal incontinence was the most common.