Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of full-thickness rectal prolapse (Grade II), characterized by protrusion of the rectal wall through the anal canal during defecation or physical exertion. Patient reports associated symptoms of fecal incontinence, mucous discharge, and a sensation of incomplete evacuation. Symptoms are manually reducible.
Clinical Examination Findings
Physical examination reveals a circumferential, full-thickness rectal prolapse with concentric mucosal folds. Upon digital rectal examination (DRE), anal sphincter tone is noted to be [Normal/Decreased]. Prolapse is observed during Valsalva maneuver, confirming Grade II status. No signs of mucosal ulceration, necrosis, or strangulation noted.
Treatment Protocol
Initial management includes high-fiber diet, adequate fluid intake, and pelvic floor physical therapy. If conservative measures fail, surgical intervention is indicated, including options such as rectopexy (abdominal or perineal approach) or resection rectopexy, depending on patient comorbidities and surgical risk profile.