2019, Number 6
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Rev Clin Esc Med 2019; 9 (6)
Manejo quirúrgico del prolapso rectal: una revisión de la literatura
Rockbrand CLP, Rojas CHV, Caro PV, Arias VD, Arguedas OTM
Language: Spanish
References: 30
Page: 11-20
PDF size: 397.01 Kb.
ABSTRACT
The rectal prolapse it is a non-frequent pathology,
its pathophysiology is not clear, but includes a pelvic
floor disorder; also, it is a disease with a great impact
on the lifestyle of patients who suffer from it. Typically
occurs in older adult women, but it can occur in
men and women of all ages. The most frequent clinical
manifestations include fecal incontinence, constipation
and a rectal mass sensation. The diagnosis can
be made by physical exam or it can be confirmed in
suspicious cases with a defecography; in turn, multiple
complementary studies like magnetic resonance imaging,
cystography, colon transit, anal manometry, latency
of the terminal motor of the pudendal nerve and
colonoscopy can be made. The decision of submitting
these studies should be assessed independently in each
case. The cornerstone of the treatment of rectal prolapse
is the surgery with abdominal approach, for its
greater effectiveness; or failing the perineal approach.
Despite being the treatment of choice, all patients
should be initially instructed about medical treatment
because it diminishes the symptoms and can improve
the quality of lifestyle of the patients.
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