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Rectal Prolapse, Solitary Rectal Ulcer Syndrome, and Descending Perineal Syndrome

  • E. Gemsenjäger
Chapter

Abstract

Rectal prolapse or procidentia is an invagination or an intussusception of the entire thickness of the rectal wall into the rectum or into and through the anal canal, forming a rectal extrusion. The prolapse represents the endoluminal or the perineal aspect of a peritoneo-cele or herniation of the pouch of Douglas acting on the rectal wall (Fig. 36.1). The prolapse may start at the anal verge, at the anorectal ring, or at a higher level. Various degrees of rectal wall descent and extrusion, pelvic floor and anal sphincter disturbance, and various concomitant symptoms and findings result in a variable clinical appearance.

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© Springer-Verlag Berlin Heidelberg 1998

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  • E. Gemsenjäger

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