There are two hypotheses about the occurrence of the disease: sliding hernia and rectal intussusceptions. There are some cases accompanied by not only the prolapse of the rectum but also the urinary incontinence or protrusion of other pelvic organs. Defecography not only can be helpful in the early diagnosis of rectal prolapse but also can provide much information about the accompanied abnormal findings. Conservative treatment rarely cures, and the only method for a complete cure is surgery. When selecting the operation method, anatomical abnormalities and cause, patient’s general condition, and defecation disorder like fecal incontinence or constipation should be considered. For the operation methods, we have the transanal approach including Delorme or Altemeier’s operation and transabdominal approach such as resection rectopexy or rectopexy, and it is important to have a surgeon who is capable of both approaches.
KeywordsRectal prolapse Rectal intussusception Delorme’s operation Altemeier’s operation
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