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

  • E. Gemsenjäger


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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