Rehabilitative Treatment for Internal Rectal Prolapse

  • Filippo Pucciani


Internal rectal prolapse is a full-thickness intussusception of the rectal wall without protrusion beyond the anal canal as demonstrated on defecography [1]. The presence of full-thickness intussusception at defecography may be suspected when intussusception thickness is greater than 3 mm [2]. Internal rectal prolapse is important because it may represent the first stage leading to overt rectal prolapse [3, 4]. Rectal prolapse could be the end point of a full-thickness circumferential intussusception that began as a rectorectal intussusception at ≈8 cm from the anal verge, evolved into a rectoanal intussusception, and finally into an overt rectal prolapse everting outside the perineum. Precise proctography measures indicate that the “take-off” point of the intussusception appears at about 5.5 cm from the anorectal junction anteriorly [5]. In this way, internal rectal prolapse may be related to two different morphological aspects, which are surely a function of the time spectrum, firstly, for example, rectorectal intussusception, and secondly, rectoanal intussusception.


Pelvic Floor Faecal Incontinence Pelvic Floor Muscle Rectal Prolapse Biofeedback Training 
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© Springer-Verlag Italia 2008

Authors and Affiliations

  • Filippo Pucciani
    • 1
  1. 1.Department of Medical and Surgical Critical CareUniversity of FlorenceFlorenceItaly

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