1
Q
What two types of rectal prolapse are there?
A
Type 1: Mucosal prolapse
Type 2: Full thickness prolapse
2
Q
What type of patients are more likely to get Type 1 rectal prolapse?
A
Children, esp with CF
3
Q
What is the treatment for Type 1 rectal prolapse?
A
Essentially large piles, so treat the same
Con: Increase fibre, stop straining
Med: Lactulose, topical hydrocortisone+analgesia
Int: Banding, injecting sclerosant, cryo
Surg: Delorme’s procedure
But also, pelvic floor ex
4
Q
What group of patients tend to suffer from Type 2 rectal prolapse?
A
Elderly women with poor O+G Hx
5
Q
What Ix would you perform in rectal prolapse? (4)
A
Sigmoidoscopy to excluse proximal lesions
Anal manometry
Endoanal US
MRI
