title: [An end to smearing! Detecting and treating rectal rectal and anal prolapse].
abstract: Rectal prolapse is defined as the invagination of the entire wall of the rectum into or through the lumen of the anal canal. In the main it is a disorder of elderly women. The leading symptom is a sensation of incomplete defecation. Patients commonly complain of incontinence of varying severity, tenesmus, unsuccessful straining, and the passage of blood and mucus in the stools. The diagnosis is based on the history and physical examination. Equipment-based diagnostic procedures serve treatment planning. For therapy, a range of possibilities are available. Anal prolapse is categorized as third-degree hemorrhoidal disease, and the diagnosis can be made by simple inspection. Reduction may be attempted during digital examination of the rectum. Treatment is determined by the clinical presentation.
authors.affiliation: Chirurgische Universitätsklinik, Abteilung Allgemeine Chirurgie mit Poliklinik, Freiburg.
authors.forename: H J
authors.initials: HJ
authors.lastname: Mappes
mesh_terms: D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D012005:Rectal Prolapse / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012307:Risk Factors
vernacular_title: Schluss mit der Schmiererei! Rektum- und Analprolaps erkennen und therapieren.