Rectal prolapses are typically caused by weakened rectal muscles, continued straining, stresses during childbirth, weakened ligaments, or neurological deficits.
How do you fix them? You can attempt manual reduction of the prolapse by using direct pressure. On the other extreme, corrective surgery can be performed from either an abdominal or perineal approach.
Trick of the Trade: Pour some sugar on it.
Def Leppard is right. Rectal prolapses often are associated with quite a bit of rectal mucosal edema. Sprinkle granulated sugar onto the area. Wait 15 minutes. The sugar reduces the edema by osmotically drawing out the fluid. The rectal prolapse often reduces spontaneously or with gentle manual pressure.
Great! It's the same trick recommended for priapism. Sugar all over!!
ReplyDeleteooops I meant paraphimosis not priapism... probably had that on my mind since we had a case last week, BDZ intoxication with priapism as one of the symptoms!
ReplyDeleteOh, interesting! I'll have to remember this. The same concept applies that sugar reduces edema.
ReplyDeleteDoes that work for hemorrhoids?
ReplyDeleteUnfortunately, doesn't seem to work for hemorrhoids. Interestingly, I had just tried this the other day on a patient with extremely large external hemorrhoids.
ReplyDelete