Clinical scenario

Rectal prolapse cannot be corrected by nonoperative means. Conservative management is therefore directed entirely at palliation: relieving the symptoms the prolapse causes rather than resolving the anatomical defect.

Treatment approach

The nonoperative approach targets three areas: bowel habit regulation, management of local tissue changes that complicate reduction in incarcerated prolapse, and preservation of perianal skin integrity. Each component addresses a distinct aspect of symptom burden.

The complete structured regimen — specific agents, priorities, and sequencing — is available in the full protocol.

Treatment goals

Palliation and improvement of prolapse-associated fecal incontinence, pain, and constipation.

References

DOI: 10.1097/DCR.0000000000000889

Rectal prolapse cannot be corrected nonoperatively, although some of the symptoms associated with this condition, such as fecal incontinence, pain, and constipation, can be palliated medically.
Fiber and stool softeners may be used to treat constipation.
Table sugar can be used topically to reduce edema and assist in reduction maneuvers with incarcerated rectal prolapse.
Attention to skin care to avoid skin maceration may also be beneficial.

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What Is the Nonoperative Treatment of Rectal Prolapse?

References