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Anonymous ID: 8333e5 May 11, 2019, 11:02 a.m. No.6472429   🗄️.is 🔗kun

Diagnosis of rectal prolapse is most commonly made based on history and physical alone. As mentioned above, prolapse often resolves by the time the patient reaches medical attention, and thus the clinician must rely on history for diagnosis. Patients with constipation as the likely cause of their prolapse should receive contrast radiography of the colon and anorectal manometry.[6] When evaluating third-degree or occult rectal prolapse, colonoscopy or sigmoidoscopy often reveals erythematous granularity of the distal rectum, in addition to a polypoid white-topped mucosal lesion on the anterior rectal wall.[7] These tests may also help visualize rectal polyps or ulcers if present. Evaluation for associated pelvic floor anomalies and further characterization of prolapse may also per performed by fluoroscopic dynamic defecography or magnetic resonance imaging.