Rectal prolapse can be diagnosed easily by having the patient strain as if to defecate. A laparoscopic rectopexy should be recommended. Intussusception is more an epiphenomenon than a cause of defecatory disorder and should be managed conservatively. Solitary rectal ulcer syndrome is a consequence of chronic straining, and therapy should include restoring a normal defecation habit. Rectocele should be left alone; an operation may be considered if it is larger than 3 cm and is causing profound symptoms despite maximizing medical therapy for the associated defecation disorder.

doi.org/10.1016/S0889-8553(05)70174-6, hdl.handle.net/1765/56391
Gastroenterology Clinics of North America
Department of Gastroenterology & Hepatology

Felt-Bersma, R. J. F., & Cuesta, M. (2001). Rectal prolapse, rectal intussusception, rectocele, and solitary rectal ulcer syndrome. Gastroenterology Clinics of North America (Vol. 30, pp. 199–222). doi:10.1016/S0889-8553(05)70174-6