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Rectal Prolapse

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A rectal prolapse is a condition that causes part of your child's rectum to move down through his or her anus. The rectum is the end of your child's bowel. A prolapse may happen during your child's bowel movement. A prolapse may also happen when your child is 1 to 5 years of age, when he or she begins standing or potty training. The cause of your child's rectal prolapse may not be known.
Your child's healthcare provider will examine your child's anus to check for a rectal prolapse. The provider may also check for rectal polyps. A rectal polyp is a small growth of tissue in the lining of the rectum. Your child's provider may also feel inside your child's anus to check for bumps that cannot be seen from the outside. You may be asked about your child's bowel habits. Tell your child's provider about other medical conditions your child has. Your child may need any of the following tests:
A rectal prolapse may get better without treatment. Your child may need any of the following:
Manual reduction is a procedure you can do to place your child's rectum back inside of the anus. Your child's healthcare provider may show you how to do a manual reduction. The following are general steps to follow. Your child's healthcare provider may give you specific steps to follow for your child.
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Cohee MW, et al. Benign anorectal conditions: Evaluation and management. American Family Physician. 2020;101:24.
Rectal prolapse. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/anatomic-problems-lower-gi-tract/rectal-prolapse. Accessed March 26, 2021.
Rectal prolapse. American Society of Colon & Rectal Surgeons. https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse-expanded-version. Accessed March 22, 2021.
Tsunoda A. Surgical treatment of rectal prolapse in the laparoscopic era; A review of the literature. Journal of the Anus, Rectum and Colon. 2020; doi:10.23922/jarc.2019-035.
Varma MG, et al. Surgical approach to rectal procidentia (rectal prolapse). https://www.uptodate.com/contents/search. Accessed March 26, 2021.
Varma MG, et al. Overview of rectal procidentia (rectal prolapse). https://www.uptodate.com/contents/search. Accessed March 26, 2021.
Morrow ES. Allscripts EPSi. Mayo Clinic. April 16, 2021.

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Rectal prolapse occurs when the rectum becomes stretched out and protrudes from the anus.
Rectal prolapse occurs when part of the large intestine's lowest section (rectum) slips outside the muscular opening at the end of the digestive tract (anus). While rectal prolapse may cause discomfort, it's rarely a medical emergency.
Rectal prolapse can sometimes be treated with stool softeners, suppositories and other medications. But surgery is usually needed to treat rectal prolapse.
If you have rectal prolapse, you may notice a reddish mass that comes out of the anus, often while straining during a bowel movement. The mass may slip back inside the anus, or it may remain visible.
The cause for rectal prolapse is unclear. Though it's a common assumption that rectal prolapse is associated with childbirth, about one-third of women with the condition have never had children.
Certain factors may increase your risk of developing rectal prolapse, including:
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The urethra is the tube that drains urine from the bladder to the outside of the body. Urethral prolapse occurs when the inner lining of the urethra sticks out. When this happens, the opening of the urethra looks like a small pink donut and seems larger than normal.
Children with urethral prolapse may not have any symptoms at all. Urethral prolapse occurs most commonly in young girls before puberty. Children may have blood spots on their underwear or diapers. Some children may complain of tenderness when wiping themselves after going to the bathroom.
The exact cause of urethral prolapse is not known. It may happen if the tissues around the urethra are weak. It often happens before puberty starts, when girls have low levels of the estrogen hormone. African American and Hispanic girls are more at risk for getting urethral prolapse. It is also more likely to happen to girls who have a history of heavy coughing, constipation , urinary tract infections , trauma or who are obese. All of these conditions can increase pressure inside the belly, which may lead to urethral prolapse.
Often, urethral prolapse is an incidental finding during routine examination. Upon examination, round doughnut-shaped tissue is observed protruding from the urethral opening.
Since some girls have no symptoms, no treatment may be an option. If there are symptoms, we will discuss your options for treatment with you and your family. These treatments may include:
Reviewed by : Division of Urology Date : August 2011
Find information to help you prepare for your child's upcoming urology surgery at Children's Hospital of Philadelphia.
The Division of Urology at Children’s Hospital of Philadelphia is consistently ranked as one of the top pediatric urology programs in the nation.
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