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Rectal Prolapse Bladder Sagging Symptoms Causes, Treatment

Rectal Prolapse Bladder Sagging Symptoms Causes, Treatment

Rectum; the last part of the large intestine. The rectal prolapse is called as rectal prolapse. This condition is also known as bowel sag. The most disturbing major symptoms of this disease are; major abduction, excessive strain in the toilet, continuous discharge from the rectum and gas. This problem is mostly seen in older women who give birth very often. Bowel sagging is not a disease that turns into cancer.

One of the causes of breech sagging is chronic constipation. In addition, advanced age, many births, frequently diarrhea, intestinal infections, spinal cord trauma caused due to weakening of pelvic muscles are also among the situations that cause the sagging of the rectum.

What Are the Symptoms of Rectal Prolapse?

Makat sarkmasının ilk belirtilerinden biri kabızlıktır. Constipation: One of the first symptoms of breech sagging is constipation. Constipation is first seen in 70% of cases of breech sag. This situation is mostly seen in young patients.

Makat sarkması vakalarının %40 ila %80’inde görülen gaz ve dışkı kaçırma ileri yaş hastalarda görülmektedir. Gas and fecal incontinence: Gas and fecal incontinence seen in 40% to 80% of cases of breech sag are seen in older patients.

Makat sarkması yaşanan hastalarda dışkının tamamen yapılmama hissi vardır. Stool is not completely empty: patients with bladder sagging in the feeling of feces is not completely. This situation is very disturbing and constantly leads to the toilet.

Makat sarkması nedeniyle hastada sürekli ıkınma hissi oluşur. Permanent drowsiness (tenesmus): Due to breech sag, the patient is constantly feeling drowsiness . This situation psychologically causes the person to look for a toilet and escape from the crowd.

Makat sarkması yaşayan yetişkinlerin %50’sinde tuvalete çıkmada zorlanma görülür. Difficulty in defecation: 50% of adults experiencing breech sag are difficult to reach to the toilet.

(obstrüktif defekasyon) Obstructive defecation

Breech Prolapse (Rectal Prolapsus) Why?

  1. Multiple births: Almost 50% of women who have a large number of births have a breech sag.
  2. Chronic constipation: Constipation occurs in 50-75% of patients with breech sagging.
  3. After parasitic and blunt dysentery infections
  4. Hirschsprung’s disease
  5. Excessive diarrhea: Excess diarrhea is observed in 15% of bladder sagging patients.
  6. Cystic fibrosis disease
  7. Chronic obstructive pulmonary disease (COPD) and excessive coughing
  8. Long-term straining habit that has become a life-long habit: Approximately 50% of patients with breech sagging have a long-lasting habit.
  9. After giving birth.
  10. Excessive use of laxative drugs
  11. With advancing age
  12. In the case of rectal polyps
  13. If the muscles and ligaments in the rectum loosened with age
  14. Urinary incontinence (urinary incontinence) in case of disruption of the roof bone base (pelvic floor dysfunction)
  15. Following spinal cord injuries
  16. As a result of some neurological diseases
  17. Genetic factors

Breech Prolapse (Rectal Prolapse) Spontaneously?

The problem of breech sag is not a disease that can pass without treatment. The last part of the large intestine is out of the anus at the rectal sagging of women who often give birth. This disease is more likely to survive after 50 years of age. Although surgery is not mandatory for this disease, it should not be forgotten that if the patient continues without surgery, the comfort of life will disappear.

Powder Sugar Treatment for Bone Droop

The patients who are in a state of bladder sagging and are unable to receive general anesthesia are placed in the breech with powdered sugar. This sugar pulls water from the breech area and reduces edema. So the patient with breech sag a little bit of relaxation

How is rectal prolapse treated?

In the case of breech sagging, it is treated by surgical intervention from the abdomen or the breech. There are some important precautions that must be taken before the operation. The first one is diet. The patient consumes plenty of fiber foods and vegetable dishes. The purpose of this type of feeding is to prevent constipation and strain. Apart from fiber feeding, the patient should drink at least 3 liters of water per day.


In case of surgical intervention of the abdomen in case of breech sag; The rectum is pulled up from the abdomen and fixed to the back wall of the pelvis with sutures. If necessary, the doctor may also use medical networks called mesh. This process which occurs by opening the incision from the abdomen is called rectopexy. This intervention is recommended for young people without any health problems. In this process with high success rate, the possibility of sagging the breech is less than 2%. In addition, if the patient has chronic constipation; a portion of the large intestine may need to be taken out of the abdomen.


Another procedure that can be applied in the case of breech sagging is rectal intervention. This process is called rectosigmoidectomy and it is mostly applied in older people or people with health problems. In the case of breech sagging, surgical intervention in the rectum is less painful and the duration of discharge is short. However, after this procedure, the risk of recurrence of the rectum in the rectum is 10% higher than the abdominal procedure. Bleeding and discharge are more likely to occur during rectal intervention. In addition to the rectal intervention, it may be necessary to stretch the muscles in the pelvic floor.

Makat sarkması durumunda yapılan karından müdahale sinir hasarına çok az ihtimalle de olsa yol açabilir. Note: Intervention from the abdomen in the case of breech sag may lead to minimal damage to the nerve. As a consequence of the decrease in sexual function after this kind of procedure, it is possible to intervene more frequently in young men.


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