Zusammenfassung
Anorektale Prolapsformen sind häufige proktologische Befunde. Generell wird der Begriff »Prolaps« rein deskriptiv verwendet, es ist jedoch notwendig eine exakte Diagnostik hinsichtlich der erhobenen Befunde (z. B. Vollwandprolaps vs. Mukosaprolaps, Rektumprolaps vs. Analprolaps, innerer vs. äußerer Rektumprolaps, Prolaps des hinteren Kompartiments vs. kompletter Genitalprolaps) und der möglichen assoziierten Symptome durchzuführen, da die verschiedenen Prolapsformen unterschiedliche Behandlungsstrategien bedingen.
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Literatur
Dvorkin LS, Gladman MA, Epstein J, Scott SM, Williams NS, Lunniss PJ (2005a) Rectal intussusception in symptomatic patients is different from that in asymptomatic volunteers. Br J Surg 92:866–872
Dvorkin LS, Knowles CH, Scott SM, Williams NS, Lunniss PJ (2005b) Rectal intussusception: characaterization of symptomatology. Dis Colon Rectum 48:824–831
Dvorkin LS, Gladman MA, Scott SM, Williams NS, Lunniss PJ (2005c) Rectal intususception: a study of rectal biomechanics and visceroperception. Am J Gastroenterol 100:1578–1585
Gauruder-Burmester A, Heyl W, Fürst A, Höink J, Hußlein EM et al (2009) Empfehlungen der interdisziplinären Expertengruppe Proktologie/Urogynäkologie zur operativen Therapie den »hinteren Kompartiments«. Coloproctology 31:105–109
Heitland W (2004) Der Rektumprolaps des Erwachsenen. Chirurg 75:882–889
Hotouras A, Murphy J, Boyle DJ, Allison M, Williams NS, Chan CL (2013) Assessment of female patients with rectal intussusception and prolapse: is this a progressive spectrum of disease? Dis Colon Rectum 56:780–785
Hotouras A, Murphy J, Abeles A, Allison M, Williams NS, Knowles CH, Chan CL (2014) Symptom distribution and anorectal physiology results in male patients with rectal intussusception and prolapse. J Surg Res 188:298–302
Jayne D, Nugent K (2009) Diagnosis of hemorrhoids and ODS. In: Jayne D, Stuto A (Hrsg) Transanal stapling techniques for anorectal prolapse. Springer, London, pp. 31–41
Melchior C, Bridoux V, Touchais O, Savoye-Collet C, Leroi AM (2015) MRI defecography in patients with fecal incontinence. Colorectal Dis 17:O62–69
Pescatori M, Quondamcarlo C (1999) A new grading of rectal internal mucosal prolapse and its correlation with diagnosis and treatment. Int J Colorectal Dis 14:245–249
Pescatori M, Spyrou M, Pulvirenti d’Urso A (2006) A prospective evaluation of occult disorders in obstructed defecation using the »iceberg diagram«. Colorectal Dis 8:785–789
Schwandner O (2008) Stuhlentleerungsstörungen: Modernes Management der Outlet-Obstruktionen (CME-Beitrag). Ambulante Chirurgie 12:38–42
Schwandner O (2012) Indications and surgical strategies in obstructed defecation syndrome. Viszeralmedizin 28:260–266
Schwandner O, Bruch HP (2006a) Entleerungsstörung bei klinisch nachgewiesener Intussuszeption und ventraler Rektozele. Bildmorphologische Relevanz mit spezieller Fokussierung auf die Sigmoidozele. Coloproctology 28:97–105
Schwandner O, Bruch HP (2006b) Significance of obstructed defecation in hemorrhoidal disease: results of a prospective study. Coloproctology 28:13–20
Schwandner O, Scherer R (2009) Patient selection for stapled hemorrhoidopexy and STARR. In: Jayne D, Stuto A (Hrsg) Transanal stapling techniques for anorectal prolapse. Springer, London, pp. 59–69
Schwandner O, Schrinner B (2014) Rectal mucosal prolapse in males: surgery is effective for fecal incontinence but not for obstructed defecation. Tech Coloproctol. 18:907–914
Schwandner O, Farke S, Bruch HP (2005) Transanale Stapler-Resektion des distalen Rektums (STARR) bei Defäkationsobstruktion infolge ventraler Rektozele und rektoanaler Intussuszeption. Viszeralchirurgie 40:331–341
Schwandner O, Stuto A, Jayne D, Lenisa L, Pigot F et al (2008) Decision-making algorithm for the STARR procedure in obstructed defecation syndrome: position statement of the group of STARR Pioneers. Surg Innov 15:105–109
Zbar AP (2013) Posterior pelvic floor disorders and obstructed defecation syndrome: clinical and therapeutic approach. Abdom Imaging 38:894–902
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Schwandner, O. (2016). Anorektaler Prolaps. In: Schwandner, O. (eds) Proktologische Diagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47262-0_17
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