Changes

==Treatment==

==Treatment==

===Medical===

===Medical===

This may be suitable for acute prolapse where it is ameanable to manual reduction follewed by the placement of a purse-string suture around the anus, performed under general anaesthesia.  Prior to manual reduction, the protruded mass should be treated with warm saline lavages, massages and lubrication or hypertonic saline sugar solution  Enema can be given to reduce straining.  Complications such as tenesmus, dyschezia, haematochezia and recurrence can occur with manual reduction.

This may be suitable for acute prolapse where it is ameanable to manual reduction, under general anaesthesia.  A loose purse-string suture should be placed around the anus for a period of 5-7 days.  Prior to manual reduction, the protruded mass should be treated with warm saline lavages, massages and lubrication or hypertonic saline sugar solution to relieve oedema. Tenesmus can be reduced by enema, faecal softener, and a moist diet.  Complications such as tenesmus, dyschezia, haematochezia and recurrence can occur with manual reduction.

===Surgery===

===Surgery===

This is needed in cases where manual reduction is not possible or if the tissue is severely traumatised.  Colopexy can be considered in recurrence cases.  Complications such as haemorrhage, leakage, anal struicture, infection, dehiscence and faecal incontinence can occur following surger.

Rectal resection and anastomosis may be needed in cases where manual reduction is not possible or if the tissue is severely traumatised.  Colopexy can be considered in recurrence cases.  Complications such as haemorrhage, leakage, anal struicture, infection, dehiscence and faecal incontinence can occur following surger.

==Prognosis==

==Prognosis==