− | This may be suitable for an acute prolapse with good tissue viability where it is amenable to manual reduction under general or [[Epidural|epidural]] [[Anaesthesia|anaesthesia]]. A loose purse-string suture should be placed around the anus after reduction for a period of 3-5 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 a laxative such as lactulose, a faecal softener, and a moist diet. Complications include tenesmus, dyschezia, haematochezia and recurrence. | + | This may be suitable for an acute prolapse with good tissue viability where it is amenable to manual reduction under general or [[Epidural|epidural]] [[Anaesthesia|anaesthesia]]. A loose purse-string suture should be placed around the anus after reduction for a period of 3-5 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 a laxative such as [[Lactulose|lactulose]], a faecal softener, and a moist diet. Complications include tenesmus, dyschezia, haematochezia and recurrence. |