Changes

==Treatment==

==Treatment==

===Medical===

===Medical===

This may be suitable for 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 laxative such as lactulose, faecal softener, and a moist diet.  Complications such as tenesmus, dyschezia, haematochezia and recurrence can occur.

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.

===Surgery===

===Surgery===

Rectal resection and anastomosis may be needed in cases where manual reduction is not possible or if the tissue is severely traumatised, devitalised or necrotic.  Colopexy can be considered in recurrence cases where multiple attempts of manual reduction have failed.  Complications such as anal stricture, faecal incontinence, dehiscence, haemorrhage and infection can occur following surgery.

Rectal resection and anastomosis may be needed in cases where manual reduction is not possible or if the tissue is severely traumatised, devitalised or necrotic.  A Colopexy procedure which fixes the rectum and colon in place can be considered in recurrent cases where multiple attempts of manual reduction have failed.  Complications such as anal stricture, faecal incontinence, dehiscence, haemorrhage and infection can occur following surgery.

==Prognosis==

==Prognosis==

==References==

==References==

*Fossum, T. W. et. al. (2007) '''Small Animal Surgery (Third Edition)''' ''Mosby Elsevier''

Fossum, T. W. et. al. (2007) '''Small Animal Surgery (Third Edition)''' ''Mosby Elsevier''

*Merck & Co (2008) '''The Merck Veterinary Manual'''

Merck & Co (2008) '''The Merck Veterinary Manual'''

*Slatter, D. (2003) '''Textbook of Small Animal Surgery''' (Volume 1, Third Edition) ''Saunders''

Slatter, D. (2003) '''Textbook of Small Animal Surgery''' (Volume 1, Third Edition) ''Saunders''

 

[[Category:Recto-Anal - Pathology]]

[[Category:Recto-Anal - Pathology]]

[[Category:To_Do_-_Caz]]

[[Category:To_Do_-_Caz]]