Rectal prolapse occurs when the rectum, a section of the large intestine, descends into the anus due to weakened supporting muscles. While it may resemble or be mistaken for hemorrhoids, rectal prolapse doesn’t resolve spontaneously.
Surgical intervention becomes necessary to address and correct this condition. Your rectum is the last portion of your large intestine – the last 20 cm or so before your anus. It serves as a temporary holding region for bowel movements, and it is where stool prepares to exit your body.
When feces enter your rectum, it stimulates the desire to defecate, and a network of muscles pulls the defecate out through your anus.
Below we explore the symptoms of rectal prolapse and what causes it. We will also talk about diagnosing and treating anal prolapse and its potential complications.
Symptoms Of A Rectal Prolapse
The symptoms of rectal prolapse vary according to the degree of the condition. Typically a reddish lump or mass emerges from the anal opening while straining during a bowel movement. This mass may disappear by itself into the anus or remain visible outside the anal canal.
Other symptoms include:
- Deep pain and discomfort in the lower abdomen
- Constipation, or the sensation that the rectum is never empty after passing a motion
- Mucus and blood from the anus
- Having trouble passing a bowel movement
- Leakage of liquid feces, especially after a bowel movement
- The need to use large amounts of toilet paper to clean up afterward
- Fecal incontinence
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What Causes A Prolapsed Anus?
Rectal prolapse occurs due to the failure of the muscles that hold the rectum in place. Many factors could have a role in this.
Some possible causes of rectal prolapse include:
- Previous injury or surgery to your pelvis
- Pregnancy and childbirth
- Intestinal parasite infections
- Chronic constipation or diarrhea
- Spinal cord or nerve damage
- Chronic coughing or sneezing
- Cystic fibrosis
How Is A Prolapsed Rectum Diagnosed?
During the initial visit, your surgeon will take a detailed medical history and inspect your rectum. They may use one or more of the following tests to confirm the diagnosis or rule out other potential problems:
Digital Rectal Exam
A digital rectal exam (DRE) is a physical examination performed with lubricated, gloved fingers. The surgeon will examine the anorectal area.
While the doctor palpates the anal canal, you may be asked to relax and squeeze the anal sphincter muscles. This gives the doctor an idea of how well the anal sphincter is working.
If the prolapse is not evident, you may be asked to sit on a toilet and strain as if having a bowel movement. In some circumstances, anal prolapse can be “hidden” or internal, making diagnosis more challenging. Your doctor may order additional diagnostic tests such as:
Here, you will be given an enema to simulate a bowel movement, and then photographs are taken with an X-ray or MRI scanner.
This depicts the movement of the pelvic organs and muscles during a bowel movement. Defecography may also reveal other pelvic floor issues. When determining the best course of treatment, a urogynecologist (a specialist in the urinary and reproductive organs) will consider these factors.
Fixing rectal protrusion can sometimes exacerbate other pelvic floor issues if they are not addressed concurrently.
A tiny probe is placed into the rectum to test and assess pelvic, rectum, and anal muscle functioning and reflexes used during bowel movements.
Colonic Transit Study (“Sitzmark” Test)
Patients with rectal prolapse who have been constipated for a long time may be advised to do a transit study to assess their colon’s ability to expel feces. This involves ingesting a capsule containing many markers visible on an abdomen X-ray.
Several X-rays are then obtained over five days to determine how the markers migrate through the small intestine and colon, known as “transit time.” Patients with particularly long transit times may benefit from having some or, less often, all of their colon removed during rectal prolapse repair.
Colonoscopy is a process in which a long, flexible, tubular colonoscope is used to examine the whole inner lining of the large intestine.
This is frequently recommended to rule out any related polyps or malignancy before anal prolapse treatment.
This test evaluates whether nerve injury is causing the anal sphincters to malfunction. It also looks at muscle coordination.
X-ray images are taken after a contrast solution is inserted in the rectum.
What Are The Treatments To Fix Rectal Prolapse?
Rectal prolapse can be surgically repaired using a variety of techniques. The treatment for anal prolapse can generally be through the abdomen or from the perineal side.
There are two options – either remove the portion of the rectum that has prolapsed or draw the rectum back up and anchor it. Mesh is sometimes used to strengthen the rectum.
The best treatment is determined by the prolapse’s size and the patient’s overall health. If the patient is medically fit for surgery, an abdominal approach is the best chance for long-term effective correction of rectal prolapse.
Abdominal Approach (Rectopexy)
Rectopexy for rectal prolapse returns your rectum to its original position in your pelvis by approaching the rectum through an incision in the abdominal wall.
Permanent stitches will be used to secure your rectum to the rear wall of your pelvis.
Alternatively, a mesh may be used to reinforce it. This will keep your rectum in place long enough for scar tissue to form. The rectal prolapse surgery has a high success rate of 97%.
Rectal Approach (Perineal)
If abdominal surgery is not an option, your surgeon may treat rectal prolapse through your perineum and rectum.
Rectal surgery, unlike abdominal surgery, does not usually require general anesthesia. If you have a relatively small prolapse or your rectum is trapped on the outside, the rectal or “perineal” method for prolapsed rectum surgery may be preferable.
There are two standard procedures:
Your surgeon will pull the prolapsed rectum out via your anus and remove it during this procedure. If the bottom part of the colon, i.e., the sigmoid colon, is also involved in the prolapse, they may remove it as well. Then the two ends of the large intestine are sutured together, forming a rectum from the end of your colon.
A less invasive surgery, such as the Delorme procedure, is an alternative approach for a mucosal prolapse or a mild external prolapse.
The Delorme technique removes the prolapsed mucosal lining of the rectum. The rectum muscle wall is then folded back on itself and stitched together inside your anal canal. The resulting double muscular wall strengthens the rectum.
Potential Complications Of Rectal Prolapse Surgery
As with all procedures, rectal prolapse surgery does have some risks and may result in complications. The table below shows potential minor and major complications and additional risks of anal prolapse surgery.
|Minor or major complications
|Injury to nearby organs
Rectal Prolapse Self-Care Tips
Drink plenty of water and consume plenty of fruits, vegetables, and other fiber-rich meals.
By consuming at least 5 servings of fruits and vegetables each day, constipation and straining can be reduced or avoided.
Dietary changes are frequently sufficient to improve or reverse a partial prolapse.
If you are constipated, consult your doctor about taking a stool softener or a bulk laxative.
Maintain an active lifestyle and receive frequent exercise. If you are overweight, try to lose weight.
How Can You Prevent Rectal Prolapse?
There is no guaranteed way to prevent rectal prolapse, but certain measures may help reduce the risk:
- Healthy Diet: Eating fiber-rich foods can prevent constipation and straining during bowel movements.
- Hydration: Drinking enough water can soften stools and make them easier to pass.
- Regular Exercise: Maintaining overall muscle strength can support the rectum and lower the risk.
- Proper Toilet Habits: Avoid straining and respond promptly to the urge for a bowel movement.
- Manage Chronic Coughing: Treating persistent coughing can reduce abdominal pressure.
- Lift Safely: Use proper techniques when lifting heavy objects to avoid excess strain.
- Healthy Weight: Maintaining a healthy weight can lessen pressure on the pelvic area.
- Pelvic Floor Exercises: Strengthening pelvic muscles may provide support.
- Treat Constipation: Address chronic constipation to minimize straining.
What does rectal prolapse feel like?
Rectal prolapse feels like something is stuck within your anus after you defecate. It could also feel like pressure or a protrusion in your anus. Some people report that it feels like something is coming out of their anus.
What does rectal prolapse look like?
Rectal prolapse appears as a red, meaty bulge protruding from your anus. In addition, your anus may leak stool, mucus, or blood.
Is rectal prolapse serious?
While prolapse may seem scary, it is usually not considered a medical emergency. The longer you have the illness, the worse it can develop. Living with rectal prolapse can be embarrassing and impact your quality of life.
What is the average age for rectal prolapse?
Rectal prolapse primarily affects adults. Women over 50 are six times more likely than men to have it.
While few men suffer prolapse, those who do are substantially younger, with an average age of 40 years or less.
What happens if you ignore rectal prolapse?
Untreated rectal prolapse increases the risk of rectum injury, such as ulceration and bleeding.
Sometimes the rectum is strangulated (the blood supply is cut off), resulting in death and rotting of the rectum portion.
Is rectal prolapse cancerous?
Rectal cancer may present as rectal prolapse. However, the chances of developing rectal cancer due to prolapse are rare.
How to tell if you have rectal prolapse vs hemorrhoids?
Rectal prolapse and hemorrhoids might have similar symptoms, and it’s possible to confuse the two.
Hemorrhoids, or enlarged blood vessels in the anus or rectum, can cause itching, irritation, bleeding, and even prolapse, and they might resemble mucosal rectal prolapse.
They are also temporary and will resolve themselves within a week or so, whereas rectal prolapse is chronic and progressive.
Rectal prolapse is a medical condition that involves the protrusion of the rectum through the anus.
While there is no foolproof method to completely prevent rectal prolapse, adopting a combination of healthy lifestyle practices can certainly mitigate the risk.
Maintaining a well-balanced diet rich in fiber, staying adequately hydrated, and engaging in regular physical activity are essential steps to promote healthy bowel function and minimize the likelihood of constipation and straining.
Additionally, practicing proper toilet habits, managing chronic coughing, lifting objects safely, maintaining a healthy weight, and performing pelvic floor exercises can all contribute to the overall well-being of the pelvic area and potentially reduce the chances of rectal prolapse.
Mshuko wa tumbo la uzazi hutokea wakati tumbo la uzazi, sehemu ya matumbo makubwa, linashuka ndani ya tumbo la uzazi kwa sababu ya misuli iliyodhoofika. Ingawa inaweza kufanana au kuchanganyikiwa na vimelea, prolapse ya rectal haipatikani moja kwa moja. Upasuaji wa upasuaji unahitajika ili kutatua na kurekebisha hali hiyo. Mkojo ni sehemu ya mwisho ya matumbo yako makubwa, karibu sentimeta 20 kabla ya anus. Ni sehemu ya muda ya kutunza kwa ajili ya harakati za matumbo, na ni mahali ambapo stool inajitayarisha kuondoka mwili wako. Mchuzi unapowasili kwenye tumbo lako la uzazi, unachochea hamu ya kutokwa na maji, na mfumo wa misuli huondoa maji kupitia tumbo lako la uzazi. Chini tunachunguza dalili za kuanguka kwa tumbo la uzazi na visababishi vyake. Pia tutazungumzia jinsi ya kugundua na kutibu kuanguka kwa tumbo la uzazi na matatizo yanayoweza kutokea. Dalili za Prolapse ya Mkojo Dalili za Prolapse ya Mkojo hutofautiana kulingana na kiwango cha hali hiyo. Kwa kawaida, kipande au chembe nyekundu hutoka kwenye ufunguo wa mdomoni wakati wa kukasirika wakati wa kuteleza. Mkusanyiko huo waweza kutoweka wenyewe ndani ya shingo au kubaki ukionekana nje ya mfereji wa shingo. Ugonjwa wa tumbo la chini (Figure 1) - Ugonjwa wa tumbo la chini (Figure 2) - Ugonjwa wa tumbo la chini (Figure 3) - Ugonjwa wa tumbo la chini (Figure 4) - Ugonjwa wa tumbo la chini (Figure 4) - Ugonjwa wa tumbo la chini (Figure 4) - Ugonjwa wa tumbo la chini (Figure 4) - Ugonjwa wa tumbo la chini (Figure 4) - Ugonjwa wa tumbo la chini (Figure 4) - Ugonjwa wa tumbo la chini (Figure 4) Kuanguka kwa tumbo la uzazi hutokea kwa sababu ya kushindwa kwa misuli inayoshikilia tumbo la uzazi mahali pake. Mambo mengi yanaweza kuwa na matokeo katika hali hiyo. - Ugonjwa wa utumbo wa ndani (rectal prolapse) - Ugonjwa wa utumbo wa ndani (rectal prolapse) - Ugonjwa wa utumbo wa ndani (rectal prolapse) - Ugonjwa wa utumbo wa ndani (rectal prolapse) - Ugonjwa wa utumbo wa ndani (rectal prolapse) - Ugonjwa wa utumbo wa ndani (rectal prolapse) - Ugonjwa wa utumbo wa ndani (rectal prolapse). Wakati wa ziara ya kwanza, daktari wako wa upasuaji atachukua historia ya matibabu ya kina na kuchunguza utumbo wako wa nyuma. Kwa mfano, unaweza kufanya uchunguzi wa kidigitali kwa kutumia kidole cha mkono au kidole cha mkono, au unaweza kufanya uchunguzi wa kidigitali kwa kutumia kidole cha mkono au kidole cha mkono. Daktari-mpasuaji atachunguza eneo la anorectal. Wakati daktari anapochunguza mfereji wa pua, huenda ukaulizwa kupumzika na kukandamiza misuli ya kiungo cha nyuma cha pua. Hilo humpa daktari wazo la jinsi kiungo cha kufungia cha pua kinavyofanya kazi vizuri. Ikiwa kuanguka kwa tumbo hakujulikani, huenda ukaulizwa uketi kwenye choo na kujikaza kana kwamba una tumbo. Katika hali fulani, kuanguka kwa tumbo la uzazi kunaweza kuwa "kufichwa" au ndani, na kufanya uchunguzi uwe mgumu zaidi. Kwa mfano, daktari anaweza kuagiza uchunguzi wa ziada wa utambuzi kama vile: Hapa, utapewa enema ili kuiga harakati ya matumbo, na kisha picha zitachukuliwa na skana ya X-ray au MRI. Hii inaonyesha mwendo wa viungo vya pelvic na misuli wakati wa harakati ya matumbo. Uchunguzi wa ngozi yaweza pia kufunua matatizo mengine ya sakafu ya kitanda. Wakati wa kuamua njia bora ya matibabu, mtaalamu wa mfumo wa mkojo (mtaalamu wa mfumo wa mkojo na wa uzazi) atazingatia mambo hayo. Nyakati nyingine kurekebisha uvimbe wa tumbo la uzazi kwaweza kuharibu matatizo mengine ya sakafu ya kitanda ikiwa hayashughulikiwi kwa wakati mmoja. Chombo kidogo huwekwa ndani ya tumbo la uzazi ili kupima na kutathmini utendaji wa misuli ya utumbo, utumbo wa uzazi, na utando na mwitikio unaotumiwa wakati wa kuhamisha matumbo. Uchunguzi wa Transit ya Colon (Sitzmark Test) - Wagonjwa walio na prolapse ya rectal ambao wamekuwa na constipation kwa muda mrefu wanaweza kushauriwa kufanya utafiti wa transit ili kutathmini uwezo wao wa colon kuondoa kinyesi. Hilo huhusisha kumeza kifaa chenye alama nyingi zinazoonekana kwenye picha ya X-ray ya tumbo. X-ray ya kawaida hufanywa kwa siku tano ili kuamua jinsi alama hizo zinavyosafiri kupitia matumbo madogo na utumbo, inayojulikana kama wakati wa usafirishaji. wagonjwa wenye muda mrefu wa usafirishaji wanaweza kufaidika na kuwa na sehemu fulani au, mara chache, utumbo wao wote kuondolewa wakati wa ukarabati wa prolapse ya rectal. Colonoscopy ni mchakato ambao colonoscope ndefu, rahisi, tubular hutumiwa kuchunguza lining nzima ya ndani ya matumbo makubwa. Hii mara nyingi inapendekezwa ili kuondoa polyps yoyote inayohusiana au uvimbe kabla ya matibabu ya prolapse ya anal. Mtihani huu hutathmini ikiwa jeraha la neva linasababisha sphincters ya anal kufanya kazi vibaya. Pia huchunguza utaratibu wa misuli. Picha za X-ray huchukuliwa baada ya suluhisho la kutofautisha kuingizwa ndani ya tumbo la uzazi. Matibabu ya kurekebisha kuharibika kwa tumbo la uzazi ni yapi? Uharibifu wa tumbo la uzazi waweza kurekebishwa kwa upasuaji kwa kutumia mbinu mbalimbali. Kwa kawaida matibabu ya kuanguka kwa tumbo la uzazi yanaweza kufanywa kupitia tumbo au kutoka upande wa perineal. Kuna chaguzi mbili - ama kuondoa sehemu ya utumbo ambayo imepungua au kuvuta utumbo nyuma na kuuweka. Nyakati nyingine nyuzi hutumiwa kuimarisha tumbo la uzazi. Matibabu bora huamuliwa na ukubwa wa prolapse na afya ya jumla ya mgonjwa. Kwa wale ambao wana uwezo wa matibabu ya upasuaji, upasuaji wa tumbo ni njia bora ya kurekebisha prolapse ya rectal. Rectopexy (Rectal Prolapse) ni njia ya kuharibu tumbo la uzazi na kurudisha tumbo la uzazi katika nafasi yake ya awali katika pelvis kwa kuharibu tumbo la uzazi kupitia upasuaji wa kupasua kwenye ukuta wa tumbo. Vipande vya kudumu vitatumiwa kuunganisha utumbo wako wa nyuma na ukuta wa nyuma wa paja lako. Vinginevyo, gridi inaweza kutumika kuimarisha. Hii itaweka rectum yako mahali pake kwa muda mrefu vya kutosha kwa tishu ya kidonda kuunda. Upasuaji wa prolapse ya rectal una kiwango cha mafanikio cha 97%. Upasuaji wa tumbo (perineal) - Ikiwa upasuaji wa tumbo haufanyiwi, daktari wako wa upasuaji anaweza kutibu prolapse ya tumbo kupitia perineum na rectum. Upasuaji wa tumbo la uzazi, tofauti na upasuaji wa tumbo, kwa kawaida hauhitaji anesthesia ya jumla. Kama una prolapse ndogo au rectum yako ni kukamatwa nje, rectal au <unk>perineal<unk> mbinu kwa ajili ya upasuaji prolapsed rectum inaweza kuwa bora. Upasuaji wa kawaida unafanyika kwa njia mbili: Daktari wako wa upasuaji huondoa utumbo ulioanguka kupitia mkojo wako na kuondoa wakati wa utaratibu huu. Ikiwa sehemu ya chini ya utumbo, yaani, utumbo wa sigmoid, pia inahusika katika kuanguka, wanaweza kuiondoa pia. Mwisho wa matumbo makubwa huunganishwa pamoja na kufanyiza rectum. Upasuaji usio na uvamizi mwingi, kama vile utaratibu wa Delorme, ni mbinu mbadala ya kuanguka kwa utando wa utando au kuanguka kwa nje kwa kiasi kidogo. Mbinu ya Delorme huondoa utando wa utando wa utando wa utando wa utando wa utando. Kisha, sehemu ya nyuma ya tumbo la uzazi huunganishwa na kushikamana ndani ya mfereji wa mdomoni. Ukuta huo wa misuli mara mbili unaoundwa huimarisha tumbo la uzazi. Kama ilivyo na taratibu zote, upasuaji wa prolapse ya rectal una hatari fulani na unaweza kusababisha matatizo. Jedwali lililo hapa chini linaonyesha matatizo madogo na makubwa yanayoweza kutokea na hatari za ziada za upasuaji wa kuanguka kwa tumbo la uzazi. Msaada wa matibabu ya ugonjwa wa Rectal Prolapse: Kunywa maji mengi na kula matunda mengi, mboga na vyakula vingine vyenye nyuzi nyingi. Kwa kula angalau portions tano za matunda na mboga kila siku, constipation na straining inaweza kupunguzwa au kuepukwa. Mara nyingi mabadiliko ya lishe yanatosha kuboresha au kurekebisha kuanguka kwa sehemu. Ikiwa una ugonjwa wa uvimbe, wasiliana na daktari wako kuhusu kutumia dawa ya kuyeyusha matope au dawa ya kuyeyusha. Endelea kuwa na maisha yenye shughuli nyingi na ufanye mazoezi mara nyingi. Ikiwa una uzito kupita kiasi, jaribu kupunguza uzito. Unaweza Kuzuiaje Kuanguka kwa Mfupa wa Mkojo? Hakuna njia ya kuhakikisha kuzuia prolapse rectal, lakini hatua fulani inaweza kusaidia kupunguza hatari: - Chakula afya: Kula vyakula fiber-tajiri inaweza kuzuia constipation na straining wakati wa harakati ya matumbo. - Kunywa maji ya kutosha kunaweza kupunguza umajimaji na kufanya iwe rahisi kuondoa. - Mazoezi ya kawaida: Kudumisha nguvu ya jumla ya misuli kunaweza kuunga mkono utumbo wa nyuma na kupunguza hatari. - Mazoea mazuri ya kutumia choo: Epuka kujishughulisha na kujibu upesi kwa hamu ya kuteleza. - Kudhibiti Kikohozi cha Muda Mrefu: Kutibu kikohozi cha kudumu kunaweza kupunguza shinikizo la tumbo. - Kuinua kwa Usalama: Tumia mbinu sahihi unapoinua vitu vizito ili kuepuka mkazo wa kupita kiasi. - Uzito wa afya: Kudumisha uzito wa afya kunaweza kupunguza shinikizo kwenye eneo la pelvic. - Mazoezi ya sakafu ya pelvic: Kuimarisha misuli ya pelvic inaweza kutoa msaada. - Matibabu ya Kuzuia: Tibu ya kuzuia kwa muda mrefu ili kupunguza mkazo. Mshuko wa tumbo la uzazi huhisije? Rectal prolapse ni hali ambayo huonekana kama kitu kimeingia ndani ya tumbo la uzazi baada ya kuhamia. Pia inaweza kuhisi kama shinikizo au mhimili katika pua yako. Watu wengine wanahisi kama kitu kinatoka kwenye pua yao. Mshuko wa tumbo la uzazi huonekanaje? Kuanguka kwa sehemu ya nyuma ya tumbo huonekana kama mlipuko mwekundu wenye nyama unaotoka kwenye sehemu yako ya nyuma ya tumbo. Kwa kuongezea, huenda mkojo wako ukavuja chachu, umajimaji, au damu. Je, kuanguka kwa tumbo la uzazi ni jambo zito? Ingawa kuanguka kwa mwili kunaweza kuonekana kuwa jambo lenye kuogopesha, kwa kawaida halionwi kuwa jambo la dharura la kitiba. Kadiri ugonjwa unavyoendelea, ndivyo unavyozidi kuwa mbaya. Kuishi na prolapse ya rectal inaweza kuwa ya aibu na kuathiri ubora wa maisha yako. Ni umri gani wa wastani wa kuanguka kwa tumbo la uzazi? Kuanguka kwa tumbo la uzazi huathiri hasa watu wazima. Wanawake wenye umri wa miaka 50 na zaidi wana uwezekano mkubwa mara sita kuliko wanaume kuwa na ugonjwa huo. Ingawa wanaume wachache wanakabiliwa na prolapse, wale wanaofanya hivyo ni vijana sana, na umri wa wastani wa miaka 40 au chini. Ni nini hutokea ikiwa hupuuza kuanguka kwa tumbo la uzazi? Kuanguka kwa utumbo wa nyuma bila kutibiwa huongeza hatari ya kuumia kwa utumbo wa nyuma, kama vile vidonda na kutokwa na damu. Nyakati nyingine tumbo la uzazi hufinyangwa (mtiririko wa damu hukatwa), na kusababisha kifo na kuoza kwa sehemu ya tumbo la uzazi. Je, kuanguka kwa tumbo la uzazi ni kansa? Saratani ya tumbo la uzazi yaweza kuonekana kama kuanguka kwa tumbo la uzazi. Hata hivyo, uwezekano wa kupatwa na kansa ya utumbo wa mbele kwa sababu ya kuanguka ni mdogo. Jinsi ya kujua kama una prolapse ya rectal dhidi ya hemorrhoids? Prolapse ya rectal na hemorrhoids inaweza kuwa na dalili sawa, na inawezekana kuchanganya mbili. Ugonjwa wa hemorrhoids, au mishipa ya damu iliyoongezwa katika anus au rectum, inaweza kusababisha kukwaruza, kuchochea, kutokwa na damu, na hata prolapse, na inaweza kufanana na prolapse ya rectal mucous. Pia ni za muda tu na zitapungua wenyewe baada ya juma moja au zaidi, ilhali kuanguka kwa sehemu ya nyuma ya tumbo ni kwa muda mrefu na kwa kasi. Mshuko wa tumbo la uzazi ni hali ya matibabu ambayo inahusisha kupanuka kwa tumbo la uzazi kupitia pua. Ingawa hakuna njia ya kuzuia kabisa kuanguka kwa tumbo la uzazi, kufuata njia za maisha yenye afya kwa hakika kunaweza kupunguza hatari hiyo. Kuhifadhi lishe yenye usawa na yenye nyuzinyuzi nyingi, kukaa na maji ya kutosha, na kufanya mazoezi ya kawaida ni hatua muhimu za kukuza utendaji mzuri wa matumbo na kupunguza uwezekano wa kuganda na kusumbua. Kwa kuongezea, kufanya mazoezi ya kawaida ya choo, kudhibiti kikohozi cha muda mrefu, kuinua vitu kwa usalama, kudumisha uzito mzuri, na kufanya mazoezi ya sakafu ya pelvic yote yanaweza kuchangia ustawi wa jumla wa eneo la pelvic na uwezekano wa kupunguza uwezekano wa kuanguka kwa rectal.