Rectal prolapse usually does not have one simple cause. It often develops through a combination of weakened rectal and pelvic support, altered bowel function, and repeated pressure or straining.
Not everyone with a risk factor develops prolapse, and some patients have no obvious single trigger.
Associated factors may include:
Longstanding constipation and straining can repeatedly increase pressure on rectal support structures. They may contribute to prolapse or make an existing prolapse more noticeable.
The relationship can also work in the opposite direction: prolapse may obstruct normal evacuation and worsen constipation. Treating constipation remains important even when it is not the only cause.
Chronic diarrhea, frequent bowel movements, and repeated urgency may place ongoing stress on the pelvic floor and irritate exposed tissue. A clinician may investigate persistent diarrhea rather than treating it as a minor symptom.
Pregnancy and childbirth can contribute to pelvic-floor stretching or injury in some patients, but many people who develop rectal prolapse have other or additional factors. A history of childbirth does not prove that it caused the condition.
Supporting tissues can weaken with age, and older adults may also have constipation, neurologic disease, or other pelvic-floor disorders. Rectal prolapse can nevertheless occur in younger adults and children, where causes and treatment considerations may differ.
Treating constipation or diarrhea and avoiding repeated straining may reduce symptoms and stress on the pelvic floor. These measures do not usually reverse established full-thickness prolapse.
Review rectal prolapse treatment without surgery or learn more about types, causes, and diagnosis.
Seek evaluation when tissue protrudes through the anus, constipation or incomplete emptying is worsening, or symptoms include bleeding, mucus drainage, or stool leakage.
Dr. Aisha Akhtar, MD evaluates rectal prolapse and associated bowel dysfunction for patients in Phoenix, Scottsdale, Glendale, and surrounding Arizona communities.
Schedule an Evaluation or call 602-932-5660.
This page provides general education and does not replace individualized medical advice.
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Dr. Aisha Akhtar, MD provides expert evaluation and treatment of rectal prolapse, including assessment of associated constipation, pelvic floor dysfunction, and fecal incontinence. She offers individualized care ranging from symptom-directed conservative management to advanced surgical repair when indicated.
“ The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I... The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I never felt like she was rushing my exam. ”
“ Dr. Akhtar and the entire team made what could have been a very stressful experience feel comfortable, reassuring, and genuinely cared for from sta... Dr. Akhtar and the entire team made what could have been a very stressful experience feel comfortable, reassuring, and genuinely cared for from start to finish. Dr. Akhtar was professional, compassionate, and took the time to thoroughly explain everything before my procedure, which immediately put me at ease. The procedure itself went smoothly, and I truly felt I was in excellent hands the entire time. The office staff was also kind, organized, and attentive throughout the process. I’m incredibly grateful for the level of care, patience, and professionalism I received. I would absolutely recommend Dr. Akhtar to anyone looking for a skilled doctor who truly cares about their patients and their comfort. ”
“ I cannot express the how thankful I am for Dr. Akhtar. I had been to 4 other colorectal doctors, 3 gastro doctors before seeing Dr. Akhtar. I was c... I cannot express the how thankful I am for Dr. Akhtar. I had been to 4 other colorectal doctors, 3 gastro doctors before seeing Dr. Akhtar. I was crying in her office when she met me the first time. That didn't deter her. Not only that but she located the issue on my first visit. She is kind, caring, thorough and incredibly knowledgeable. She listens, spends time with you and doesn't talk over you. I've needed extra time to discuss my case many times and she has always taken the time that I needed. I've brought to her research I've read, and she always already knows about the publications. The staff are kind and helpful. I dont know what I would have done without finding her. Another health care provider recommended her highly as do I. ”
“ Best colorectal surgeon I’ve ever met. Dr. Akhtar is compassionate, gentle, warm, and caring. I came to her in Glendale after having a horrific exp... Best colorectal surgeon I’ve ever met. Dr. Akhtar is compassionate, gentle, warm, and caring. I came to her in Glendale after having a horrific experience with a general surgeon in Flagstaff (where I live). The Flagstaff surgeon caused a hemorrhage that almost cost me my life, and then I developed stenosis after the emergency room surgeon “fixed” the hemorrhage. Dr. Akhtar was kind enough to take me as a patient (most surgeons will not take a patient who has already been operated by another surgeon due to liability). She was very respectful and gentle in the examination, and was even able to fit me in for an outpatient procedure under sedation the very same day (knowing that I drove over 2 hours to see her). I could not be happier with her. She took the time to personally call me the next day to check on my progress. You do not see this type of doctor very often anymore. She is someone who is in it for the patient, and you can tell. I will continue to drive over 4 hours there and back to receive her high quality care and expertise. Cannot recommend her highly enough. ”
“ Dr. Akhtar is THE BEST provider I have ever seen, period. She is incredibly knowledgeable, informative, and above all so kind. I have not met... Dr. Akhtar is THE BEST provider I have ever seen, period. She is incredibly knowledgeable, informative, and above all so kind. I have not met many people who have as comforting a bedside manner as she does. I was educated properly every step of the way and felt confident doing so because of her caring demeanor. Her PA Moses is also so friendly and upbeat, helping to ease any tension you may be feeling prior to the exam. The energy both Dr. Akhtar and Moses bring was paramount to how excellent my experience was here. Given their specialty, it would be easy to have an uncomfortable experience. However, they go the extra mile to make sure you are comfortable and reassured before anything is done. I cannot recommend this practice enough. Thank you Dr. Akhtar for the genuine concern and care you provided to me! Both my body and my outlook on my health outcomes are better off because of you. ”
“ Amazing staff and Doctor. So caring and make you feel welcome ”
“ Dr Akhtar has a wonderful bedside manner, explains everything thoroughly and is an exceptionally skilled surgeon. We love her. :) ”
“ Friendly office and excellent doctor ”
“ Dr. Aktar was highly recommended by my primary care physician as being a good fit for me. We covered much during this initial visit and all set for... Dr. Aktar was highly recommended by my primary care physician as being a good fit for me. We covered much during this initial visit and all set for a colonoscopy next month. ”
“ Very professional & kind ! ”
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