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In some cases, eliminating the underlying cause is the only treatment necessary. The rectal mucosa can be returned to the rectum manually. While the patient is in a knee-chest position, a soft, warm, wet cloth may be used to apply gentle pressure to the mass to push it back through the anal opening, thereby allowing gravity to help return the prolapse into place. In a child, prolapsed tissue usually diminishes as the child grows. In an older patient, injection of a sclerosing agent to cause a fibrotic reaction fixes the rectum in place. Severe or chronic prolapse requires surgical repair by strengthening or tightening the sphincters with wire or by anterior or rectal resection of prolapsed tissue.
Source: Professional Guide to Diseases (Eighth Edition), 2005
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