When the bowel prolapses through the anal opening a rectal prolapse occurs. This is different from a rectocele. The prolapse is often times accompanied by fecal incontinence. A rectal prolapse may be complete or partial. At the continence center, these patients present with faecal urgency and incontinence. The Ho Yag laser is a useful tool in the armamentarium of the pelvic surgeon and finds itself to be of great use in this. A rectopexy is usually the procedure of choice. Sometimes a limited resection with the laser may be necessary.
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Overactive baldder (OAB) symptoms are more bothersome than SUI due to the unpredictable manner in which they occur. OAB affects quality of life more severely than diabetes.