{"id":115,"date":"2026-09-17T04:42:03","date_gmt":"2026-09-17T04:42:03","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=115"},"modified":"2026-09-17T04:43:56","modified_gmt":"2026-09-17T04:43:56","slug":"prolapso-rectal","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/prolapso-rectal\/","title":{"rendered":"Prolapso rectal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"115\" class=\"elementor elementor-115\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ce074b6 e-con-full e-flex e-con e-parent\" data-id=\"ce074b6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3b9144f e-con-full e-flex e-con e-child\" data-id=\"3b9144f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-95888e0 elementor-widget elementor-widget-html\" 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src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"pw\"><nav class=\"pcb\" aria-label=\"breadcrumb\"><a href=\"\/diegomunoz\/home\/\">Inicio<\/a><span class=\"ps\">\/<\/span><a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a><span class=\"ps\">\/<\/span><span class=\"pc\">Prolapso rectal<\/span><\/nav><span class=\"pk\">Enfermedades anorrectales<\/span><div class=\"phg\"><div><h1 class=\"ph1\">Prolapso rectal<\/h1><p class=\"plead\">M\u00e1s frecuente en personas mayores. La t\u00e9cnica quir\u00fargica se elige seg\u00fan tu situaci\u00f3n particular.<\/p><\/div><div class=\"pdoc\"><p class=\"pdn\">Dr. Nelson Mu\u00f1oz P\u00e9rez<\/p><p class=\"pdr\">Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"pbtn\" href=\"#\"><svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div><\/div><\/div>\r\n<div class=\"psec\"><div class=\"pw pnarrow\"><span class=\"psec-k\">La perspectiva del cirujano<\/span><h2 class=\"ph2\">No existe una \u00fanica cirug\u00eda correcta para todos los pacientes.<\/h2><p class=\"pbody\">El prolapso rectal ocurre cuando el recto pierde su fijaci\u00f3n normal dentro de la pelvis y se desliza hacia afuera, de forma parcial o completa. Es m\u00e1s frecuente en personas mayores, y muchas veces llega acompa\u00f1ado de otro problema igual de importante para la calidad de vida: la incontinencia, que puede coexistir con el prolapso o ser consecuencia de \u00e9l.<\/p><p class=\"pbody\">Cuando eval\u00fao un prolapso no miro solo el defecto anat\u00f3mico. Reviso el estado general del paciente, su funci\u00f3n intestinal previa y si existen otros problemas del piso p\u00e9lvico asociados, porque eso determina qu\u00e9 t\u00e9cnica quir\u00fargica \u2014hay varias, con distinto abordaje y distinto perfil de riesgo\u2014 es la m\u00e1s adecuada para esa persona en particular. No existe una \u00fanica cirug\u00eda correcta para todos los pacientes con prolapso rectal.<\/p><blockquote class=\"pquote\">\"No existe una \u00fanica cirug\u00eda correcta: la t\u00e9cnica se elige seg\u00fan la situaci\u00f3n particular de cada persona.\"<\/blockquote><\/div><\/div>\r\n<div class=\"psec psoft\"><div class=\"pw\"><span class=\"psec-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span><h2 class=\"ph2\">S\u00edntomas m\u00e1s comunes<\/h2><div class=\"pgrid\"><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sensaci\u00f3n de un bulto o masa que protruye por el ano, inicialmente solo al evacuar o al esforzarse<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>En casos avanzados, protrusi\u00f3n permanente<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Incontinencia fecal o dificultad para controlar los gases<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sangrado o mucosidad<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sensaci\u00f3n de evacuaci\u00f3n incompleta<\/div><\/div><\/div><\/div>\r\n<div class=\"psec psoft\"><div class=\"pw\"><span class=\"psec-k\">Opciones de tratamiento<\/span><h2 class=\"ph2\">Manejo no quir\u00fargico y quir\u00fargico<\/h2><div class=\"ptreat\"><div><p class=\"ptitle\">Tratamiento no quir\u00fargico<\/p><div class=\"ptcard\"><h3>Manejo del h\u00e1bito intestinal y de la constipaci\u00f3n<\/h3><p>Puede mejorar prolapsos incipientes o reducir el esfuerzo que los agrava.<\/p><\/div><div class=\"ptcard\"><h3>Kinesioterapia de piso p\u00e9lvico<\/h3><p>En casos seleccionados, como apoyo antes o despu\u00e9s de la cirug\u00eda.<\/p><\/div><\/div><div><p class=\"ptitle\">Tratamiento quir\u00fargico<\/p><div class=\"ptcard\"><h3>Rectopexia por v\u00eda abdominal<\/h3><p>Fijaci\u00f3n del recto, habitualmente laparosc\u00f3pica, indicada en pacientes con buena condici\u00f3n general: tiene menor tasa de recurrencia a largo plazo.<\/p><\/div><div class=\"ptcard\"><h3>Procedimientos perineales<\/h3><p>Por v\u00eda anal, indicados en pacientes de mayor edad o con condiciones m\u00e9dicas que hacen preferible evitar una cirug\u00eda abdominal.<\/p><\/div><\/div><\/div><\/div><\/div>\r\n<div class=\"psec\"><div class=\"pw pfaq\"><span class=\"psec-k\">Lo que preguntan seguido<\/span><h2 class=\"ph2\">Preguntas frecuentes<\/h2><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfEl prolapso rectal se puede tratar sin cirug\u00eda?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>En etapas iniciales el manejo del h\u00e1bito intestinal puede ayudar, pero un prolapso establecido, sobre todo si es permanente, generalmente requiere cirug\u00eda.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfPor qu\u00e9 existen varias t\u00e9cnicas quir\u00fargicas distintas?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>Porque el perfil del paciente \u2014edad, condici\u00f3n general, otras enfermedades\u2014 cambia qu\u00e9 t\u00e9cnica ofrece el mejor balance entre eficacia y riesgo para cada persona.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfLa cirug\u00eda mejora tambi\u00e9n la incontinencia asociada?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>En muchos casos s\u00ed, aunque no siempre de forma completa. Se conversa como parte de las expectativas realistas antes de la cirug\u00eda.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfPuede volver a prolapsar despu\u00e9s de operado?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>Existe riesgo de recurrencia, que var\u00eda seg\u00fan la t\u00e9cnica utilizada. Las t\u00e9cnicas abdominales suelen tener menor recurrencia que las perineales.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"pcta\"><img decoding=\"async\" class=\"pctawm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"pw pctag\"><div><span class=\"pctak\">Agenda tu hora<\/span><h2 class=\"pctah\">Habla con un especialista en Temuco.<\/h2><p class=\"pctap\">El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu grado, tu anatom\u00eda y tu situaci\u00f3n. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"pctaf\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a href=\"#\" class=\"pwhite\"><svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div>\r\n<script>(function(){var a=document.querySelectorAll('.prolapso-nm .pfitem');a.forEach(function(i){var b=i.querySelector('.pfq'),c=i.querySelector('.pfa');b.addEventListener('click',function(){var o=i.classList.contains('po');a.forEach(function(x){x.classList.remove('po');x.querySelector('.pfa').style.maxHeight=null});if(!o){i.classList.add('po');c.style.maxHeight=c.scrollHeight+'px'}})})})();<\/script>\r\n<\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Inicio\/Patolog\u00edas\/Prolapso rectal Enfermedades anorrectales Prolapso rectal M\u00e1s frecuente en personas mayores. La t\u00e9cnica quir\u00fargica se elige seg\u00fan tu situaci\u00f3n particular. 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