Rectal prolapse can be diagnosed easily by having the patient strain. Recto
pexy, preferably performed laparoscopically, is the ideal procedure for thi
s condition. Intussusception is more of an epiphenomenon than a cause of de
fecatory disorder and should be managed primarily conservatively Solitary r
ectal ulcer syndrome is a consequence of chronic straining, and therapy sho
uld be aimed at restoring a normal defecation habit. Rectocele should be op
erated only when exceeding 3 cm and when frequent digital evacuation is pre
sent.