Prolapse of the rectum as so frequently met in children usually yields to palliative measures even if the prolapse be very extensive; on the other hand, the treatment of prolapse in adults is far from being such an easy matter, as can be seen by the numerous methods of operative treatment which have been advised. Many factors tend to produce prolapse, the most important being relaxation of the rectum, of the pelvic floor and of the sphincter. When there exists with this constipation and resulting straining at stool, the condition rapidly becomes aggravated enough to demand operative treatment.
Among the measures which have been suggested are various methods of narrowing the anus and of reducing the relaxation. The use of the actual cautery to produce cicatricial contraction has not been followed by satisfactory results, so far as cures go, and in some cases of extensive prolapse has been followed by