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Many procedures receive conflicting reports of success, leading to a lack of any consensus about the best way to manage this problem.

Two of the most commonly employed procedures are discussed below. This procedure aims to "[correct] the descent of the posterior and middle pelvic compartments combined with reinforcement of the rectovaginal septum".

Rectopexy has been shown to improve anal incontinence fecal leakage in patients with rectal intussusception. Complications include constipation, which is reduced if the technique does not use posterior rectal mobilization freeing the rectum from its attached back surface.

The advantage of the laproscopic approach is decreased healing time and less complications. This operation aims to "remove the anorectal mucosa circumferential and reinforce the anterior anorectal junction wall with the use of a circular stapler".

Since, specialized circular staplers have been developed for use in external rectal prolapse and internal rectal intussusception.

Complications, sometimes serious, have been reported following STARR, [53] [54] [54] [55] [56] [57] but the procedure is now considered safe and effective.

The anal sphincter may also be stretched during the operation. STARR was compared with biofeedback and found to be more effective at reducing symptoms and improving quality of life.

Rectal mucosal prolapse mucosal prolapse, anal mucosal prolapse is a sub-type of rectal prolapse, and refers to abnormal descent of the rectal mucosa through the anus.

Mucosal prolapse is a different condition to prolapsing 3rd or 4th degree hemorrhoids , [12] although they may look similar.

Rectal mucosal prolapse can be a cause of obstructed defecation outlet obstruction. Symptom severity increases with the size of the prolapse, and whether it spontaneously reduces after defecation, requires manual reduction by the patient, or becomes irreducible.

The symptoms are identical to advanced hemorrhoidal disease, [12] and include:. The condition, along with complete rectal prolapse and internal rectal intussusception , is thought to be related to chronic straining during defecation and constipation.

Mucosal prolapse occurs when the results from loosening of the submucosal attachments between the mucosal layer and the muscularis propria of the distal rectum.

Mucosal prolapse can be differentiated from a full thickness external rectal prolapse a complete rectal prolapse by the orientation of the folds furrows in the prolapsed section.

EUA examination under anesthesia of anorectum and banding of the mucosa with rubber bands. Solitary rectal ulcer syndrome SRUS, SRU , is a disorder of the rectum and anal canal , caused by straining and increased pressure during defecation.

This increased pressure causes the anterior portion of the rectal lining to be forced into the anal canal an internal rectal intussusception.

The lining of the rectum is repeatedly damaged by this friction, resulting in ulceration. It may be asymptomatic , but it can cause rectal pain , rectal bleeding , rectal malodor , incomplete evacuation and obstructed defecation rectal outlet obstruction.

Symptoms include: [17] [20] [59]. The condition is thought to be uncommon. It usually occurs in young adults, but children can be affected too.

Overactivity of the anal sphincter during defecation causes the patient to require more effort to expel stool.

This pressure is produced by the modified valsalva manovoure attempted forced exhalation against a closed glottis, resulting in increased abdominal and intra-rectal pressure.

Patiest with SRUS were shown to have higher intra-rectal pressures when straining than healthy controls. The repeated trapping of the lining can cause the tissue to become swollen and congested.

Ulceration is thought to be caused by resulting poor blood supply ischemia , combined with repeated frictional trauma from the prolapsing lining, and exposure to increased pressure are thought to cause ulceration.

Trauma from hard stools may also contribute. However, the area may of ulceration may be closer to the anus, deeper inside, or on the lateral or posterior rectal walls.

The name "solitary" can be misleading since there may be more than one ulcer present. Furthermore, there is a "preulcerative phase" where there is no ulcer at all.

Pathological specimens of sections of rectal wall taken from SRUS patients show thickening and replacement of muscle with fibrous tissue and excess collagen.

SRUS is therefore associated and with internal, and more rarely, external rectal prolapse. Another condition associated with internal intussusception is colitis cystica profunda also known as CCP, or proctitis cystica profunda , which is cystica profunda in the rectum.

Cystica profunda is characterized by formation of mucin cysts in the muscle layers of the gut lining, and it can occur anywhere along the gastrointestinal tract.

When it occurs in the rectum, some believe to be an interchangeable diagnosis with SRUS since the histologic features of the conditions overlap.

Electromyography may show pudendal nerve motor latency. Complications are uncommon, but include massive rectal bleeding, ulceration into the prostate gland or formation of a stricture.

SRUS is commonly misdiagnosed, and the diagnosis is not made for 5—7 years. The thickened lining or ulceration can also be mistaken for types of cancer.

Defecography , sigmoidoscopy , transrectal ultrasound , mucosal biopsy , anorectal manometry and electromyography have all been used to diagnose and study SRUS.

Although SRUS is not a medically serious disease, it can be the cause of significantly reduced quality of life for patients.

It is difficult to treat, and treatment is aimed at minimizing symptoms. Stopping straining during bowel movements, by use of correct posture , dietary fiber intake possibly included bulk forming laxatives such as psyllium , stool softeners e.

Surgery may be considered, but only if non surgical treatment has failed and the symptoms are severe enough to warrant the intervention.

Ulceration may persist even when symptoms resolve. A group of conditions known as Mucosal prolapse syndrome MPS has now been recognized. It includes SRUS, rectal prolapse, proctitis cystica profunda, and inflammatory polyps.

The unifying feature is varying degrees of rectal prolapse, whether internal intussusception occult prolapse or external prolapse.

Rosebud pornography or rosebudding or rectal prolapse pornography is an anal sex practice which occurs in some extreme anal pornography wherein a pornographic actor or actress performs a rectal prolapse wherein the walls of the rectum slip out of the anus.

A rectal prolapse is a serious medical condition that requires the attention of a medical professional. However, in rosebud pornography it is performed deliberately.

Michelle Lhooq, writing for VICE, argues that rosebudding is an example of producers making 'extreme' content due to the easy availability of free pornography on the internet.

She also argues that rosebudding is a way for pornographic actors and actresses to distinguish themselves.

Prolapse refers to "the falling down or slipping of a body part from its usual position or relations". Merriam-Webster Dictionary.

Prolapse can refer to many different medical conditions other than rectal prolapse. It is derived from the Latin procidere - "to fall forward".

Intussusception is defined as invagination infolding , especially referring to "the slipping of a length of intestine into an adjacent portion". It is derived from the Latin intus - "within" and susceptio - "action of undertaking", from suscipere - "to take up".

Rectal intussusception is not to be confused with other intussusceptions involving colon or small intestine , which can sometimes be a medical emergency.

Rectal intussusception by contrast is not life-threatening. Intussusceptum refers to the proximal section of rectal wall, which telescopes into the lumen of the distal section of rectum termed the intussuscipiens.

From the lumen outwards, the first layer is the proximal wall of the intussusceptum, the middle is the wall of the intussusceptum folded back on itself, and the outer is the distal rectal wall, the intussuscipiens.

From Wikipedia, the free encyclopedia. Medical condition. Normal anatomy: r rectum, a anal canal B. Recto-rectal intussusception C. Recto-anal intussusception.

The Ochsner Journal. Rectal Prolapse: Diagnosis and Clinical Management. Retrieved 14 October Contemporary surgery online. Archived from the original on 14 December Retrieved 13 October Zbar, Steven D.

New York: Springer. Retrieved 8 July Advanced therapy in gastroenterology and liver disease. Scandinavian Journal of Surgery. West Penn Allegheny Health System.

Retrieved 15 October A national survey". Techniques in Coloproctology. Internal Medicine Tokyo, Japan. BMC Gastroenterology. The Netherlands Journal of Surgery.

International Journal of Colorectal Disease. Textbook of gastroenterology 5th ed. Chichester, West Sussex: Blackwell Pub.

BMC Surg. April N Y State J Med. January Med Health R I. Parasites In Humans. Diseases of the Colon and Rectum.

Encyclopedia of Surgery. Retrieved 16 October Colorectal Disease. Clinics in Colon and Rectal Surgery. The British Journal of Surgery.

Scandinavian Journal of Gastroenterology. The American Journal of Gastroenterology. ISRN Surgery. Archived from the original on 24 January Gastroenterology Clinics of North America.

Surgical Endoscopy. Clinics in Gastroenterology. American Journal of Roentgenology. Journal of Clinical Pathology.

World Journal of Gastrointestinal Oncology. Are "solitary" rectal ulcer syndrome and "localized" colitis cystica profunda analogous syndromes caused by rectal prolapse?

Current Treatment Options in Gastroenterology. Gastrointestinal Endoscopy. Report of 19 cases and review of the literature". Saudi Journal of Gastroenterology.

Journal of Pediatric Gastroenterology and Nutrition. Case Reports in Gastroenterology. The British Journal of Radiology. The Ceylon Medical Journal.

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