Asshole Prolapse

Asshole Prolapse




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Asshole Prolapse

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Rectal prolapse occurs when your rectum, part of your large intestine, slips down inside your anus. It’s caused by a weakening of the muscles that hold it in place. Rectal prolapse may look or feel like hemorrhoids, but unlike hemorrhoids, it doesn’t go away on its own. You'll eventually need surgery to fix it.



Prevention

How can I prevent rectal prolapse from occurring or from recurring after surgery?

Treat chronic bowel disorders . Don’t let chronic constipation or diarrhea persist. Ask your healthcare provider about treatment options, including lifestyle changes and medications.
Strengthen your pelvic floor . Kegel exercises can help keep your pelvic muscles fit and strong. They have been shown to prevent incontinence as well as possible pelvic organ prolapse.




American Society of Colon and Rectal Surgeons. Rectal Prolapse Expanded Version. (https://fascrs.org/patients/diseases-and-conditions/a-z/rectal-prolapse-expanded-version) Accessed 6/7/2022.
National Institute of Diabetes and Digestive and Kidney Diseases. Rectal Prolapse. (https://www.niddk.nih.gov/health-information/digestive-diseases/anatomic-problems-lower-gi-tract/rectal-prolapse) Accessed 6/7/2022.
National Institutes of Health, National Library of Medicine. Rectal Prolapse. (https://medlineplus.gov/ency/article/001132.htm) Accessed 6/7/2022.


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Your rectum is the last segment of your large intestine before your anus. This is where poop prepares to exit your body. When poop arrives in your rectum, it triggers the urge to defecate (poop), and a network of muscles pushes the poop out through your anus. But when rectal prolapse occurs, the rectum itself travels with it, slipping down telescope-style into the anal canal — and sometimes out the other side.
“Prolapse” is the term healthcare providers use to describe any body part that has fallen from its normal position in your body. It usually means that the muscles supporting the part have weakened or deteriorated. Some weakening or deterioration is normal with aging, but extra wear and tear on the muscles can accelerate the process. Childbirth, chronic constipation or diarrhea can affect your rectum.

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It most commonly affects people who were assigned female at birth, especially those over the age of 50. Less commonly, it may occur in young children as a result of chronic diarrhea or cystic fibrosis .
It’s estimated to occur in about 2.5 in every 1000 people.
It’s not urgently serious, but it can cause discomfort for some people, and it can lead to possible complications down the road. The most common complications are pooping difficulties, such as fecal incontinence .
Failure of the muscles that hold the rectum in place leads to rectal prolapse. Many things may contribute to this. Some possibilities include:
Rectal prolapse can look different in different people. If you have an internal prolapse, your rectum has begun to drop partway into your anus, but it hasn’t yet come out the other end. If you have a mucosal prolapse, the inside mucous lining of your rectum has turned inside-out and begun to poke out of your anus. External prolapse is when your entire rectum falls out. At first, prolapse may only occur when you poop, but eventually, it's constant.
Rectal prolapse and hemorrhoids can have similar symptoms, and it's not uncommon to mistake one for the other. Hemorrhoids — swollen blood vessels in the anus or rectum — can also cause itching, pain or bleeding. Hemorrhoids can even prolapse — slip out of your anus — and they may look similar to mucosal rectal prolapse if they do. After all, they occur within the same red, fleshy mucous lining.
Both hemorrhoids and rectal prolapse can occur during and after pregnancy, or in conjunction with chronic constipation or diarrhea. While rectal prolapse has many possible causes, hemorrhoids are mainly caused by excessive straining. They are also temporary and will go away on their own after a week or so. Rectal prolapse is chronic and progressive. The symptoms may change, but it won’t go away.
Your healthcare provider will review your medical history, then examine your rectum. They might ask you to activate your muscles as if you were pooping. To confirm the diagnosis or rule out other possible problems, they might use one or several of the following tests:
If you have weak pelvic floor muscles, you may have one or several other conditions in addition to rectal prolapse. Your healthcare provider may want to check for these other conditions so that they can address them all together. Possible secondary conditions include:
Not in adults. If rectal prolapse occurs in your child, it might go away after you treat the cause. For example, if your child has hard stools, diarrhea or a parasite infection, treating these conditions will relieve the stress on their pelvic floor muscles. The muscles will repair themselves as your child continues to grow. If you’re an adult, however, rectal prolapse won’t improve without surgery.
If it's not causing bothersome symptoms, you may be able to live for some time with rectal prolapse, taking care of it at home. Taking care of it means pushing your rectum back inside manually. Healthcare providers recommend that you lie on your side with your knees to your chest and use a wet, warm cloth to gently push your rectum back into place. However, prolapse will continue to worsen over time.
Untreated rectal prolapse can lead to several possible complications, including:
There are several surgical approaches to fixing rectal prolapse. Which procedure you have will depend on the specifics of your condition. For generally healthy adults, the first choice is usually a rectopexy , which is a procedure to repair your rectum through your abdomen. However, some people might not be good candidates for abdominal surgery. In these cases, rectal surgery is another option.
This procedure restores your rectum to its original position in your pelvis. Your surgeon will attach your rectum to the back wall of your pelvis (your sacrum) with permanent stitches. They may also reinforce it with mesh. These will hold your rectum in place long enough for scar tissue to develop, which will hold it in place after that. Rectopexy has a 97% long-term success rate in fixing rectal prolapse.
Depending on the judgment and experience of your surgeon, you may have your rectopexy by either open abdominal surgery or minimally invasive surgery. Open surgery means opening up your abdominal cavity to access your organs. Minimally invasive surgery is done through small “keyhole” incisions, using a small camera, and is sometimes done with the use of a surgical robot. Both procedures are done under general anesthesia .
If you've had a history of chronic constipation, and if this was a contributing factor to your rectal prolapse, your surgeon may suggest a partial bowel resection at the time of your rectopexy. That means removing a section of your colon. Your surgeon can identify the part of your colon where difficulties with constipation tend to occur. Removing the problem section often improves bowel function afterward.
If abdominal surgery isn’t an ideal option for you, your surgeon may approach your rectal prolapse through your anus. Rectal surgery doesn’t always require general anesthesia as abdominal surgery does. Some people can have it with epidural anesthesia . The rectal or “perineal” approach may also be a better choice if you have a very minor prolapse, or if your rectum is stuck on the outside (incarcerated). There are two common procedures:
Altemeier procedure . In this procedure, your surgeon pulls the prolapsed rectum out through your anus and removes it. They may also remove the lower part of the colon (sigmoid colon) if it is involved in the prolapse (proctosigmoidectomy). Then they sew the two ends of your large intestine (your remaining colon and your anus) back together. The new end of your colon now becomes your new rectum.
This procedure is less invasive than open abdominal surgery and easier to recover from, but its disadvantage is that prolapse may recur afterward. One reason is that the new rectum made from your colon is not as strong as your original rectum was. Because of this, some surgeons combine the altemeier procedure with a “levatoroplasty” — tightening the pelvic floor muscles by sewing them closer together.
Delorme procedure . If you only have a mucosal prolapse, or a small external prolapse, your surgeon may choose a more minor procedure. The Delorme procedure only removes the prolapsed mucosal lining of your rectum. Your surgeon then folds back the muscle wall of the rectum onto itself and stitches it together inside your anal canal. The double muscle wall helps to reinforce the rectum.
All surgeries come with a low risk of certain general complications, including:
Additional risks associated with rectal prolapse surgery include:
It may not be a major problem at first, but it will continue to get worse over time. If you already have bowel problems, you should probably see your healthcare provider sooner than later. Most of the time, surgery will fix rectal prolapse, but it may return in a small number of people. Surgery also has mixed results for bowel complications. These problems may need additional treatment to be solved.
Rectal prolapse is usually the result of a long, gradual process of muscle deterioration. It’s not a medical emergency, but it can be dismaying when it occurs. Some deterioration is inevitable, but self-care can make a difference. By paying attention to your bowel health and exercising your pelvic floor muscles, you can help keep your pelvic organs in the best condition possible. If prolapse does occur, surgery can fix it.
Last reviewed by a Cleveland Clinic medical professional on 06/07/2022.

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What to Do If You Experience a Rectal Prolapse

Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved

Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. She has written multiple books focused on living with irritable bowel syndrome.


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Goldstein, S. & Maxwell, P. "Rectal Prolapse" Clinics in Colon and Rectal Surgery 2011 24:39-45.
O'Brien, D. "Rectal Prolapse" Clinics in Colon and Rectal Surgery 2007 20:125-132.
Safar, B. & Sands, D. "Abdominal Approaches for Rectal Prolapse" Clinics in Colon and Rectal Surgery 2008 21:94-99.



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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved





Verywell Health is part of the Dotdash Meredith publishing family.


Robert Burakoff, MD, MPH, is board-certified in gastroentrology. He is the vice chair for ambulatory services for the department of medicine at Weill Cornell Medical College in New York.

Rectal prolapse is a condition in which there is a protusion of the rectum out through the anus. This article will answer some basic questions about the condition.


Although rectal prolapse can affect anyone, it is most common in adults, and women ages 50 and older have six times the risk as men. 1 It occurs in children, usually between infancy and 4 years of age, who have an underlying predisposing condition. 2 There is no such gender disparity in childhood cases.


Rectal prolapse may develop and worsen over time. The predominant symptom is the sensation of a lump pushing through the anus during a bowel movement. 1 In the early stages, the prolapse will subside on its own. As the condition worsens, the prolapse needs to be manually dealt with or will not recede at all. The prolapse may also be triggered by coughing or standing.

If you suspect that you have a rectal prolapse, make an appointment with your healthcare provider. They will determine if your symptoms are caused by a rectal prolapse or a prolapsed internal hemorrhoid .

There are a wide variety of factors that may contribute to the development of a rectal prolapse. 1 Rectal prolapses may result from obesity, poor bowel habits or chronic constipation, but also may be due to abnormalities in the structure and muscles and ligaments of the anus, rectum and pelvic floor. Pregnancy and injury during childbirth are also possible causes.


The primary treatment for rectal prolapse is surgery . There are numerous types of procedures available; your healthcare provider will determine which is right for you. 1 Factors to be considered are your age, your health status, and whether or not constipation is a chronic problem. The goal of surgery is to repair the prolapse with an eye toward preventing a reoccurrence of the problem.


After surgery, associated symptoms should be relieved; most notably, for most people, fecal incontinence is no longer a problem.

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 American Society of Colon and Rectal Surgeons. Rectal Prolapse .
Rentea RM, St peter SD. Pediatric Rectal Prolapse . Clin Colon Rectal Surg. 2018;31(2):108-116. doi:10.1055/s-0037-1609025
American Society of Colon and Rectal Surgeons. Rectal Prolapse Expanded Version .
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“It smells like blood. And it tastes like raw flesh. It’s not something you’ve ever been exposed to. But it strikes a chord somewhere deep inside.” That’s how Michelle Lhooq opens her article on Rosebudding, a new trend in the world of hardcore anal pornography. And if you’re faint of heart or weak of stomach, you may want to stop reading now, because the act is literally ripping out actresses’ rectums through their anus.
Rosebuds are often seen as nice, delicate things. In popular culture, Rosebud often brings back memories of Citizen Kane . It’s a nice, even cozy, euphemism for the kind of movies Sheena Shaw, the actress quoted in the Vice article on the trend makes. In reality, the act is much worse than anything I’ve seen in legal pornography before. Worse than eating shit; worse than people engaging in sex with traffic cones and putting double fists into every orifice. When I shared the video included with the Vice story with a friend — a video of two women dressed as bumblebees doing everything one could to a collapsed asshole — her response was that if porn had a Faces of Death (that didn’t include any actual snuff), this might be it. Because this isn’t really, sexy — it’s just strange.
The medical term for Rosebudding — anal prolapse — is actually much more dangerous and bizarre than the titles on the DVD boxes may lead you to believe. In short, a prolapse occurs when one’s rectum collapses and slip-slides its way out of the anus. In general, an individual is immediately rushed to the emergency room when such an event happens. In Shaw’s world, the cameras keep turning as the prolapse is looked at, touched, licked, and prodded until the director believes that the viewer will have enough to satiate them. Sometimes honey is poured all over it. It’s a visual that appears to dare the viewer to get off despite what they’re seeing, not because of it.
The act of rosebudding is, of course, something that has been around for a long time. I first became aware of it when I was 21 years old, alone at home and excited to try out my insanely fast new internet connection. I downloaded everything I could get my hands on from the torrents databases I visited (regardless of whether I was interested, I just wanted porn) and was perplexed to find one video entitled something like Bud.avi. In it, gentlemen from some eastern European country did things to each other that made me sweat in fear and want to call emergency services immediately. Three minutes into the video, I shut it off and silently wondered whether the actors were okay, swearing off porn forever (two hours, it turned out) as I hyperventilated. For four years, I managed a video store and while I was the one who curated the small adult film section —which I called The Super Tiki Adult Room to make it more friendly — I never once saw this type of act mentioned on the hundreds of boxes we carried. Now, it is becoming more and more mainstream.
There are two reasons that rosebudding is taking the world by slow and bloody force. First, the internet has made pornography a much tougher business. With the advent of sites like PornHub, RedTube and Xvideos, viewers are less likely to shell out money for site memberships or digital downloads. Companies try to get their videos taken down, but they reappear as fast as they’re removed, new bunches of clips (really taking this flower metaphor to its limit) popping up daily, never letting the companies catch up. Due to this, pornographic actors, directors, and producers have to find novel ways to get the viewer to part with their hard-earned cash, which means that they have to come up with edgy and sometimes risky new settings, positions, and acts.
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