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While rosebud is named after those crimson flowers you get on Valentine's Day, that's where any intimation of sweet, romantic love ends.

The sexual act that Shaw specializes in is, in fact, caused by an anal prolapse—a medical condition in which the inner walls of your rectum collapse and slip out of your butthole, the bright red internal tissue blooming out of your anus like a desert rose cue Sting.

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Anal Prolapse And Gape - dream-girls. Acariciando o prolapso da arrombada. Internal rectal intussusception rectal intussusception, internal intussusception, internal rectal prolapse, occult rectal prolapse, internal rectal procidentia and rectal invagination is a medical condition defined as a funnel shaped infolding of the rectal wall that can occur during defecation.

This phenomenon was first described in the late s when defecography was first developed and became widespread. Internal intussusception may be asymptomatic , but common symptoms include: [3].

Recto-rectal intussusceptions may be asymptomatic , apart from mild obstructed defecation. Recto-anal intussusceptions commonly give more severe symptoms of straining, incomplete evacuation, need for digital evacuation of stool, need for support of the perineum during defecation, urgency, frequency or intermittent fecal incontinence.

There are two schools of thought regarding the nature of internal intussusception, viz: whether it is a primary phenomenon, or secondary to a consequence of another condition.

Some believe that it represents the initial form of a progressive spectrum of disorders the extreme of which is external rectal prolapse. The folding section of rectum can cause repeated trauma to the mucosa, and can cause solitary rectal ulcer syndrome.

Others argue that the majority of patients appear to have rectal intussusception as a consequence of obstructed defecation rather than a cause, [34] [35] possibly related to excessive straining in patients with obstructed defecation.

They reported abnormalities of the enteric nervous system and estrogen receptors. The following conditions occur more commonly in patients with internal rectal intussusception than in the general population:.

Unlike external rectal prolapse, internal rectal intussusception is not visible externally, but it may still be diagnosed by digital rectal examination , while the patient strains as if to defecate.

Some have advocated the use of anorectal physiology testing anorectal manometry. Non surgical measures to treat internal intussusception include pelvic floor retraining, [44] a bulking agent e.

As with external rectal prolapse, there are a great many different surgical interventions described. Generally, a section of rectal wall can be resected removed , or the rectum can be fixed rectopexy to its original position against the sacral vertebrae , or a combination of both methods.

Surgery for internal rectal prolapse can be via the abdominal approach or the transanal approach. It is clear that there is a wide spectrum of symptom severity, meaning that some patients may benefit from surgery and others may not.

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] [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.

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