Pointy polyps found in the anus

There are pointed polyps growing inside the anus, which are called anal polyps. They mainly refer to an oval or round polyps growing on the anal canal or rectal mucosa, which can move up and down the anal canal. Anal polyps are generally benign tumors, and their incidence rate is relatively high. Most of them are single. In this case, you should go to the hospital for examination in time, and more serious cases should be treated with surgery.

Clinical manifestations

1. Painless blood in the stool is the main clinical manifestation of anal polyps, and some patients may not have symptoms of blood in the stool. The amount of bleeding is generally small. However, if the polyp is squeezed off during defecation or the polyp is large and located low, a larger amount of bleeding may occur. The characteristic of blood in the stool is that there is blood in the stool, but no dripping of blood occurs.

2. When prolapsed anal polyps are large or numerous, gravity pulls on the intestinal mucosa, causing it to gradually separate from the muscle layer and prolapse downward. The traction caused by the patient's defecation movement and the stimulation of intestinal peristalsis can relax the mucosal layer around the base of the rectum, which may be complicated by rectal prolapse. 3. Intestinal irritation symptoms Intestinal peristalsis pulls on polyps, which may cause intestinal irritation symptoms such as abdominal discomfort, abdominal pain, diarrhea, bloody stools, tenesmus, etc.

treat

Anal polyps often require surgical treatment, and pathological diagnosis of polyp specimens after surgery is crucial. Some patients may have recurrence after resection and need multiple surgeries: 1. For pedunculated polyps with a diameter of less than 2 cm and non-polyposis patients, transanal resection or endoscopic snare removal, biopsy forceps removal, and high-frequency electrocoagulation can be performed. 2. For broad-based polyps with a diameter greater than 2 cm, the surgical approach can be selected based on the actual clinical situation: (1) Transanal surgery is suitable for rectal polyps located below the peritoneal reflection. (2) Transabdominal surgery is suitable for polyps with a base diameter greater than 2 cm above the peritoneal reflection. (3) For broad-based polyps with a diameter greater than 2 cm and lesions located only in the mucosal layer, endoscopic submucosal dissection can be performed. (4) For polypectomy that is 5 to 15 cm away from the anal verge, transanal endoscopic polypectomy can be performed if conditions permit. (5) For sites 5 to 10 cm away from the anal verge, resection can also be performed through the anal sphincter approach.

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