After constipation, there is flesh coming out of the anus

The situation where there is flesh protruding from the anus after constipation is most likely caused by rectal prolapse. This situation should be treated surgically because the downward movement of the rectal mucosa will cause the anus to become loose, affecting the patient's bowel function. Therefore, we should understand the reasons why there is flesh protruding from the anus after constipation. Let us now learn about the treatment method for anal flesh protruding due to constipation.

Rectal prolapse is a disease in which the rectal mucosa, anal canal, the entire layer of the rectum, and part of the sigmoid colon shift downward and protrude out of the anus. Rectal prolapse is caused by a variety of diseases and is also called anal prolapse (rectal prolapse). Rectal prolapse is a part of the patient's body that often repeatedly prolapses out of the anus, accompanied by anal relaxation. The disease can occur at any age, but is more common in young children, the elderly, those who have been ill for a long time, and those who are tall and thin. The domestic incidence rate is 0.4%-2.1%, with the peak incidence rate in males aged 20-40 and females aged 50-70[1]. The incidence rate in women is higher than that in men due to factors such as multiple childbirths. If the prolapsed part is only the rectal mucosa, it is called partial prolapse. If the prolapse involves the entire thickness of the bowel wall, it is called complete prolapse. The extruded rectum presents multiple concentric mucosal rings of varying lengths. In addition to the above classification, the disease also has internal prolapse, that is, the more mobile sigmoid colon or rectum at the proximal end is intussuscepted to the more fixed rectum at the distal end, but does not fall out of the anal canal, which is also called intussusception prolapse.

Treatment principles

Nowadays, there are many treatments for rectal prolapse, including manual reduction and injection therapy. For those who are ineffective with conservative treatment and have severe prolapse, surgical treatment should be considered. The surgical methods include rectal suspension and fixation, prolapse intestinal resection, anal ring reduction (suitable for infection, incarceration), PPH, etc. As for which method to choose, different treatments should be selected according to the patient's age, type of prolapse and general condition. In children, rectal prolapse is a self-limiting disease that can heal itself before the age of 5, so non-surgical treatment is the main treatment. Complete rectal prolapse in adults is still mainly treated with surgery. There are dozens of commonly used surgical methods, but there has always been controversy as to which surgical method to use. Today, different approaches are used depending on the severity of the prolapse, the patient's desire for treatment, tolerance, and the presence of pelvic floor disease. Its therapeutic purpose:

(1) Resection or folding of the lengthy colon.

(2) Fix the rectum to the sacral promontory.

(3) Improve fecal incontinence or constipation.

(1) Traditional surgical treatment: In the era when medical science and technology were not yet developed, treatment could only rely on some traditional methods, which often adopted a "one-size-fits-all" approach, using a scalpel to directly remove the prolapsed material. The biggest disadvantage of this is that the wound will be relatively large, the recovery period will be relatively long, and the patient will have to endure great pain. What is more serious is that it is easy to relapse after surgery, leaving physiological complications such as incontinence, which makes patients miserable.

(ii) Conservative treatment: Most patients are unwilling to go to the hospital for treatment, and often choose to solve the problem through drugs, diet therapy and other methods. The treatment course is relatively long, and the disease is prone to malignant transformation during the period, leading to more serious diseases. In addition, these methods can only provide temporary relief and cannot achieve the purpose of cure. They can only make the rectal prolapse more and more serious. If it is not treated for a long time, it will cause adverse consequences.

(III) Compared with traditional surgery and conservative methods, minimally invasive treatment has the advantages of being safe, painless, bleeding-free, short-term (10-15 minutes), without hospitalization, and without sequelae (incontinence, etc.), and is widely praised by the medical industry at home and abroad!