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The name "solitary" can be misleading since there may be more than one ulcer present. And how do I find one. The perineal approach generally results in less post-operative pain and complications, and a reduced length of hospital stay. If the prolapse becomes trapped externally outside the anal sphincters, it may become strangulated and there is a risk of perforation. Are you near any of the major centers? Internal rectal intussusception occult rectal prolapse, internal procidentia can be defined as a funnel shaped infolding of the upper rectal or lower sigmoid wall that can occur during defecation.
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The internal tissue pulls out beyond the sphincter muscle. Fecal incontinence may also influence the choice of management. This procedure can be carried out under local anaesthetic. Since most patients with rectal prolapse have a long history of constipation, [9] it is thought that prolonged, excessive and repetitive straining during defecation may predispose to rectal prolapse.
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