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Anal Cancer Expanded Version | ASCRS
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Anal Cancer Expanded Version
Rectal prolapse is when the rectal walls have prolapsed to a degree where they protrude out the anus and are visible outside the body. Rectal prolapse may occur without any symptoms, but depending upon the nature of the prolapse there may be mucous discharge mucus coming from the anus , rectal bleeding , degrees of fecal incontinence and obstructed defecation symptoms. Rectal prolapse is generally more common in elderly women, although it may occur at any age and in either sex. It is very rarely life-threatening, but the symptoms can be debilitating if left untreated. Internal prolapses are traditionally harder to treat and surgery may not be suitable for many patients.
An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation,  but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle.