I am 68 years old man and I have problem of some projected like balloon objects formed in the anus. What is the remedy for that?

Question

Hi. Thanks for sending query in lybrate. I understand your concern. From your description the duration of the problem is not clear to me, neither you have mentioned anything about bleeding per rectum or weight loss, still I will give you most probable differentials: 1) prolapsed rectum 2) prolapsed hemorrhoids 3) a polyp or less likely a lower rectal growth kindly visit a surgeon/surgical gastroenterologist and get yourself evaluated clinically by doing per rectal examination, proctoscopy, colonoscopy and also a cect if the treating consultant feels the need for the above. If the diagnosis is haemorrhoids then open/stapler haemorrhoidectomy as per your treating consultant's advise. If it is a rectal prolapse which looks more probable repair through abdominal approach or perineal approach or laparoscopic repair as per your treating surgeon. The names of few methods are delorme's method, altemeire's method, lahaut's operation, anal encircling by steel wires or laparoscopic repair. If there is a polyp a biopsy has to be sent either colonoscopic or from ot. If biopsy shows malignant potential polypectomy with apr where the rectum, sigmoid and soome extent of descending colon will be resected and a permanent colostomy to be done. If colonoscopy shows multiple polyps then total proctocolectomy with ileoanal anastomosis to be done as polyps are premalignant. If unfortunately it turns out to be a carcinoma rectum apr has to be done. Hope the consultation was beneficial regards.

Subhadeep Tripathy · Accepted Answer

Hi. Thanks for sending query in lybrate. I understand your concern. From your description the duration of the problem is not clear to me, neither you have mentioned anything about bleeding per rectum or weight loss, still I will give you most probable differentials: 1) prolapsed rectum 2) prolapsed hemorrhoids 3) a polyp or less likely a lower rectal growth kindly visit a surgeon/surgical gastroenterologist and get yourself evaluated clinically by doing per rectal examination, proctoscopy, colonoscopy and also a cect if the treating consultant feels the need for the above. If the diagnosis is haemorrhoids then open/stapler haemorrhoidectomy as per your treating consultant's advise. If it is a rectal prolapse which looks more probable repair through abdominal approach or perineal approach or laparoscopic repair as per your treating surgeon. The names of few methods are delorme's method, altemeire's method, lahaut's operation, anal encircling by steel wires or laparoscopic repair. If there is a polyp a biopsy has to be sent either colonoscopic or from ot. If biopsy shows malignant potential polypectomy with apr where the rectum, sigmoid and soome extent of descending colon will be resected and a permanent colostomy to be done. If colonoscopy shows multiple polyps then total proctocolectomy with ileoanal anastomosis to be done as polyps are premalignant. If unfortunately it turns out to be a carcinoma rectum apr has to be done. Hope the consultation was beneficial regards.