Worst anal relapse ever

It might also cause less pain and lead to a shorter recovery. However, simple myectomy or chemo-paralysis of the anal sphincter with Botulinum toxin lead to a minimal improvement only in patients with dyssynergia, suggesting that other mechanisms may play a role Before considering surgery, a careful history and physical examination should be done. The role of surgery in rectal intussusception is controversial at best. However, some patients might benefit from surgery, especially those having persistent pelvic pain and constant urge to defecate. There is increasing awareness that these psychological, functional and organic disorders should be treated first before considering any surgery.