Anterior Rectal Prolapse

　　Anal ectopia anterior is caused by incomplete development of the perineum, resulting in the anal opening not moving to the normal position. Anal ectopia anterior is an abnormal anal opening, which may be accompanied by stenosis or incontinence, also known as perineal anterior anus, vulvar anus, or anal displacement.

　　In addition to general symptoms, anal ectopia anterior may also cause other diseases. This disease is prone to complications such as infection of adjacent organs around the ectopic anus, such as the scrotum. Attention should be paid to the hygiene of the anal orifice to prevent infection of adjacent organs.

　　Anal ectopia anterior is an abnormal anal opening, which may be accompanied by stenosis or incontinence. The normal rectum has crossed the puborectalis muscle ring, but its lower segment is located forward, opening in front of the normal anal opening, and the external sphincter has developed to a considerable thickness. So, what are the clinical symptoms of anal ectopia anterior? The following introduces the clinical symptoms of anal ectopia anterior:

　　The anal shape is similar to the normal one, with radiating folds on the anal margin skin and deeper pigmentation. However, its position is forward, between the normal anal area and the root of the scrotum or the posterior symphysis of the labia. Some girls have an external genital opening close to the posterior symphysis of the labia. It is also called vestibular anus or vulvar anus. The anal canal is covered with epithelium and surrounded by the external sphincter, with normal defecation function. Some children have smaller openings and difficulties in defecation. In a few cases, due to the anal canal not crossing the center of the external sphincter, there is often partial incontinence, such as fecal incontinence.

　　The above are the clinical symptoms of anal ectopia anterior. If there are such symptoms, the disease can be diagnosed. If it does not affect defecation, treatment may not be required, but attention should be paid to hygiene.

　　Anal ectopia anterior is a congenital disease with unknown etiology. There are no effective preventive measures at present. Attention should be paid to the hygiene of the anal orifice to prevent infection of adjacent organs. It should be highly regarded by clinical doctors and patients.

　　When diagnosing anal ectopia anterior, in addition to relying on its clinical manifestations, auxiliary examinations are also needed. This disease can be diagnosed by routine physical examination, and there is no need for specific examination methods. It should be highly regarded by clinical doctors and patients.

　　Anal ectopia anterior is an abnormal anal opening, which may be accompanied by stenosis or incontinence, belonging to low-grade malformation. It is caused by incomplete development of the perineum, resulting in the anal opening not moving to the normal position. If it affects defecation, surgical treatment is required. So, how should patients with anal ectopia anterior diet after surgery? Regarding this issue, the following experts will briefly introduce how patients with anal ectopia anterior should diet.

　　1. Experts suggest that patients with anal ectopia should eat more fresh fruits and vegetables after surgery to maintain stools that are both formed and soft, which can reduce local irritation.

　　2. One to three days after anal ectopia surgery, patients can switch to low-fiber semi-liquid foods, such as thin porridge, flour paste, steamed custard, and various vegetable purees, with each serving half a bowl to a bowl, three or four times a day, and additional liquid food can be added between meals.

　　3. Experts indicate that generally, 7 to 10 days after surgery, patients can transition to soft foods such as porridge, bread, apples, bananas, oranges, etc., and consume 3 or 4 meals a day. Approximately one month later, they can gradually transition to normal diet.

　　4. Start with drinking a small amount of warm water, if there is no special discomfort, you can change to liquid food, such as vegetable soup, fish soup, congee, egg soup, juice without渣, etc., the amount of food intake starts from 20-30 milliliters per meal, and gradually increases to 200-300 milliliters.

　　Expert from Feihua Health Network points out:Patients with anterior rectal ectopia should avoid spicy and刺激性 foods after surgery, such as onions, garlic, yams, and other刺激性 odor and bloating foods. For difficult-to-digest foods such as milk, beans, sweet potatoes, etc., patients with anal ectopia should eat less or not eat after surgery.

　　Anterior rectal ectopia is an abnormal anal orifice, which may be accompanied by stenosis or incontinence, also known as perineal anterior anus, vulvar anus, anal displacement. Then, how to treat anterior rectal ectopia? The following introduces the treatment methods for anterior rectal ectopia.

　　Mild anterior rectal ectopia defecates normally and does not require treatment. For those with small openings and poor defecation, dilation therapy can be used. However, dilation cannot correct the forward inclination deformity of the anal canal, and some still have difficulty defecating. For those with very small openings where dilation is ineffective, posterior anal incision can be performed after six months. That is, make an incision 1-20cm along the posterior side of the anal orifice to the normal anal position, incise the posterior wall of the anal canal, dilate it to the point where the finger can be inserted smoothly, slightly free the posterior wall of the rectum, and suture it intermittently with the skin behind the incised anal orifice. Some doctors only make a longitudinal incision on the posterior skin of the anal orifice, do not free the rectum, stop bleeding strictly after surgery, and open the wound. After surgery, dilation is repeated, and by the age of 5, if the defecation control is not good, a second-stage anal relocation surgery can be performed.

　　Operation method for anterior rectal ectopia:

　　Move the anal orifice forward, make a circular incision in the skin, free the anal canal about 2cm upwards, and make an X-shaped incision about 1.5cm in the central area of the circular contraction of the normal anal external sphincter. Separate the subcutaneous tissue, carefully find the external sphincter, and use a hemostat to bluntly separate and dilate from the center of the sphincter upwards, forming a muscle tube tunnel. Lead the free anal canal into the muscle tube tunnel through the side of the sphincter, fix several needles around the anal canal and the external sphincter, cross-stitch and fix the external orifice of the anal canal with the newly formed anal skin flap, and suture the anterior incision in layers.

　　The above is the treatment method for anterior rectal ectopia, which is very helpful for understanding the disease. If you have this disease, you need to determine whether to undergo surgical treatment based on the actual condition.