Clinical diagnosis
Rarely protrudes more than 2 to 3 cm beyond the anal verge
Anal edges appear everted
Radially directed folds
No sulcus between extruded mucosa and anus
Frequently associated with 3rd and 4th degree hemorrhoids
May protrude up to 15 cm
Anus appears normal
Prolapse appears as red, ball-like mass with concentric folds
Sulcus may be palpated between the extruded bowel and anus
Rectal prolapse
Anal fissure
Pelvic organ prolapse
Anal fistula
Anal malignancy
Anal tags
External hemorrhoid
Anorectal abscess