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While rectal prolapse affects the rectal wall, hemorrhoids affect the blood vessels in the anal canal. These two conditions require different treatment, so it is important to get the correct.
Rectal prolapse — protrusion of part of the rectal lining through the anus — can occur at any age and may be treated with surgery. Formal anal manometry (a test that directly measures the anal sphincter pressures) could be recommended, as low sphincter pressures may affect the choice of procedure to repair the rectal prolapse. While a spontaneous prolapse is obvious, it can be confusing as to whether a patient has significant hemorrhoids or rectal prolapse.