is there hope for my weakened anus?

// // 32 Comments
PoopReport of the Year AwardComment Quality Moderatorj 1000+ pointsk 500+ pointsl 100+ pointsm 1+ points - Newb
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Dear Motherload,

I struggled with constipation for several years, which led to a rectal prolapse,which led to damage to the nerve endings of my anus and/or sphincter. Now my anus doesn't have the strength it had before; it lost sensation in the nerve endings and it doesn't close shut the way it used to. I'm very frustrated.

My question is: Is there any way to repair the nerve endings? Or is this something irreversible? I was advised to do Kegel exercises, but I'm confused whether they target the muscle OR the nerves? I will do the Kegel's for the muscle, but what about the nerves? Are my anal nerves lost for good? Is there any hope for them to be the way they used to be?

Thanks in advance

Caprese



Dear Caprice,

You have had quite an unfortunate chain of events. However, I think there is still hope for your dilemma. The following are a few possible treatments that you could undergo in order to regain use and control of your back door.

First, there is a procedure that may be able to repair your damaged anal nerves. It is called sacral nerve stimulation. The sacral nerves run from your spinal cord to muscles in your pelvis. These nerves regulate the sensation and strength of your rectal and anal sphincter muscles. Direct electrical stimulation of these nerves is a promising treatment option for fecal incontinence caused by nerve damage.

Sacral nerve stimulation is carried out in stages. First, four to six small needles are positioned in the muscles of your lower bowel, and these muscles are stimulated by an external pulse generator. The muscle response to the stimulation generally isn't uncomfortable. After a successful response, you may have a permanent pulse generator implanted in your abdomen.

Then, a wire from the small, battery-driven device is connected to the sacral nerves. Through the wire, the device generates electrical impulses that stimulate the nerves, helping you regain continence. (I wish I had a remote control unit that would shock my ex-husband's ass whenever I took a notion, but I am not sure how keen I would be to shocking my own.)

If that therapy does not work for you, there are several surgical options available as well. Like sphincteroplasty. This is surgery to repair a damaged or weakened anal sphincter. In this procedure, an injured area of muscle is identified and its edges are freed from the surrounding tissue. The muscle edges are then brought back and sewn together in an overlapping fashion. This strengthens the muscle, tightening the sphincter. Sounds simple enough.

Also, there's sphincter replacement. An artificial anal sphincter can be used to replace a damaged one. The device is essentially an inflatable cuff, which is implanted around your anal canal. When inflated, the device keeps your anal sphincter shut tight until you're ready to defecate. To go to the toilet, you use a small external pump to deflate the device and allow stool to be released. It then re-inflates itself about ten minutes later.

That, my dear is modern technology at its finest.

Finally, there's sphincter repair. During a surgical procedure called a gracilis muscle transplant, a muscle is taken from your inner thigh and wrapped around your sphincter. This restores muscle tone to your sphincter. Not so much for your thigh.

I hope that these treatment options show you that there is hope that you could once again have a normal anal sphincter, but at the very least I hope that you have learned from your bad habits in the past and try not to do any further damage.

Thanks for asking Motherload!

Motherload is a Certified Nurse Assistant as well as an IBS sufferer, which means she knows a lot about poop. Got a question for her? Ask it here.












32 Comments on "is there hope for my weakened anus?"

Bunga Din's picture
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That's cool Motherload! I never would have thought they would come up with an operation like this. You know how medical science (surgery) is always naming a specific procedure after the person who had it done first, like Tommy John surgery for UCL reconstruction?

I wonder if this one could be called Yawning John surgery or the Caprese correction.

HowleyKook's picture
l 100+ points
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This is a FANTASTIC piece to share with all the little children that won't eat their veggies. I have already passed this on to all of my friends and relatives to share with their kids! The response has been mixed so far.

Thanks Motherload!

_______
Happy crappin'
www.homegrownmedia.com

Happy Crappin'
Homegrown Media Network

Logjam's picture
Comment Quality Moderatori 2000+ points
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My anal nerves seem to be working fine. Reading your description, Motherload, of the various procedures gave them a real workout. I wonder if just reading this may have given you that ants-in-the-pants feeling, Caprese?

Logjam

prarie doggin's picture
PoopReport of the Year AwardComment Quality Moderatorg 4000+ points
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When I got to the part about the "four to six needles" my balloon knot clamped shut. I am cured. Thank you.

The Thunderous Crapper 63's picture
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Hmmm is there any danger of lets say a fart causing a malfunction of the inflatable. OR would you be able to fart? Would the sphincter part for that moment of gaseous release?
_______
The Thunderous Crapper 63 Enjoying home toilet advantage since 2004!

AHHHHHEMMMMMMMMMM JUST CLEARING MY THROAT!! ;)

daphne's picture
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LOL! It would be something to fart and not have it escape. Slowly, your ass rises off the chair, like a balloon.......then your sphincter kicks in and you end up blowing around the room til' you find yourself laying flat on the floor.


_______
.....hugging bunnies since 1969
www.daphneszoo.com

.....hugging bunnies since 1969
www.daphneszoo.com

RoboCrap13's picture
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Daphne, I just spilled tea all over myself.
I pictured the opening sequence to "Who Framed Roger Rabbit" with Roger flying around face first!
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You have the right to remain Silent but Deadly....

You have the right to remain Silent but Deadly....

Thunderbox's picture
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Crikey! Why didn`t the 6 Million Dollar Man have an artificial anus? Imagine what he could have done with a bionic sphincter.

The voice of sanity

prarie doggin's picture
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That would have made him the $6,150,000 man and he would have gone over budget.

Deja Poo's picture
Comment Quality Moderatorj 1000+ points
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I wonder whether this is how the Borg got their start? Six needles to the sphincter, a little electrical stimulation and the next thing you know, you're the asshole of the universe.
_______
Resistance is Futile.

Yo quiero Taco Bell.

Mary Queen of Scats's picture
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I've often wondered if the north end of the southbound six million dollar man walking backward was bionic as well...and to what extent...hmm....

_______
Merry feeking Christmas and a crappy New Year to all!

Bad kitty! Bathtubs are NOT litterboxes!

wonderpance's picture
Comment Quality Moderatork 500+ points
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Mary, you just made my brain hurt.
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i love poop.

i love poop.

shitwit's picture
k 500+ points
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I'm still chuckling at the term "sphincteroplasty"! I thought they were taking bungholes from donors and giving them a new home! I might just have to change a few things on my "organ donor card".

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Rock-n-roll! Poopy-poo!

Rock-n-roll! Poopy-poo!

Caprese's picture
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Thank you so much for your response, Motherload.
Just wanted to clarify something: I am not incontinent (as of yet!) so even though my sphincter is weakened, I guess it's not weakened to the point of making me incontinent.

In other words: no, I haven't shat my pants. The only thing I do notice is that when I'm having a BM, I push and I never know if anything came out till I look back. So that part of the sphincter where you feel things moving through, that's what sort of lost nerve function, but strangely, I can hold things in pretty well. For this reason, I would dread having a surgical procedure, as I have read a number of times that while it might help, it might also make things worse for the anus.

I think I might instead try some acupuncture? I just want something more natural that won't mess me up more than I am. But your advice is right on target for someone who is truly incontinent, and I hope it won't happen to me. I am already taking very good care of myself, taking a fiber supplement daily, drinking tons of water, never straining in the bathroom, avoiding gassy foods at all costs (those foods make me strain even more due to the cramps they cause,) I'm doing Kegel exercises (which you won't believe, but TRULY strengthen the pelvic floor muscles, and faster than I ever thought--1 month and I can feel quite a difference!!) so that's my story.

By the way, I saw a colorectal surgeon, and he refused to do a surgical procedure for the rectal prolapse because he said "it was too small" and he only does surgery on bigger ones. Geez, is he suggesting that I stay with it for the rest of my life? That I was NOT happy about. But I have a new appointment with him about the weakened sphincter, so I'll keep you guys posted.
Thanks again for your advice Motherload.

wonderpance's picture
Comment Quality Moderatork 500+ points
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i wish i could go back in time and make a funny joke about my weekend anus vs. my weekday anus.

oh well. it probably wouldn't have been very funny anyway.
_______
i love poop.

i love poop.

Mary Queen of Scats's picture
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Just out of curiosity Caprese, did the surgeon you saw define what constitutes (no pun intended) a "bigger anus"??

And did he happen to mention how the average person might obtain one? Are you born with it...does it stretch over time...etc...??

This is a statement that confuses me. It's like a plastic surgeon that only does boob jobs on women with C cups or bigger.

_______
Merry feeking Christmas and a crappy New Year to all!

Bad kitty! Bathtubs are NOT litterboxes!

Caprese's picture
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To Mary Queen of Scats:
Ok, let me explain. I have 2 problems, one is the rectal prolapse, and the other is the weakened anus/sphincter.

The first problem was the rectal prolapse, and that is what caused the weakened sphincter.
So when I saw the surgeon (over a year ago) I was mainly looking to correct the prolapse. He did mention that my sphincter was a bit weak, but he didn't say much about it, and at that point my #1 concern was the prolapse.

He said he could not do surgery on the PROLAPSE because it was "too small". You know there's full prolapses? I've seen the pictures and they're awful. It's like the whole rectum turns upside down and comes out of your body.
My prolapse is very small, so the surgeon said there was nothing to operate on it.

Now I have a follow-up appointment to deal with the weakened sphincter. But to answer your question, no, he did not mention I had a "bigger anus", he only said it didn't seem as strong as the usual anuses he enters (since that's what he does for a living, he inserts his finger in people's anuses, lol.)

Mary Queen of Scats's picture
l 100+ points
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Ahhhh....I see. My mistake.

At least he didn't call your anus unremarkable...poor Anna Nicole.

_______
Merry feeking Christmas and a crappy New Year to all!

Bad kitty! Bathtubs are NOT litterboxes!

wonderpance's picture
Comment Quality Moderatork 500+ points
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hey Mary, you wouldn't happen to be a fan of Best Week Ever, would you? i only got your joke (and laughed at it) because of that show.
_______
i love poop.

i love poop.

kmoe's picture
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my problem is burning, tingling, sensitive, tight anus ,feels like it is dried out, and cracked,. i am taking diazepam which stops all of this shortly.i have sebrrorheic dermatitis when i use medicine for this i get a tight anus and it burns there is no icthing at all in anus
is there any nerves that can be removed to stop all of this sensation.

debra  thompson's picture
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ok ill start bye saying i became incontinent over a period of years,i was constipated for a while had tinglying down below in the anus,3 years ago is when it got started,it was gas excaping,people said it smelled like diareahh,this was before i became incontinent,i did all the mitakes,i didnt drink enough water,i drank coffee,it was april 2008 when i stopped eating,i didnt feel hungry,i didnt do anything,i became weak in 8 days time,my belly didnt growl,but i looked pregnant as some people suggested,when the doctor found some medicine to clear up the constipation it worked like a charm,except i soil myself every day and urinate on myself,i have to use diapers just so i can leave the house,it was embarrassing about the first month,after thati got angry,alot,i go back to doctor on friday,but i dont want them to stick needles in me,i dont want to become worse,ive read stories where some people got worse,i know your not doctors,what would you do
debra

trey lahood's picture
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so could this be the reason i feel my hole dont close and i feel funny and get nerves and how can i fix it im 19yo i dont want to tell any 1 about it i think ppl say i stink but my mom says im nuts but i feal like my hole dont close around ppl and i get paranoid help me please its messing my whole life up im fine around like 2 ppl in my whole fam please please help me

Merle Shamblin's picture
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Hello my name is Merle Dean Shamblin and I would like to be your new friend. I sure could use somebody to chat with. I am a 47 year old long haul truck driver who currently lives in Duncan Oklahoma. Dec 8th 1960 I was born in Fairview Oklahoma. Moved to Caddo and Washita counties where I attended school at Colony Hydro and Weatherford. My parents Malvin and Wanda Shamblin were cotton and peanut farmers. Dad died in 99 from lung cancer. Graduated from SWOSU with a business degree. My two sisters are LaDonna Hubert and Malva Burrahm. Dennis is my brother. I have been a truck driver for 14 years and have driven 2 million paid miles. I have received many safe driving awards over the years. I am single and have never been married. I have a wide range of interests and am pretty much an open book. Currently I drive a 2006 Freightliner for a major carrier. I dont go to Canada very often. I dont have a dedicated route so I run the entire lower 48. I enjoy reading cinema music sports travel etc.

daphne's picture
PoopReport of the Year AwardSite AdminComment Content ModeratorComment Quality Moderatore 6000+ points
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Well get your butt back into the forums and register, then. Go on now. Get moving.

Left hand side of the page. Under the category "Report Poop".


_______
.....hugging bunnies since 1969
www.daphneszoo.com

.....hugging bunnies since 1969
www.daphneszoo.com

annAnonymous Coward's picture
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thank you for your info as i am desperate. I hate to leave home because of my lax sphincter muscle, but I don't know of a Dr. in Nashville,Tn. to go to. Please help.

jennies's picture
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Yes there is still a cure for your condition... If I were you, I'd go for sphincter repair because the muscle still comes from your inner thigh or sphinteroplasty. colorectal surgeon

ChiefThunderbutt's picture
PoopReport of the Year AwardComment Content ModeratorComment Quality Moderatorf 5000+ points
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annAnonymous Coward......I also live in Nashville, Tn. and can attest to the fact that there are many practicing proctologists and gastroenterologists listed in the phone book, just pick one, then call for an appointment.


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Eat chilies and feel the burn!!

How long a minute is depends on what side of the bathroom door you're on!

sittingpretty's picture
Comment Quality Moderatori 2000+ points
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Pull up Gastroenterologist in your town. You see a list of all the GI specialist in your area. Then narrow it down towho is on your insurance plan. Then narrow down to who is closer to your house or who is affiliated with the hospital of your choice(this is important. Then contact Chief, here on poopreport,if you get stumped.
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...And their flesh like dung. Zeph. 1:17

...And their flesh like dung. Zeph. 1:17

Poop Shake's picture
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I too share similar issues as the originator of the question. I just wanted to thank the editor for providing the list of solutions. there is so much info that is hard to discern into such a simple understandable list to use as a basis. i wish there was more like this or a forum with posts from people who have actually tried some of these possible solutions, have you heard of one to pass along? also, what happened to caprese? any progress? i can't think of anything worse than how this feels...

Stefman Has A Strong Anus's picture
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Hahaha lmao xD This is hilarious! I love these anus sites LOL

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Anonymous's picture
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Same here dude lol

Anonymous's picture
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I see these comments and questions were posted a good while back but I sure do hope that someone is still out there answering questions because I have a doozy.

Signed
My #2 is the devil