Mixed Nevi and Prolapse: What You Need to Know - Surgery

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Mixed nevi and prolapse?


Hello doctor, I have a mixed nevus and a prolapse.
Two weeks ago, I had a stool test, and the result was 104.
The health department contacted me to schedule a rectal examination.
My mixed nevus and prolapse are not painful and do not affect my daily life, but there is a small protruding mass when I use the restroom.

1.
Do I need to undergo rubber band ligation for the hemorrhoids?
2.
Which procedure should be done first, the rubber band ligation or the rectal examination? Thank you.

Li Tai Tai, 60~69 year old female. Ask Date: 2024/02/02

Dr. Chen Bingze reply Surgery


This may allow the colorectal surgeon to assess whether it is appropriate to proceed with rubber band ligation, and then arrange for a follow-up colonoscopy.

Reply Date: 2024/02/02

More Info


When it comes to understanding mixed nevi and prolapse, it's essential to differentiate between the two conditions and their implications for your health. Mixed nevi are benign skin lesions that can contain both melanocytic (pigmented) and non-melanocytic components. They are generally not harmful and often do not require treatment unless there are changes in size, shape, or color, or if they become symptomatic. On the other hand, prolapse refers to the descent of an organ, such as the rectum, through the pelvic floor, which can lead to symptoms like a protruding mass during bowel movements.

In your case, you mentioned having a mixed nevus and rectal prolapse, with the latter presenting as a small protruding mass during bowel movements. Since you have undergone a stool test with a result of 104, and the health department has advised you to undergo a rectal examination, it is crucial to follow through with this recommendation. The rectal examination will help assess the extent of the prolapse and rule out any other underlying issues, such as hemorrhoids or other rectal conditions.

1. Do you need to undergo rubber band ligation for the prolapse? Rubber band ligation is typically used for treating hemorrhoids rather than prolapse. If your symptoms are mild and do not significantly affect your quality of life, conservative management may be sufficient. However, if the prolapse is causing discomfort or complications, surgical options, including rubber band ligation or other surgical interventions, may be considered. It is essential to discuss this with your healthcare provider, who can evaluate your specific situation and recommend the most appropriate course of action.

2. Which procedure should be done first: rubber band ligation or rectal examination? It is advisable to prioritize the rectal examination first. This examination will provide valuable information about the nature of your prolapse and any other potential issues that may need addressing. Once the examination is completed, your healthcare provider can better determine whether rubber band ligation or another treatment is necessary for your condition.

In summary, while mixed nevi are generally benign and may not require immediate intervention, your rectal prolapse warrants further evaluation. Following through with the recommended rectal examination will help clarify the situation and guide your treatment options. Always consult with your healthcare provider for personalized advice and to ensure that you receive the most appropriate care for your specific health needs.

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