21. Sin is known for his extreme anal pornography, more recently including rectal prolapse in some of his videos. 22. Some researchers advise that internal intussusception be managed conservatively, compared to external rectal prolapse which usually requires surgery. 23. The factors that result in a patient progressing from internal intussusception to a full thickness rectal prolapse remain unknown. 24. Other conditions that produce an anal mass include skin tags, anal warts, rectal prolapse , polyps, and enlarged anal papillae. 25. Any major underlying cause will produce additional signs and symptoms, such as protrusion of mucosa in external rectal prolapse . 26. Also, in external rectal prolapse that was not directly visualized during examination, this radiographic projection will demonstrate its presence. 27. This may signify that authors use the terms internal rectal prolapse and internal mucosal prolapse to describe the same phenomena. 28. Rectal prolapse can be diagnosed easily using defecating proctogram and is one of many methods for imaging the parasitic infection.29. Disorders of the posterior pelvic floor include rectal prolapse , rectocele, perineal hernia, and a number of functional disorders including anismus. 30. 35 % of women with rectal prolapse have never had children, suggesting that pregnancy and labour are not significant etiological factors. 