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The condition, along with complete rectal prolapse and internal rectal intussusception , is thought to be related to chronic straining during defecation and constipation. The symptoms are identical to advanced hemorrhoidal disease,  and include:. Rectal prolapse is generally more common in elderly women, although it may occur at any age and in either sex. However, internal intussusception rarely progresses to external rectal prolapse. This is most likely a denervation injury to the external anal sphincter. STARR was compared with biofeedback and found to be more effective at reducing symptoms and improving quality of life.
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