This can be assessed by several means. Clin Colon Rectal Surg. There are a large variety of described extraction techniques; generally, one should proceed from the least invasive to the most invasive means of extraction. Finally, sufficient lubrication should be used to allow transanal extraction. Endoscopic Extraction If the object is not within reach for removal by hand or with the tools noted above, rigid or flexible sigmoidoscopy should be performed to visualize and attempt extraction.
The use of enemas and stimulants to propel the object distally is not recommended, as these may cause further damage to the rectal wall.
Rectal Foreign Bodies: What Is the Current Standard?
This can usually be obtained by history even in reluctant patients once they understand the life-threatening implications of overdose. Organ injury scaling, II: Butt plugs are also available that incorporate electro-stimulation. This technique is performed by inserting a wick in the cup that allows pressure to be applied from below, thereby scooping the object out. In order to get them into the rectum, they most commonly have a general profile of a round-ended cone which then narrows to a "waist" which locates itself at the anal sphincter, with the flared part outside the body, preventing the butt plug from slipping further into the body. Both toys are now over 5 years old now and the rubber of the smaller one has perished and become stiff so that it can no longer be used. J R Coll Surg Edinb.