Partial (mucosal) rectal prolapse

[theherp2000]

Hi,
I have a few questions about rectal prolapse (specifically partial) which I could not find good reliable data on the internet for, so I've come here in hopes of getting some doctors' opinions or other people in the field with expertise.

1. What could the causes be for a partial rectal prolapse in an otherwise healthy (no constipation either) 20 year old female? I understand it's most common in infants and seniors so I'm not sure why it could just start at age 20 for no apparent reason. What could possibly cause a weakening in the pelvic floor muscles at this age?
2. The partial prolapse stopped going "back in" on it's own and has been outside the anus now for approximately 2 years with no medical treatment. It is not red or pink but more like dry now and sort of looks like excess vagina skin (similar to, colloquially, "cauliflower *****"). Does this need to be surgically removed now? Are there infection risks if that skin is dead (gangreen)? If it's been this long with no worsening or signs of infection, is there any harm in just leaving it? I.e. Is it only cosmetic?
3. Is it dangerous to push it back in at this point? Since it's been so long and the texture is actually more like external skin now and not internal...

I realize the first thing to do is to see a doctor, but due to our living circumstances this isn't easy. Due to the country we live in there is also a language barrier with the medical professionals. Lastly, we are in a rapidly developing country and the hospitals, doctors, and technology are not the same as in Europe or the West so surgery in this country (and even seeing the doctors for medical advice can be inconsistent) is not preferred.
Anyway, I'm mostly interested in causes for this at age 20 with no prior history, and treatment options based on the information I've provided.

Thanks for your time.

[theherp2000]

Bump. Any takers?

[theherp2000]

From what I'm reading, a fistula is quite different than a prolapse.
Has anyone here seen/heard of/dealt with a partial prolapse which has been "out" for years without going back in?
To me it seems like the surgery option here would have to be one via the rectum, although based on my readings these surgeries have a lower success rate and on young people it's better to do surgery via the abdomen...
Any comments? Or answers to my OP questions?
Thanks again.

[snoopy460]

I have a recto- anal fistula that caused something similar to the cauliflower. My gynecologist prescribed Benzyl Peroxide acne cream that cleared mine up. It was a form of fungal infection on the skin. Was also told to eat yogurt with active enzymes. Rectal Prolapse can be cause by straining to use the bathroom. My fistula started from straining when I was a kid, and didn't show up until I was 39. I am on colace and am eating more fiber. Also hot sits bathes in a tub of water as warm as you can tolerate it without burning yourself will help.