From the post immediately preceding yours: ultimately this is not about me
From the OP image: A red herring logical fallacy is a tangential topic introduced as a distraction. One _very_ common example is trying to create an irrelevant discussion about a messenger/claimant (often by introducing alleged personal attributes or asking about unstated opinions).
> this fucking nonsense
Also from the OP image: A refutation with one or more vague, sweeping claims for which no proof is provided [...] The burden of proof rests on the claimant, so offering constructive criticism is a good idea: clear and specific, with citations if applicable.
> See the text in the OP image supported by Prolapse & Incontinence.
On my todo list for that: Cover the possibility of shearing (and pulling/traction on one or more nerves in the region) potentially causing neuropathy and associated fecal incontinence. The first source below already is present in P&I; eventually I may add more as well.
"Perineal nerve injury due to stretching is caused by excessive traction [pulling] on the distal motor branches of the pudendal nerve that innervate the perineum and anus. These injuries can occur in a number of morbid conditions (prolapsus, anorectal dyschezia, pelvic surgery) and induce denervation of the pelvic floor that very probably modifies the resistance of the sphincters. Stretch injuries should be considered when discussing physiotherapy or surgery for urinary incontinence. Diagnosis can be established by electrophysiologic studies of the perineum, particularly by measurements of distal pudendal nerve motor latencies. The authors report a series of sixty patients with stretch-induced neuropathy."
"[Perineal neuropathy due to stretching and urinary incontinence. Physiopathology, diagnosis and therapeutic implications]." Annales d'Urologie (Paris). 1990; 24(6): 463-6. PMID 2176777.
"Fifty percent of patients with rectal intussusception, in addition to the usual symptoms associated with obstructed defecation—evacuatory difficulty, a feeling of incomplete emptying, pelvic pain and pressure, and rectal bleeding—will complain of fecal incontinence. Possible mechanisms for this include an occult defect of the external anal sphincter or a traction pudendal neuropathy resulting from long-standing, excessive straining to defecate. An overflow incontinence-type mechanism, where distension of the lower rectum by the intussusceptum activates the rectoanal inhibitory reflex resulting in relaxation of the internal anal sphincter, has also been proposed."
"Treatment of Obstructed Defecation." Clinics in Colon and Rectal Surgery. 2012 Mar; 25(1): 24-33. PMC3348733. doi:10.1055/s-0032-1301756.
"Most patients with rectal prolapse have some degree of incontinence and reduced rectal capacity. Fecal incontinence accompanying rectal prolapse may be due to sphincter dilatation by the prolapse, weakness of the pelvic floor, or pudendal neuropathy caused by chronic traction of the nerves."
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