I still have an internal prolapsed from my first pregnancy. I named him Henry and he appears with EVERY bowel movement (or gentle rectal push). I have to manually put him back where he belongs. TMI I know but I've become friends with him -- it's easier than the alternative. That being said, I also have a small cluster of grapes around the perineum. I don't know why (other than pressure) since I haven't been constipated ever and I never strain.
Luck? I never had Henry removed b/c it requires surgery and the dr said I'd most likely get another one with my next pregnancy. I don't even think about it when I do it; I've had Henry since Feb07. Anal fissures, on the other hand, are NO FUN! Bowel movements were worse than labor!
BFARing mama to Haley (3/07) and Abigail (11/10/09)