Anorectal Physiology
1. Must have at least 2 of the following: (a) Straining during at least 25 % of defaecations (b) Lumpy or hard stools in at least 25 % of defaecations…
Management of Anorectal Sepsis
Fig. 19.1 Illustration of the spread of infection from the primary anal gland abscess (a) into the surrounding tissues. (b) The commonest course is that marked X and the most…
The Normal Anus
and Andrew B. Williams2 (1) Department of Colorectal Surgery, Guy’s and St. Thomas’s Hospitals NHS Foundation Trust, London, UK (2) Department of General Surgery, Guy’s and St. Thomas’ Hospitals NHS Foundation Trust,…
Surgical Treatments for Incontinence
Fig. 12.1 Schematic illustration of (a) the applicator, (b) four quadrant electrode deployment sites (© 2012 Mederi Therapeutics Inc.) The results of various series of the Secca® procedure reported in…
Rectocele Pathophysiology and Presentation
Fig. 8.1 Transvaginal scan showing symmetry and no damage to levator plate As stated before nulliparous women may also develop prolapse, 6.5 % in the Women’s Health Initiative study [1]…
Haemorrhoids: Anatomy, Pathophysiology and Presentation
Fig. 13.1 Sagittal section of the anatomy of the anal canal Proximally these extend as primary rectal foldings and are separated and covered by the rectal columns of Morgagni [4]….
Pruritus Ani
(1) Department of Colorectal Surgery, Royal Victoria Hospital, Belfast, Northern Ireland Abstract Pruritus ani, in its worst form, is a miserable affliction. It is common; however, there is a…
Chronic Anal Fissure
Fig. 16.1 Algorithm for management of chronic anal fissure The various components of the algorithm are explained below. Medical Management of Sphincter Spasm Topical Creams: Nitric Oxide Donors and Calcium…
Operative Management
37. Ambrose NS, Hares MM, Alexander-Williams J, Keighley MR. Prospective randomized comparison of photocoagulation and rubber band ligation in treatment of haemorrhoids. Br Med J (Clin Res Ed). 1983;286:1389–91. 38….
Incontinence: Causes and Pathophysiology
and Ridzuan Farouk2 (1) Department of Surgery, Royal Berkshire Hospital, London Road, Reading, Berkshire, RG1 5AN, UK (2) Department of Surgery, Royal Berkshire NHS Trust, Reading, Berkshire, UK Abstract Faecal…
