BACKGROUND Patients with Crohn's disease (CD) are believed to have more aggressive anorectal abscess and fistula disease. We assessed the types of procedures performed and perioperative complications associated with the surgical management of anorectal abscess and fistula disease in patients with and without CD. METHODS The American College of Surgeons National Surgical Quality Improvement Pr...

AIM To determine the indicated referrals to a tertiary centre for patients with anorectal symptoms, the effect of the advised treatment and the discomfort of the tests. METHODS In a retrospective study, patients referred for anorectal function evaluation (AFE) between May 2004 and October 2006 were sent a questionnaire, as were the doctors who referred them. AFE consisted of anal manometry, r...

Background: Stapled hemorrhoidopexy is a safe and acceptable alternative to traditional hemorrhoidectomy with shorter hospital stay, better satisfaction, and less postoperative pain. There have, however, been reports on early and late complications. Therefore, the present study was designed to assess the impact of stapled hemorrhoidopexy on anorectal function and continence. Methods: Sixty-one ...

In this chapter, I briefly review the evaluation and management of common benign conditions affecting the rectum, the anus, and the perineum: hemorrhoidal disease, anal fissures, anorectal abscesses and fistulas, pilonidal disease, hidradenitis suppurativa, pruritus ani, and solitary rectal ulcer syndrome (SRUS). For proper diagnosis and treatment of these conditions, an understanding of the re...

Constipation is a common problem in children. It can be a symptom of functional disorder in majority of cases, but sometimes a serious organic disease is a cause of constipation. Anorectal manometry plays an important role in the diagnostic procedure. It can be presumed that some values of manometric parameters could be very useful in treatment plan. The aim of this study was to confirm or excl...

33 Normal bowel continence is a complex process that involves the coordinated interaction between multiple different neuronal pathways and the pelvic and perineal musculature.1 The importance of the anatomic relationships of the pelvic floor in maintaining normal continence has been suggested since the 1950s.2 Yet the complex series of neural and behavioral-mediated interactions, combined with ...

The management of anorectal abscess and anal fistula has changed markedly with time. Invasive methods with high resulting rates of incontinence have given way to sphincter-sparing methods that have a much lower associated morbidity. There has been an increase in reports in the medical literature describing the success rates of the varying methods of dealing with this condition. This article rev...

BACKGROUND Perianal Paget's disease (pPD) is uncommon, with only about 180 cases documented in the literature. Anorectal carcinoma with pagetoid spread is even rarer. CASE PRESENTATION An 81-year-old woman underwent rectal cancer extirpation with a transanal approach 17 years prior. She has since undergone two reoperations for local rectal cancer recurrence. Then, warts frequently appeared on...

Preoperative chemoradiotherapy (PCRT) is a standard treatment for locally advanced rectal cancer. The influence of PCRT on anorectal function has not been objectively assessed. We evaluated the short-term influence of PCRT on anorectal function in patients with locally advanced rectal cancer using anorectal manometry. We included 310 patients with locally advanced mid and lower rectal cancer wh...

Anorectal melanoma (AM) is a rare and aggressive tumor, characterized by poor prognosis. It accounts for 0.4–1.6% of all melanomas, only 1% anorectal malignant tumors [1]. difficult to diagnose due the hidden site nonspecific symptoms, occurring usually at late stage. The most common symptom rectal bleeding. There are various histological variants AM. currently no consensus treatment typical ...