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Email: moc. Abstract Background Chronic anal fissure is a frequent and disabling disease, often affecting young adults. Botulinum toxin and lateral internal sphincterotomy are the main therapeutic options for refractory cases. Botulinum toxin is minimally invasive and safer compared with surgery, which carries a difficult post-operative recovery and fecal incontinence risk. The long-term efficacy of Botulinum toxin is not well known.

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Chapter The rectum and anal canal Rectum At the level of the middle of the sacrum, the sigmoid colon loses its mesentery and gradually becomes the rectum, which, at the upper limit of the pelvic diaphragm, ends in the anal canal fig. The rectum, about 15 cm long, widens below as the ampulla, which is very distensible. Although variable in shape, the rectum follows the sacrococcygeal curve. At the anorectal junction, the gut curves backward and its concavity is held by the puborectal sling, which can be palpated per anum.

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Key Points Anal cancer is a disease in which malignant cancer cells form in the tissues of the anus. Being infected with the human papillomavirus HPV increases the risk of developing anal cancer. Signs of anal cancer include bleeding from the anus or rectum or a lump near the anus. Tests that examine the rectum and anus are used to detect find and diagnose anal cancer.

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Abstract Introduction Anal fistula affects people of working age. Symptoms include abscess, pain, discharge of pus and blood. Treatment of this benign disease can affect faecal continence, which may, in turn, impair quality of life QOL. We assessed the QOL of patients with cryptoglandular anal fistula.

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Prevention[ edit ] For adults, the following may help prevent anal fissures: Avoiding straining when defecating. This includes treating and preventing constipation by eating food rich in dietary fiber , drinking enough water, occasional use of a stool softener , and avoiding constipating agents. Careful anal hygiene after defecation, including using soft toilet paper and cleaning with water, plus the use of sanitary wipes. In cases of pre-existing or suspected fissure, use of a lubricating ointment It is important to note that hemorrhoid ointment is contraindicated because it constricts small blood vessels, thus causes a decrease in blood flow, which prevents healing.

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