Anorectal Disorders Flashcards
1
Q
What are examples of congenital anorectal disorders?
A
Imperforate Anus
Urogenital Fistulae
Hirschprung’s Myenteric Plexus Deficiency
2
Q
What are examples of acquired anorectal disorders?
A
Haemorrhoids Fissure Abscess Fistula-in-ano Ulceration Cancer Control of continence
3
Q
What are risk factors for anorectal disorders?
A
Inflammation
Infection
Malignancy
Trauma
4
Q
What are the treatments for haemorrhoids?
A
Stapled Anopexy - Procedure for prolapse and haemmorrhoids
5
Q
What are the treatments for an anal fissure?
A
Relax Internal Anal Sphincter
Medical
- topical nitric oxide
- 0.2% glyceryl trinitrate paste
- 2% diltiazem calcium blocker
Surgical
- internal lateral sphincterotomy
6
Q
Treatments for peri-anal abscess?
A
Incision and drainage
7
Q
Treatments for fistula-in-ano
A
Superficial
- lay open by fistulotomy
Trans-sphincteric
- seton suture
- Cook SIS fistula plug
- aim to close primary opening
8
Q
How can continence be helped?
A
Sacral nerve root stimulator implant
- anorectal manometry and endoanal US
- S2-4 nerve roots
- trial then permanent
