Benign disease of the Perianum Flashcards
1
Q
What’s the treatment for asymptomatic haemorrhoids?
A
None - surgery of the perianal area should be avoided, as it can lead to incontinence.
2
Q
What is the HALO procedure?
A
- locate the vessels supplying the haemorrhoids
- ligate these
- haemorrhoids necrose and fall off
3
Q
What are anal fissures?
A
tear in the anal margin due to passage of a constipated stool
4
Q
CPx of anal fissure?
A
- acute onset of anal pain, after constipation
- pain lasts for 1/2 hour after defecation
- bright rectal bleeding
5
Q
Anal fissure treatment?
A
-stool softeners
pharmacological sphincterectomy (GTN and Diltiazem cream)
-lateral sphyncterotomy
-botox injections
6
Q
What is a fistula?
A
Abnormal communication between two epithelial surfaces.
7
Q
What is a rectal prolapse?
A
Rectum protruding from the anal canal
8
Q
Best treatment for a rectal prolapse?
A
Attaching the rectum to a bone in the perineum using a cartilage mesh.
