James classification into five distinct grades with increasing grades correlating to worse surgical outcome (13): in grade 1 intersphincteric fistulas, tract extends from skin to anal
canal traversing through intersphincteric plane, without any associated abscess or secondary extensions (Fig.
Thus, we sought to establish a strong multidisciplinary group for anal
cancer prevention and management of anal
dysplasia in the Chicago metro area by reviewing results of anal
cytology, anoscopy, anal
biopsy, and early results of HR-HPV reflex testing for atypical squamous cells of undetermined significance (ASCUS).
Prospective study of the influence of parity and operative technique on the outcome of primary anal
sphincter repair following obstetrical injury Eur J Obstet Gynecol Reprod Biol.
Men who used drugs for sex (called chemsex or slamsex) were more likely to have 3 health-threatening kinds of sex (Figure 1): (1) condom-free anal
sex, (2) condom-free anal
sex with an HIV-negative partner or partner of unknown HIV status, and (3) condom-free anal
sex with a detectable viral load-meaning they had a chance of passing HIV to a sex partner.
In the present study, we found that the use of local metronidazole in combination with local anesthesia drugs prescribed as a first-line therapy for acute anal
fissure resulted in a marked reduction of pain symptoms especially after week 2 of treatment.
Patients with anal
margin carcinoma with a lesion smaller than 2 cm had a wide local excision if it was deemed resectable with preservation of the sphincter.
Longitudinal or elliptical breaks or cracks in the distal anal
canal, extending below the dentate line to the anal
verge are known as anal
In particular, the increase in anal
and oral sex practices should be considered by health officials educating young people.
William Miller DVM, Medical Director of the Companion Animal Hospital at Cornell says not all scooting dogs have anal
sac problems." I think something that is over looked is the dog who scoots for other than primary anal-sac disease.
Aschele et al., "Anal
cancer: ESMO-ESSO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up," Annals of Oncology, vol.
Our patient had vague symptoms of anal
discomfort and mild rectal bleeding.
KEY WORDS: Anal
fissure; Nitroglycerin; Nitric oxide.