is expanding its RectiCare (Lidocaine 5%) Anorectal
Cream brand with the introduction of RectiCare Medicated Anorectal
The bleeding lesions diagnosed in those patients were anorectal
lesions (2 patients), malignant colon tumor (one patient), inflammatory bowel disease and colonic polyposis in one patient, each (Table 3).
Although general anesthesia, spinal anesthesia, and nerve blocks [1, 4-9] have been examined in anorectal
surgeries, combined local and spinal anesthesia for greater patient comfort after anorectal
surgery and pain control has been studied less.
If the blood is found to be fresh and not mixed with stool by digital rectal examination (DRE), anorectal
bleeding is highly suspected.
The improvement of TN on symptoms and anorectal
motility may be mediated via the increase of vagal activity and concurrent decrease in sympathetic activity as measured by HRV.
In addition, 3 patients required anorectal
myectomy, manual evacuation, and intrasphincteric injection of Botulinum toxin.
manometry and a rectal balloon expulsion are indicated in those who fail to respond to laxatives but defecography only when anorectal
manometry and a rectal balloon expulsion are inconclusive for defecatory disorders.
Formalin-fixed, paraffin-embedded tissues included 56 anorectal
biopsy or surgical resection specimens with the following tissue diagnoses: 29 low-grade squamous intraepithelial lesion (encompasses condyloma, mild dysplasia, and anal intraepithelial lesion 1), 15 high-grade squamous intraepithelial lesion (encompasses moderate dysplasia, anal intraepithelial lesion 2, severe dysplasia, anal intraepithelial lesion 3, and carcinoma in situ), and 12 invasive squamous cell carcinoma.
Various causes for poor outcome are misplaced bowel, hypoplastic sphincters, obtuse anorectal
angle, mesenteric fat herniation, and spinal cord anomalies.
External hemorrhoids are localized distal to the dentate line and covered by anoderm, whereas internal hemorrhoids are localized proximal to the dentate line and covered by rectal or anorectal
Experimentally, Zika virus is able to infect mice and adult macaques (6) through the anorectal
mucosa, leading to detectable viremia with subsequent testicular damage and congenital defects in the offspring of pregnant mice (5).