Treatment of Anorectal Conditions

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Questions and Answers

What is a necessary step in treating complicated fistulae?

Ignoring the cause of fistulae

Using C Setons (correct)

Excluding diabetes

Ignoring pruritis ani

What is a necessary step before treating pruritis ani?

Ignoring the underlying cause of pruritis ani

Treating the cause of pruritis ani

Excluding diabetes (correct)

Using C Setons

What is the primary factor that influences the resting tone?

External sphincter activity

Neurological pathways

Muscle tone

Internal sphincter activity (correct)

What is the goal of treating pruritis ani?

To treat the cause of pruritis ani Signup and view all the answers

What is necessary to maintain anal continence?

Intact neurological pathways Signup and view all the answers

What is the purpose of C Setons?

To treat high and complicated fistulae Signup and view all the answers

What should be excluded before treating pruritis ani?

Diabetes Signup and view all the answers

What is reflected in the resting tone?

Internal sphincter activity Signup and view all the answers

What must be intact to maintain anal continence?

Neurological pathways Signup and view all the answers

What is the outer muscle coat of the rectum?

Circular muscle coat Signup and view all the answers

Which of the following is NOT a factor in maintaining anal continence?

Muscle elasticity Signup and view all the answers

What is the internal anal sphincter?

A continuation of the circular muscle coat of the rectum Signup and view all the answers

What is a rare condition related to the urethra?

Fistula with the urethra Signup and view all the answers

What is the circular muscle coat of the rectum responsible for?

Involuntary contraction of the rectum Signup and view all the answers

What is the relationship between the internal anal sphincter and the circular muscle coat of the rectum?

The internal anal sphincter is a continuation of the circular muscle coat Signup and view all the answers

What might an anorectal abscess be a manifestation of?

A generalised disease Signup and view all the answers

What is an anal fissure related to?

Anorectal abscesses Signup and view all the answers

What is a possible underlying cause of an anorectal abscess?

Generalised disease Signup and view all the answers

What type of disease might be associated with an anorectal abscess?

Generalised disease Signup and view all the answers

What is a possible complication of an anorectal abscess?

Severe infection Signup and view all the answers

What is the treatment of choice for fistula-in-ano?

Conservative D Operation Signup and view all the answers

What is the primary focus of treating a fistula-in-ano?

Identifying the underlying cause Signup and view all the answers

Why is anal dilatation not recommended as a primary treatment for fistula-in-ano?

It is not effective in treating underlying causes Signup and view all the answers

What is the significance of identifying the underlying cause of a fistula-in-ano?

It influences the choice of treatment Signup and view all the answers

What can be a consequence of not addressing the underlying cause of a fistula-in-ano?

Worsening of symptoms Signup and view all the answers

Study Notes

Anorectal Disorders

High and complicated fistulae are treated with C Setons.
Diabetes must be excluded before treating pruritis ani.
Pruritis ani is treated by addressing its underlying cause.

Anatomy of the Anorectal Region

The internal anal sphincter is a continuation of the circular muscle coat of the rectum.
The outer muscle coat of the rectum is separate from the internal anal sphincter.

Anal Continence

Intact neurological pathways are necessary to maintain anal continence.
The resting tone of the anal sphincter is a reflection of internal sphincter activity.

Anorectal Abscesses and Fistulae

Anorectal abscesses can be a manifestation of a generalised disease.
Anal fissure may be an underlying cause of anorectal abscesses.
Fistula-in-ano may be treated with lateral anal sphincterotomy.
Operation is the preferred treatment for fistula-in-ano.
Anal dilatation may be tried as a treatment option.

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Description

This quiz covers the treatment of anorectal conditions, including the use of C Setons and the importance of excluding diabetes. It also touches on the treatment of pruritis ani.