Abstract
Anal problems are common in women and often present special therapeutic challenges, especially during pregnancy and following delivery. Thrombosed external hemorrhoids and anal fissure are frequently seen during and after pregnancy. Prolapsed, strangulated internal hemorrhoids, an uncommon problem in the general population, is a well-recognized complication of vaginal delivery. Anal skin tags are common in multiparous women. These problems will be discussed in this chapter.
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References
Gordon PH, Nivatvongs A. Principles and Practice of Surgery for the Colon Rectum and Anus. St Louis, MO: Quality Medical Publishing, 1992.
Corman ML. Colon and Rectal Surgery, 3rd edn. Philadelphia, PA: JB Lippincott, 1993.
Gorfine SR. Treatment of benign anal disease with topical nitroglycerine. Dis Colon Rectum 1995;38:453–7.
Schoeten WR, Briel JW, Boerma MO et al. Pathophysiological aspects and clinical outcome of intraanal application of isosorbide dinitrate in patients with chronic anal fissure. Gut 1996;39:465–9.
Hananel N, Gordon PH. Re-examination of clinical manifestations and response to therapy of fissure in ano. Dis Colon Rectum 1997;40:229–33.
Corby H, Donnelly VS, O’Herlihy C, O’Connell PR. Anal canal pressures are low in women with postpartum anal fissure. Br J Surg 1997;84:86–8.
Lock MR, Thomson JPS. Fissure in ano: the initial management and prognosis. Br J Surg 1977;64:355–8
Jensen SL. Diet and other risk factors for fissure in ano. Prospective case control study. Dis Colon Rectum 1988;31:770–3.
Jensen SL. Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence. J R Soc Med 1987;80:296–8.
Keck JO, Staninnas RJ, Coller JA et al. Computer generated profiles of the anal canal in patients with anal fissure. Dis Colon Rectum 1995;38:72–9.
Schoeten RI, Briel JW, Auwerda JJA, Boerma MO. Anal fissure: new concepts in pathogenesis and treatment. Scand J Gastroenterol 1996;31Suppl 218:78–81.
Lund JN, Scholefield JH. Aetiology and treatment of anal fissure. Br J Surg 1996;83:1335–44.
Schoeten WR, Briel JW, Auwerda JJA et al. Ischaemic nature of anal fissure. Br J Surg 1996;83:63–5.
Klosterhalfen B, Vogel P, Rixen H et al. Topography of the inferior rectal artery: a possible cause of chronic, primary anal fissure. Dis Colon Rectum 1989;32:43–52.
Schoeten WR, Briel JW, Auwerda JJA. Relationship between anal pressure and anodermal blood flow. Dis Colon Rectum 1994;37:664–9.
Dodi G, Bogoni F, Infantino A et al. Hot or cold in anal pain? A study of the changes in internal anal sphincter pressure profiles. Dis Colon Rectum 1986;29:248–51.
Hananel N, Gordon PH. Lateral internal sphincterotomy for fissure in ano — revisited. Dis Colon Rectum 1997;40:597–602.
Garcia-Aguilar J, Belmonte C, Wong WD et al. Open vs closed sphincterotomy for chronic anal fissure. Dis Colon Rectum 1996;39:440–3.
Sultan AH, Mann MH, Nicholls, RJ et al. Prospective study of the extent of internal anal sphincterotomy division during lateral sphincterotomy. Dis Colon Rectum 1994;37:1031–3.
Littlejohn DRG, Newstead GL. Tailored lateral internal sphincterotomy for anal fissure. Dis Colon Rectum 1997;40:1439–42.
Leong AFPK, Seow-Choen F. Lateral sphincterotomy compared to anal advancement flap for chronic anal fissure. Dis Colon Rectum 1995;38:69–71.
Bacher H, Mischinger HJ, Werkgartner G et al. Local nitroglycerine for treatment of anal fissures: an alternative to lateral sphincterotomy? Dis Colon Rectum 1997;40:845–9.
Lund JN, Scholefield JH. A randomized, prospective, double blind, placebo controlled trial of glyceryl trinitrate ointment in treatment of anal fissure. Lancet 1997;349:11–14.
Medich DS, Fazio VW. Haemorrhoids, anal fissure, and carcinoma of the colon, rectum and anus during pregnancy. Surg Clin North Am 1995;75(1):77–88.
MacRae, HM, McLeod RS. Comparison of haemorrhoidal treatments: A meta-analysis. Can J Surg 1997;40:14–17.
Simmons SC. Anorectal disorders in pregnancy. J Obstet Gynaecol 1964;71:960–2.
Salvati EP. Management of acute haemorrhoidal disease. In: Schrock T, editor. Perspectives in Colon and Rectal Surgery. St Louis, MO: Quality Medical Publishing, 1990;(2):309–14.
Saleeby RG Jr, Rosen L, Stasik J et al. Hemorrhoidectomy during pregnancy: risk or relief? Dis Colon Rectum 1991;34:260–1.
Ruiz-Moreno F. Surgery in the puerperium for painful anorectal disorders. Proc Soc Med 1970;63:102–3.
Schottler JL, Balcos EG, Goldberg SM. Postpartum hemorrhoidectomy. Dis Colon Rectum 1973;16:395–6.
Berman IR. Mechanisms, diagnosis and management of anal irritation and itching. In: Schrock T, edition: Perspectives in colon and Rectal Surgery. St Louis, MO: Quality Medical Publishing, 1990;3(1):82–97.
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Burnstein, M.J. (2003). Common Anal Problems in Women. In: Drutz, H.P., Herschorn, S., Diamant, N.E. (eds) Female Pelvic Medicine and Reconstructive Pelvic Surgery. Springer, London. https://doi.org/10.1007/1-84628-238-1_21
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DOI: https://doi.org/10.1007/1-84628-238-1_21
Publisher Name: Springer, London
Print ISBN: 978-1-84628-237-9
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