• Anus

• Huang,Shuo
• Specialist Surgeon
• Section of General Surgery
• Department of Surgery
• Jiamusi university hospital

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
 Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• Physiology exam
• Manometry
• Defecography
• Evacuability testing
• Electromyography

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• Diagnostic evaluation of anus
• History: Bleeding, pain, discharge,
change in bowel habits, sexual contact
• Physical exam: well-lubricated index
finger, left lateral position, good light
• Skin tags, excoriations, scars, change of
color, appearance of perianal skin
•
Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• Pelvic floor disorders

• Incontinence
• Prolapse of the rectum
• Rectocele

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
 incontinence

• Clinical
• Voluntary control of defecation
• Cause
• Previous surgery
• Radiation damage,
• primary anal disease,
• aging, neurogenic process

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• Test
• Anal manometry
• Endoanal ultrasound
• Electromyography
• Pudendal nerve terminal motor latency

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• Treatment
• Diet, sphincter excise

• Surgery
• Sphincter repair
• Artificial sphincter implant
• Colostomy

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
 Prolapse of the rectum

• Cause unknown
• Symptom
• Vague, discomfort, sensation of
incomplete evacuation during defecation
• Constipation, excessive straining
• Mass
• Need surgery

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
 Rectocele

• Clinical findings
• Vaginal bulge, inability to completely
evacuate during defecation

• Treatment
• Proper diet, good bowel habits
• Surgery

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
Common benign anal disorder

• Hemorrhoid

• Anal fissure

• Anorectal suppuration

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
 Hemorrhoid

• Internal Hemorrhoid
• Painless, bright red bleeding, prolapse
with defecation

• External hemorrhoid
• Swell, discomfort, difficult hygiene,
severe pain

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• History+ digital rectal exam+ anoscopy
• Treatment
• Better local hygiene, diet, avoidance of
excessive straining
• OTC drug
• Hemorrhoidectomy

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
 Anal fissure

• Anal fissure
• Linear ulcer of the lower half of the anal
canal, located in the posterior
commissure in the midline.
• Pain, bleeding with defecation,
constipation
• Endoscopic exam

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• Diet
• Warm sitz bath
• Good bowel habits

• Sphincterotomy

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com
• Anorectal suppuration
• Abscess
• Fistula in ano

• Drainage, carful follow-up, nursing

wound, sitz baths, wound dressing
•

Telephone Email:
+86-136 045 402 35 shuo.huang@hotmail.com