Most patients with hemorrhoidal disease may be treated conservatively. Along the years
several surgical options have been proposed, including closed, open and semiclosed …

Transperineal ultrasound is an inexpensive, safe and painless technique that dynamically
and non-invasively evaluates the anorectal area. It has multiple indications, mainly in …

Background Anal abscesses are relatively frequent and most common in young men.
Methods A systematic review of the literature has been undertaken. Results The origin of the …

BACKGROUND: Transanal advancement flap repair for the treatment of high
transsphincteric fistulas fails in 1 of every 3 patients. Until now no definite risk factors for …

Chronic pelvic pain is a hidden issue which needs to involve many different usually
uncoordinated specialists. For this reason there is a risk that treatments, in the absence of …

OBJECTIVE. The purpose of this study was to assess the diagnostic value of anorectal MRI
in the care of patients with chronic anal and perianal pain but without findings of …

Introduction Chronic idiopathic anal pain (CIAP) remains a diagnosis of exclusion. Its study
and management still lack a standardized protocol. The aim of this study is to evaluate the …

Aim Anal pain may occur in the absence of demonstrable anal pathology. Spasm of the
sphincter muscles has been suggested as a cause in some patients. We aimed to assess …

This chapter addresses the pathophysiology, diagnostic evaluation, and management of
chronic anorectal pain syndromes: chronic proctalgia, proctalgia fugax, coccygodynia, and …

Introducción En la actualidad, el dolor anal crónico idiopático (DACI) sigue siendo un
diagnóstico de exclusión, cuyo estudio y manejo permanece carente de un protocolo …