© Springer International Publishing Switzerland 2017Carlo Ratto, Angelo Parello, Lorenza Donisi and Francesco Litta (eds.)Colon, Rectum and Anus: Anatomic, Physiologic and Diagnostic Bases for Disease ManagementColoproctology110.1007/978-3-319-09807-4_23 19. Anorectal Manometry Filippo Pucciani1   (1) Department of Surgery and Translational Medicine,…

  Bleeding Anal/perianal pain Itching Perianal mass Prolaps Constipation Diarrhea Soiling Fecal incontinence Rectal tenesmus Fever Abdominal pain Abdominal mass External hemorrhoids − ++ (if complicated) + ++ (if complicated)…

A B C D Continent to solid and liquid stool and flatus Continent to solid and liquid stool but not to flatus Continent to solid but not to liquid stool…

Let the patient tell her story Open questions Keep it simple Keep an open mind Reconsider tentative diagnosis 2 Structured History Taking History taking in coloproctology requires a systematic approach….

Study Follow-up (mos.) Response rate (%) Perfect continence preop (%) Perfect continence postop (%) Walker 1985 51 30 NA 85 Nyam 1999 72 83.4 100 89 Casillas 2005 51 62…

Fig. 8.1 Factors affecting continence and defecation Pelvic floor is usually described as a complex multifactorial unit (Fritsch and Hötzinger 1995; Kapoor et al. 2008; Altomare et al. 2014); in…

© Springer International Publishing Switzerland 2017Carlo Ratto, Angelo Parello, Lorenza Donisi and Francesco Litta (eds.)Colon, Rectum and Anus: Anatomic, Physiologic and Diagnostic Bases for Disease ManagementColoproctology110.1007/978-3-319-09807-4_6 4. Topographic Anatomy in Proctologic Surgery Ezio Falletto1   (1) Division of General…

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