COMMON ANORECTAL DISEASES
The diagnosis and treatment of common anorectal diseases in the context of anatomical and physiological basis as it correlates to the clinical setting. The medical and surgical treatment of anorectal disorders will be discussed from the historical background to modern management algorithms. Topics will include fissures, perirectal abscess, fistula-in-ano, external and internal hemorrhoidal diseases, pruritus ani, fecal incontinence, rectal prolapse, obstructive defecation, sexually transmitted infections, and various anorectal manifestations of irritable bowel disease. Symptomatic presentation and natural progression of each of these disease processes will be discussed. Provide a sound scientific foundation with which to approach evidence-based diagnosis, triage, and treatment of patients with acute versus chronic anorectal disorders.
Prerequisites & course information
Requisites: MED SC-M 810 , 811 , 812 , and 813 Course Designation: Grad 50% - Counts toward 50% graduate coursework requirement Repeatable for Credit: No Last Taught: Spring 2024 Learning Outcomes: 1. Describe the normal anatomy of the male and female pelvic floor, structural relationships of the pelvic organs, with special focus on the rectum, anal canal, and perianal spaces Audience: Graduate 2. Describe the physiology and function of the anal sphincter complex and various defecatory reflexes Audience: Graduate 3. Discuss the biology of stool formation, propulsion, and expulsion Audience: Graduate 4. Describe the dietary roles of soluble and insoluble fiber in digestion, and its role in treatment strategies of benign anorectal disorders Audience: Graduate 5. Describe the anatomical basis of symptomatic internal and external hemorrhoidal disorders in relation to their presentation and natural progression Audience: Graduate 6. Discuss the surgical options in the treatment of different grades of internal hemorrhoids and the complications associated with each Audience: Graduate 7. Discuss the etiology of perirectal abscesses and their progression/relationship to fistula-in-ano Audience: Graduate 8. Describe the various types of fistula-in-ano, diagnostic techniques and imaging modalities, and treatment strategies Audience: Graduate 9. Explain the rationale for medical versus surgical treatment options for anal fissures Audience: Graduate 10. Identify the various lifestyle and dietary etiologies for pruritis ani, and explain the rational for treatment algorithm Audience: Graduate 11. Differentiate between presentations of thrombosed external hemorrhoid, strangulated or prolapsed internal hemorrhoid, and rectal prolapse Audience: Graduate 12. Identify the unique challenges in the management of benign anorectal disorders in patients with irritable bowel disorder Audience: Graduate 13. Describe the anorectal presentations of sexually transmitted infections and treatment options Audience: Graduate Learning Outcomes: 1. Describe the normal anatomy of the male and female pelvic floor, structural relationships of the pelvic organs, with special focus on the rectum, anal canal, and perianal spaces Audience: Graduate 2. Describe the physiology and function of the anal sphincter complex and various defecatory reflexes Audience: Graduate 3. Discuss the biology of stool formation, propulsion, and expulsion Audience: Graduate 4. Describe the dietary roles of soluble and insoluble fiber in digestion, and its role in treatment strategies of benign anorectal disorders Audience: Graduate 5. Describe the anatomical basis of symptomatic internal and external hemorrhoidal disorders in relation to their presentation and natural progression Audience: Graduate 6. Discuss the surgical options in the treatment of different grades of internal hemorrhoids and the complications associated with each Audience: Graduate 7. Discuss the etiology of perirectal abscesses and their progression/relationship to fistula-in-ano Audience: Graduate 8. Describe the various types of fistula-in-ano, diagnostic techniques and imaging modalities, and treatment strategies Audience: Graduate 9. Explain the rationale for medical versus surgical treatment options for anal fissures Audience: Graduate 10. Identify the various lifestyle and dietary etiologies for pruritis ani, and explain the rational for treatment algorithm Audience: Graduate 11. Differentiate between presentations of thrombosed external hemorrhoid, strangulated or prolapsed internal hemorrhoid, and rectal prolapse Audience: Graduate 12. Identify the unique challenges in the management of benign anorectal disorders in patients with irritable bowel disorder Audience: Graduate 13. Describe the anorectal presentations of sexually transmitted infections and treatment options Audience: Graduate
Sources
- Course catalogue ↗2026-2027