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Radiotherapy treatment for pelvic tumors i. For any of these flaps, the preoperative preparation is the same as for the Y-V flap. Various types of flaps have been described for anal stenosis which allow delivery of the more pliable anoderm into the anal canal to replace the scarred lining at that level. Any application of the recommendations in this website is at the reader's discretion. These include flap necrosis from loss of vascular supply, infection or local sepsis, suture dehiscence from excessive suture line tension, failure to correct the stenosis, donor site problems, sloughing of the flap, ischemic contracture of the edge of the flap, pruritus, urinary tract infection subsequent to Clostridium difficile enterocolitis only in a few cases, fecal incontinence, constipation without stenosis, urinary retention, restenosis and ectropion if the flap is advanced too far and sutured at the anal verge[ 4 — 7 , 10 , 15 , 19 , 20 , 22 , 23 , 25 , 26 , 31 , 32 , 34 , 36 — 39 , 41 , 42 , 44 ]. Gradual and irreversible fibrosis occurs in the sub-cutaneous space of the anal canal with a pathologic funnel-shaped configuration in which the diameter of the anal canal is greater than the diameter of the anal verge. Acute short-term anal fissures are usually superficial and shallow, but chronic long-term anal fissures may extend deeper through the anoderm to expose the surface of underlying muscle.
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To view content sources and attributions, please refer to our editorial policy. To prevent diseases of the anus [ citation needed ] and to promote general hygiene, humans often clean the exterior of the anus after emptying the bowels. Manual of Vertebrate Dissection.
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