The terminal segment of the LARGE INTESTINE, beginning from the ampulla of the RECTUM and ending at the anus.
Tumors or cancer of the ANAL CANAL.
'Anus diseases' refer to various medical conditions affecting the anus, including structural abnormalities, inflammatory disorders, infections, and neoplasms, which can cause symptoms such as pain, bleeding, itching, or changes in bowel habits.
Three long canals (anterior, posterior, and lateral) of the bony labyrinth. They are set at right angles to each other and are situated posterosuperior to the vestibule of the bony labyrinth (VESTIBULAR LABYRINTH). The semicircular canals have five openings into the vestibule with one shared by the anterior and the posterior canals. Within the canals are the SEMICIRCULAR DUCTS.
Measurement of the pressure or tension of liquids or gases with a manometer.
Failure of voluntary control of the anal sphincters, with involuntary passage of feces and flatus.
The narrow passage way that conducts the sound collected by the EAR AURICLE to the TYMPANIC MEMBRANE.
The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.
The cavity within the SPINAL COLUMN through which the SPINAL CORD passes.
Endoscopic examination, therapy or surgery of the rectum.
An adenoma of the large intestine. It is usually a solitary, sessile, often large, tumor of colonic mucosa composed of mucinous epithelium covering delicate vascular projections. Hypersecretion and malignant changes occur frequently. (Stedman, 25th ed)
Preparatory activities in ROOT CANAL THERAPY by partial or complete extirpation of diseased pulp, cleaning and sterilization of the empty canal, enlarging and shaping the canal to receive the sealing material. The cavity may be prepared by mechanical, sonic, chemical, or other means. (From Dorland, 28th ed, p1700)
Swollen veins in the lower part of the RECTUM or ANUS. Hemorrhoids can be inside the anus (internal), under the skin around the anus (external), or protruding from inside to outside of the anus. People with hemorrhoids may or may not exhibit symptoms which include bleeding, itching, and pain.
A painful linear ulcer at the margin of the anus. It appears as a crack or slit in the mucous membrane of the anus and is very painful and difficult to heal. (Dorland, 27th ed & Stedman, 25th ed)
An antineoplastic antibiotic produced by Streptomyces caespitosus. It is one of the bi- or tri-functional ALKYLATING AGENTS causing cross-linking of DNA and inhibition of DNA synthesis.
Nerve cells where transmission is mediated by NITRIC OXIDE.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Chemicals used mainly to disinfect root canals after pulpectomy and before obturation. The major ones are camphorated monochlorophenol, EDTA, formocresol, hydrogen peroxide, metacresylacetate, and sodium hypochlorite. Root canal irrigants include also rinsing solutions of distilled water, sodium chloride, etc.
The space in a tooth bounded by the dentin and containing the dental pulp. The portion of the cavity within the crown of the tooth is the pulp chamber; the portion within the root is the pulp canal or root canal.
Materials placed inside a root canal for the purpose of obturating or sealing it. The materials may be gutta-percha, silver cones, paste mixtures, or other substances. (Dorland, 28th ed, p631 & Boucher's Clinical Dental Terminology, 4th ed, p187)
Cells with the capacity to take up and decarboxylate the amine precursors DIHYDROXYPHENYLALANINE or 5-HYDROXYTRYPTOPHAN. This is a property of endocrine cells of neural and non-neural origin. APUDOMA is a general term collectively applied to tumors associated with APUD cells.
The surgical construction of an opening between the colon and the surface of the body.
All the organs involved in reproduction and the formation and release of URINE. It includes the kidneys, ureters, BLADDER; URETHRA, and the organs of reproduction - ovaries, UTERUS; FALLOPIAN TUBES; VAGINA; and CLITORIS in women and the testes; SEMINAL VESICLES; PROSTATE; seminal ducts; and PENIS in men.
Soft tissue formed mainly by the pelvic diaphragm, which is composed of the two levator ani and two coccygeus muscles. The pelvic diaphragm lies just below the pelvic aperture (outlet) and separates the pelvic cavity from the PERINEUM. It extends between the PUBIC BONE anteriorly and the COCCYX posteriorly.
The normal process of elimination of fecal material from the RECTUM.
Protrusion of the rectal mucous membrane through the anus. There are various degrees: incomplete with no displacement of the anal sphincter muscle; complete with displacement of the anal sphincter muscle; complete with no displacement of the anal sphincter muscle but with herniation of the bowel; and internal complete with rectosigmoid or upper rectum intussusception into the lower rectum.
A carcinoma derived from stratified SQUAMOUS EPITHELIAL CELLS. It may also occur in sites where glandular or columnar epithelium is normally present. (From Stedman, 25th ed)
Infrequent or difficult evacuation of FECES. These symptoms are associated with a variety of causes, including low DIETARY FIBER intake, emotional or nervous disturbances, systemic and structural disorders, drug-induced aggravation, and infections.
The process of generating three-dimensional images by electronic, photographic, or other methods. For example, three-dimensional images can be generated by assembling multiple tomographic images with the aid of a computer, while photographic 3-D images (HOLOGRAPHY) can be made by exposing film to the interference pattern created when two laser light sources shine on an object.
The tip or terminal end of the root of a tooth. (Jablonski, Dictionary of Dentistry, 1992, p62)
Agents that inhibit the actions of the parasympathetic nervous system. The major group of drugs used therapeutically for this purpose is the MUSCARINIC ANTAGONISTS.
The genital canal in the female, extending from the UTERUS to the VULVA. (Stedman, 25th ed)
The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used.
A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid.
A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments.
An involuntary movement or exercise of function in a part, excited in response to a stimulus applied to the periphery and transmitted to the brain or spinal cord.
The total amount of radiation absorbed by tissues as a result of radiotherapy.
Coagulated exudate isolated from several species of the tropical tree Palaquium (Sapotaceae). It is the trans-isomer of natural rubber and is used as a filling and impression material in dentistry and orthopedics and as an insulator in electronics. It has also been used as a rubber substitute.
Tumors or cancer of the RECTUM.
A family of small, non-enveloped DNA viruses infecting birds and most mammals, especially humans. They are grouped into multiple genera, but the viruses are highly host-species specific and tissue-restricted. They are commonly divided into hundreds of papillomavirus "types", each with specific gene function and gene control regions, despite sequence homology. Human papillomaviruses are found in the genera ALPHAPAPILLOMAVIRUS; BETAPAPILLOMAVIRUS; GAMMAPAPILLOMAVIRUS; and MUPAPILLOMAVIRUS.
Hand-held tools or implements especially used by dental professionals for the performance of clinical tasks.
An inorganic and water-soluble platinum complex. After undergoing hydrolysis, it reacts with DNA to produce both intra and interstrand crosslinks. These crosslinks appear to impair replication and transcription of DNA. The cytotoxicity of cisplatin correlates with cellular arrest in the G2 phase of the cell cycle.
It is used as an oxidizing and bleaching agent and as a disinfectant. (From Grant & Hackh's Chemical Dictionary, 5th ed)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690)
Inflammation of the PERIAPICAL TISSUE. It includes general, unspecified, or acute nonsuppurative inflammation. Chronic nonsuppurative inflammation is PERIAPICAL GRANULOMA. Suppurative inflammation is PERIAPICAL ABSCESS.
A white powder prepared from lime that has many medical and industrial uses. It is in many dental formulations, especially for root canal filling.
The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz.
Neoplasms of the skin and mucous membranes caused by papillomaviruses. They are usually benign but some have a high risk for malignant progression.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.

Effects of short term sacral nerve stimulation on anal and rectal function in patients with anal incontinence. (1/1075)

BACKGROUND: Some patients with faecal incontinence are not amenable to simple surgical sphincter repair, due to sphincter weakness in the absence of a structural defect. AIMS: To evaluate the efficacy and possible mode of action of short term stimulation of sacral nerves in patients with faecal incontinence and a structurally intact external anal sphincter. PATIENTS: Twelve patients with faecal incontinence for solid or liquid stool at least once per week. METHODS: A stimulating electrode was placed (percutaneously in 10 patients, operatively in two) into the S3 or S4 foramen. The electrode was left in situ for a minimum of one week with chronic stimulation. RESULTS: Evaluable results were obtained in nine patients, with early electrode displacement in the other three. Incontinence ceased in seven of nine patients and improved notably in one; one patient with previous imperforate anus and sacral agenesis had no symptomatic response. Stimulation seemed to enhance maximum squeeze pressure but did not alter resting pressure. The rectum became less sensitive to distension with no change in rectal compliance. Ambulatory studies showed a possible reduction in rectal contractile activity and diminished episodes of spontaneous anal relaxation. CONCLUSIONS: Short term sacral nerve stimulation notably decreases episodes of faecal incontinence. The effect may be mediated via facilitation of striated sphincter muscle function, and via neuromodulation of sacral reflexes which regulate rectal sensitivity and contractility, and anal motility.  (+info)

Risk factors for abnormal anal cytology in young heterosexual women. (2/1075)

Although anal cancers are up to four times more common in women than men, little is known about the natural history of anal human papillomavirus (HPV) infections and HPV-related anal lesions in women. This study reports on the prevalence of and risks for anal cytological abnormalities over a 1-year period in a cohort of young women participating in a study of the natural history of cervical HPV infection. In addition to their regularly scheduled sexual behavior interviews and cervical testing, consenting women received anal HPV DNA and cytological testing. Anal cytology smears were obtained from 410 women whose mean age was 22.5 +/- 2.5 years at the onset of the study. Sixteen women (3.9%) were found to have abnormal anal cytology: 4 women had low-grade squamous intraepithelial lesions (SILs) or condyloma; and 12 women had atypical cells of undetermined significance. Factors found to be significantly associated with abnormal anal cytology were a history of anal sex [odds ratio (OR), 6.90; 95% confidence interval (CI), 1.7-47.2], a history of cervical SILs (OR, 4.13; 95% CI, 1.3-14.9), and a current anal HPV infection (OR, 12.28; 95% CI, 3.9-43.5). The strong association between anal intercourse and the development of HPV-induced SILs supports the role of sexual transmission of HPV in anal SILs. Young women who had engaged in anal intercourse or had a history of cervical SILs were found to be at highest risk.  (+info)

Faecal composition after surgery for Hirschsprung's disease. (3/1075)

Diarrhoea and perianal excoriation occur frequently after the endorectal pull-through operation for Hirschsprung's disease. A new method of faecal analysis was performed on 3-day stool collections in 17 postoperative Hirschsprung patients and in 14 normal children, in order to define the faecal abnormality and to establish the cause of perianal excoriation in these patients. Loose stools in postoperative patients were deficient in dry solid content and contained an excess of extractable faecal water. This also had a raised electrolyte concentration, particularly with respect to sodium. Total daily output of faecal water was normal. Formed stools from postoperative patients were also deficient in drysolids but had a normal extractable water content. Excess extractable faecal water, the main abnormality of loose stools in these patients, is the result of abnormal water absorption from the distal colon. Perianal excoriation in these patients is most closely associated with the concentration of sodium in faecal water.  (+info)

Investigation and management of long-standing chronic constipation in childhood. (4/1075)

The anorectal physiology of 106 children with long-standing chronic constipation, who had failed to response to a trial of medical treatment, was assessed. 10 (9%) were shown to have ultrashort-segment Hischsprung's disease, later confirmed on histology, The remainder showed evidence of hypertrophy of the internal sphicter on anorectal manometry and had a vigorous anal dilatation (to accept 4 fingers) under general anesthesia. After this, 38% were able to be weaned off all medication and most of the remainder improved. Further anal dilatation and internal sphincterotomy allowed a further 10 children to stop laxative, bringing the total to 48%.  (+info)

Perception of and adaptation to rectal isobaric distension in patients with faecal incontinence. (5/1075)

BACKGROUND: Perception of, and adaptation of the rectum to, distension probably play an important role in the maintenance of continence, but perception studies in faecal incontinence provide controversial conclusions possibly related to methodological biases. In order to better understand perception disorders, the aim of this study was to analyse anorectal adaptation to rectal isobaric distension in subjects with incontinence. PATIENTS/METHODS: Between June 95 and December 97, 97 consecutive patients (nine men and 88 women, mean (SEM) age 55 (1) years) suffering from incontinence were evaluated and compared with 15 healthy volunteers (four men and 11 women, mean age 48 (3) years). The patients were classified into three groups according to their perception status to rectal isobaric distensions (impaired, 22; normal, 61; enhanced, 14). Anal and rectal adaptations to increasing rectal pressure were analysed using a model of rectal isobaric distension. RESULTS: The four groups did not differ with respect to age, parity, or sex ratio. Magnitude of incontinence, prevalence of pelvic disorders, and sphincter defects were similar in the incontinent groups. When compared with healthy controls, anal pressure and rectal adaptation to distension were decreased in incontinent patients. When compared with incontinent patients with normal perception, patients with enhanced perception experienced similar rectal adaptation but had reduced anal pressure. In contrast, patients with impaired perception showed considerably decreased rectal adaptation but had similar anal pressure. CONCLUSION: Abnormal sensations during rectal distension are observed in one third of subjects suffering from incontinence. These abnormalities may reflect hyperreactivity or neuropathological damage of the rectal wall.  (+info)

Anal ultrasound predicts the response to nonoperative treatment of fecal incontinence in men. (6/1075)

OBJECTIVE: To assess the etiology, treatment, and utility of anal ultrasound in men with fecal incontinence and to review the outcomes of conservative (nonoperative) treatment. SUMMARY BACKGROUND DATA: The etiology of fecal incontinence in women is almost exclusively from obstetric or iatrogenic surgical injuries resulting in damage to the anal sphincters and/or pudendal nerves. Corresponding data on men with fecal incontinence are sparse. METHODS: Between January 1995 and January 1998, 37 men with fecal incontinence were evaluated in the John Radcliffe Hospital anorectal ultrasound unit. Their clinical histories, anal ultrasound results, anorectal physiology studies, and responses to conservative therapy were reviewed. RESULTS: Median age was 57 years. Major incontinence was present in 27% of the patients. Anal ultrasound localized anal sphincter damage in nine patients, and the characteristics of these nine patients with sphincter damage were then compared with the remaining 28 without sphincter damage. Prior anal surgery was more common in patients with sphincter damage. Hemorrhoids were more common in patients without sphincter damage. Anorectal physiology studies revealed significantly lower mean maximum resting and squeeze pressures in patients with sphincter damage, confirming poor sphincter function. With 92% follow-up, patients without sphincter damage were more likely to improve with nonoperative therapy. CONCLUSIONS: Anal ultrasound is extremely useful in the evaluation of fecal incontinence in men. Unlike women, the majority of men do not have a sphincter defect by anal ultrasound, and conservative management is usually successful in these patients. In contrast, in men with anal sphincter damage, almost all of these defects resulted from previous anal surgery. Conservative management rarely is successful in these cases, and surgical repair of the anal sphincter may be indicated. Therefore, because the presence or absence of sphincter damage on anal ultrasound usually predicts the response to nonoperative treatment, anal ultrasound should be used to guide the initial management of men with fecal incontinence.  (+info)

A bile acid-induced apoptosis assay for colon cancer risk and associated quality control studies. (7/1075)

Bile acids are important in the etiology of colorectal cancer. Bile acids induce apoptosis in colonic goblet cells at concentrations comparable to those found in fecal water after high-fat meals. Preliminary evidence indicated that cells of the normal-appearing (nontumorous) portion of the colon epithelium of colon cancer patients are more resistant to bile salt-induced apoptosis than are cells from normal individuals. In the present study, 68 patients were examined, and biopsies were taken at 20 cm from the anal verge, cecum, and descending colon. The patients included 17 individuals with a history of colorectal cancer, 37 individuals with adenomas, and 14 individuals who were neoplasia free. The mean bile salt-induced apoptotic index among normal individuals was 57.6 +/- 3.47 (SE), which differed significantly (P < 0.05) from the mean value of 36.41 +/- 3.12 in individuals with a history of colon cancer. The correlation between independent observers was 0.89 (P < 0.001), indicating good interobserver reliability. Components of variance comparing interindividual versus intraindividual sources of variation suggested that site-to-site variability, both between regions of the colon and for adjacent biopsies, was larger than the interpatient variability for individuals with a history of neoplasia. Therefore, there was "patchiness" of the susceptibility of regions of the colon to bile acid-induced apoptosis in individuals with a history of neoplasia (a patchy field effect). There was no obvious correlation of low-apoptotic index regions with regions in which previous neoplasias had been found and removed. On the other hand, for normal, i.e., neoplasia-free, individuals, there was relatively less intraindividual variation compared to interindividual variation. Our assay shows an association between resistance to bile acid-induced apoptosis, measured at 20 cm from the anal verge, and colon cancer risk. Thus, this assay may prove useful as a biomarker of colon cancer risk.  (+info)

Topographical and electrophysiological characteristics of highly excitable S neurones in the myenteric plexus of the guinea-pig ileum. (8/1075)

1. Most intracellular electrical recordings from myenteric neurones have been made from the centre of large ganglia. In this study, we examined the electrophysiological properties of neurones at the corners of large ganglia close to internodal strands and in microganglia. 2. Of 150 neurones in these locations: 111 were tonic S neurones; 9 were phasic S neurones and 30 were AH neurones. 3. Tonic S neurones were characterized by: (i) low resting membrane potentials (-50 +/- 1 mV, mean +/- s.e.m.); (ii) high input impedance (522 +/- 23 MOmega); (iii) low threshold for action potential (AP) generation (0.012 +/- 0.004 nA); (iv) firing of APs throughout a depolarizing pulse (duration <= 1 s) and one to four APs following a hyperpolarizing pulse and (v) spontaneous fast excitatory postsynaptic potentials (FEPSPs). A substantial proportion of tonic S neurones (43 %) also fired APs spontaneously (7.6 +/- 0.6 Hz; range, 0.3-19 Hz). All APs were blocked by tetrodotoxin (1 microM). 4. Tonic S neurones were subclassified, according to their post-stimulus responses, as SAH or SAD neurones. Following a burst of APs, SAH neurones exhibited a prominent after-hyperpolarization (duration, 711 +/- 10 ms) and SAD neurones an after-depolarization (duration, 170 +/- 10 ms). The after-hyperpolarization was reduced in four of ten neurones by apamin (0.3 microM). 5. FEPSPs were evoked in 20 of 38 S neurones by electrical stimulation applied both oral and anal to the recording site. Repetitive stimuli evoked slow excitatory postsynaptic potentials (SEPSPs) in some tonic S neurones. 6. Three functional classes of S neurones were identified after injection of neurobiotin through the recording microelectrode: (i) longitudinal muscle motor neurones, (ii) short circular muscle motor neurones, and (iii) ascending interneurones. 7. In conclusion, there appears to be topographical organization of highly excitable, tonic S neurones within the myenteric plexus, since, in contrast to other S neurones, they can be readily impaled in myenteric ganglia close to internodal strands and in microganglia.  (+info)

The anal canal is the terminal portion of the digestive tract, located between the rectum and the anus. It is a short tube-like structure that is about 1 to 1.5 inches long in adults. The main function of the anal canal is to provide a seal for the elimination of feces from the body while also preventing the leakage of intestinal contents.

The inner lining of the anal canal is called the mucosa, which is kept moist by the production of mucus. The walls of the anal canal contain specialized muscles that help control the passage of stool during bowel movements. These muscles include the internal and external sphincters, which work together to maintain continence and allow for the voluntary release of feces.

The anal canal is an important part of the digestive system and plays a critical role in maintaining bowel function and overall health.

Anus neoplasms refer to abnormal growths or tumors in the anus, which is the opening at the end of the digestive tract where solid waste leaves the body. These growths can be benign (non-cancerous) or malignant (cancerous). Common types of anus neoplasms include squamous cell carcinoma, adenocarcinoma, and melanoma.

Squamous cell carcinoma is the most common type of anus cancer, accounting for about 80% of all cases. It begins in the squamous cells that line the anal canal and can spread to other parts of the body if left untreated.

Adenocarcinoma is a less common type of anus cancer that arises from glandular cells in the anus. This type of cancer is often associated with long-standing inflammatory conditions, such as anal fistulas or ulcerative colitis.

Melanoma is a rare form of skin cancer that can also occur in the anus. It develops from pigment-producing cells called melanocytes and tends to be aggressive with a high risk of spreading to other parts of the body.

Other less common types of anus neoplasms include basal cell carcinoma, sarcoma, and lymphoma. Treatment options for anus neoplasms depend on the type, stage, and location of the tumor, as well as the patient's overall health.

The anus is the opening at the end of the digestive tract where feces are eliminated from the body. There are several diseases and conditions that can affect the anus, including:

1. Anal fissure: A small tear in the lining of the anus, which can cause pain and bleeding during bowel movements.
2. Hemorrhoids: Swollen veins in the rectum or anus that can cause discomfort, itching, and bleeding.
3. Perianal abscess: A collection of pus in the tissue surrounding the anus, which can cause pain, swelling, and redness.
4. Anal fistula: An abnormal connection between the anal canal and the skin around the anus, often resulting from a perianal abscess that did not heal properly.
5. Anal cancer: A rare form of cancer that develops in the cells lining the anus, usually affecting people over the age of 50.
6. Inflammatory bowel disease (IBD): A group of chronic inflammatory conditions of the intestine, including Crohn's disease and ulcerative colitis, which can affect the anus and cause symptoms such as pain, bleeding, and diarrhea.
7. Sexually transmitted infections (STIs): Certain STIs, such as herpes simplex virus, chlamydia, gonorrhea, and syphilis, can affect the anus and cause symptoms such as pain, discharge, and sores.
8. Fecal incontinence: The involuntary loss of bowel control, which can be caused by nerve damage, muscle weakness, or other medical conditions affecting the anus.

The semicircular canals are part of the vestibular system in the inner ear that contributes to the sense of balance and spatial orientation. They are composed of three fluid-filled tubes, each located in a different plane (anterior, posterior, and horizontal) and arranged at approximately right angles to each other. The semicircular canals detect rotational movements of the head, enabling us to maintain our equilibrium during movement.

When the head moves, the fluid within the semicircular canals moves in response to that motion. At the end of each canal is a structure called the ampulla, which contains hair cells with hair-like projections (stereocilia) embedded in a gelatinous substance. As the fluid moves, it bends the stereocilia, stimulating the hair cells and sending signals to the brain via the vestibular nerve. The brain then interprets these signals to determine the direction and speed of head movement, allowing us to maintain our balance and orientation in space.

Manometry is a medical test that measures pressure inside various parts of the gastrointestinal tract. It is often used to help diagnose digestive disorders such as achalasia, gastroparesis, and irritable bowel syndrome. During the test, a thin, flexible tube called a manometer is inserted through the mouth or rectum and into the area being tested. The tube is connected to a machine that measures and records pressure readings. These readings can help doctors identify any abnormalities in muscle function or nerve reflexes within the digestive tract.

Fecal incontinence is the involuntary loss or leakage of stool (feces) from the rectum. It is also known as bowel incontinence. This condition can range from occasional leakage of stool when passing gas to a complete loss of bowel control. Fecal incontinence can be an embarrassing and distressing problem, but there are treatments available that can help improve symptoms and quality of life.

The causes of fecal incontinence can vary, but some common factors include:

* Damage to the muscles or nerves that control bowel function, such as from childbirth, surgery, spinal cord injury, or long-term constipation or diarrhea.
* Chronic digestive conditions, such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or celiac disease.
* Neurological conditions, such as multiple sclerosis, stroke, or spina bifida.
* Aging, which can lead to a decrease in muscle strength and control.

Treatment for fecal incontinence depends on the underlying cause of the condition. Treatments may include:

* Bowel training exercises to improve muscle strength and control.
* Changes in diet to help regulate bowel movements.
* Medications to treat constipation or diarrhea.
* Surgery to repair damaged muscles or nerves, or to create a new opening for stool to exit the body.

If you are experiencing symptoms of fecal incontinence, it is important to speak with your healthcare provider. They can help determine the cause of your symptoms and develop an appropriate treatment plan.

The ear canal, also known as the external auditory canal, is the tubular passage that extends from the outer ear (pinna) to the eardrum (tympanic membrane). It is lined with skin and tiny hairs, and is responsible for conducting sound waves from the outside environment to the middle and inner ear. The ear canal is typically about 2.5 cm long in adults and has a self-cleaning mechanism that helps to keep it free of debris and wax.

The rectum is the lower end of the digestive tract, located between the sigmoid colon and the anus. It serves as a storage area for feces before they are eliminated from the body. The rectum is about 12 cm long in adults and is surrounded by layers of muscle that help control defecation. The mucous membrane lining the rectum allows for the detection of stool, which triggers the reflex to have a bowel movement.

The spinal canal is the bony, protective channel within the vertebral column that contains and houses the spinal cord. It extends from the foramen magnum at the base of the skull to the sacrum, where the spinal cord ends and forms the cauda equina. The spinal canal is formed by a series of vertebral bodies stacked on top of each other, intervertebral discs in between them, and the laminae and spinous processes that form the posterior elements of the vertebrae. The spinal canal provides protection to the spinal cord from external trauma and contains cerebrospinal fluid (CSF) that circulates around the cord, providing nutrients and cushioning. Any narrowing or compression of the spinal canal, known as spinal stenosis, can cause various neurological symptoms due to pressure on the spinal cord or nerve roots.

Proctoscopy is a medical procedure that involves the insertion of a proctoscope, which is a short, rigid telescope with a light, into the rectum for the purpose of examining the interior walls of the rectum and anus. This procedure can help diagnose various anal and rectal conditions such as hemorrhoids, fissures, inflammation, tumors, or other abnormalities.

The proctoscope is usually about 25 cm long and has a diameter of around 2 cm. It allows the medical professional to directly visualize the interior of the lower rectum and anus, and may also include a channel for the introduction of air or water to aid in the examination, as well as tools for taking biopsies or removing polyps if necessary.

Proctoscopy is typically performed on an outpatient basis and does not usually require any special preparation, although it may be recommended to avoid food and drink for a few hours before the procedure to minimize the risk of discomfort or complications. The procedure itself is generally quick and relatively painless, though patients may experience some mild discomfort, bloating, or cramping during or after the examination.

A villous adenoma is a type of polyp (a growth that protrudes from the lining of an organ) found in the colon or rectum. It is named for its appearance under a microscope, which reveals finger-like projections called "villi" on the surface of the polyp.

Villous adenomas are typically larger than other types of polyps and can be several centimeters in size. They are also more likely to be cancerous or precancerous, meaning that they have the potential to develop into colon or rectal cancer over time.

Because of this increased risk, it is important for villous adenomas to be removed surgically if they are found during a colonoscopy or other diagnostic procedure. Regular follow-up colonoscopies may also be recommended to monitor for the development of new polyps or recurrence of previous ones.

Root canal preparation is a procedure in endodontics, which is the branch of dentistry dealing with the dental pulp and tissues surrounding the root of a tooth. The goal of root canal preparation is to thoroughly clean, shape, and disinfect the root canal system of an infected or damaged tooth, in order to prepare it for a filling material that will seal and protect the tooth from further infection or damage.

The procedure involves the use of specialized dental instruments, such as files and reamers, to remove the infected or necrotic pulp tissue and debris from within the root canal. The root canal is then shaped using progressively larger files to create a tapering preparation that facilitates the placement of the filling material. Irrigation solutions are used to help flush out any remaining debris and disinfect the canal.

The success of root canal preparation depends on several factors, including the thoroughness of cleaning and shaping, the effectiveness of disinfection, and the sealing ability of the filling material. Properly performed, root canal preparation can alleviate pain, save a tooth from extraction, and restore function and aesthetics to the mouth.

Hemorrhoids are swollen veins in the rectum or anus that can cause pain, itching, bleeding, and bulging. They can be internal (inside the rectum) or external (under the skin around the anus). Internal hemorrhoids may protrude through the anus and become irritated, leading to bleeding. External hemorrhoids are more likely to cause pain and swelling, especially if they become thrombosed (formed a blood clot). Hemorrhoids can be caused by straining during bowel movements, pregnancy, obesity, chronic constipation or diarrhea, aging, and sitting for long periods of time. They are often treated with over-the-counter creams, suppositories, or warm sitz baths, but severe cases may require surgical intervention.

A fissure in ano, also known as anal fissure, is a linear tear or split in the lining of the anus, usually occurring in the posterior midline. It can cause pain and bleeding during bowel movements. Anal fissures are often caused by constipation, passing hard stools, or prolonged diarrhea. They can also be associated with underlying conditions such as inflammatory bowel disease or anal cancer. Treatment typically involves increasing fiber intake, using stool softeners, and topical treatments to promote healing and relieve pain. In some cases, surgery may be required for severe or chronic fissures that do not respond to conservative treatment.

Mitomycin is an antineoplastic antibiotic derived from Streptomyces caespitosus. It is primarily used in cancer chemotherapy, particularly in the treatment of various carcinomas including gastrointestinal tract malignancies and breast cancer. Mitomycin works by forming cross-links in DNA, thereby inhibiting its replication and transcription, which ultimately leads to cell death.

In addition to its systemic use, mitomycin is also used topically in ophthalmology for the treatment of certain eye conditions such as glaucoma and various ocular surface disorders. The topical application of mitomycin can help reduce scarring and fibrosis by inhibiting the proliferation of fibroblasts.

It's important to note that mitomycin has a narrow therapeutic index, meaning there is only a small range between an effective dose and a toxic one. Therefore, its use should be closely monitored to minimize side effects, which can include myelosuppression, mucositis, alopecia, and potential secondary malignancies.

Nitrergic neurons are specialized cells within the nervous system that release nitric oxide (NO) as their primary neurotransmitter. Nitric oxide is a small, gaseous molecule that plays an essential role in various physiological processes, including neurotransmission, vasodilation, and immune response.

In the context of the nervous system, nitrergic neurons are involved in several functions:

1. Neurotransmission: Nitric oxide acts as a retrograde messenger, transmitting signals backward across synapses to modulate the activity of presynaptic neurons. This unique mode of communication allows for fine-tuning of neural circuits and contributes to various cognitive processes, such as learning and memory.
2. Vasodilation: Nitrergic neurons are present in blood vessel walls, where they release nitric oxide to cause vasodilation. This process helps regulate blood flow and pressure in different organs and tissues.
3. Immune response: Nitrergic neurons can interact with immune cells, releasing nitric oxide to modulate their activity and contribute to the body's defense mechanisms.
4. Gastrointestinal motility: In the gastrointestinal tract, nitrergic neurons are involved in regulating smooth muscle contractility and relaxation, which influences gut motility and secretion.
5. Reproductive system function: Nitrergic neurons play a role in the regulation of sexual behavior, penile erection, and sperm motility in the male reproductive system.

It is important to note that nitrergic neurons can be found throughout the nervous system, including the central and peripheral nervous systems, and are involved in various physiological processes. Dysfunction of these neurons has been implicated in several pathological conditions, such as neurodegenerative diseases, cardiovascular disorders, and gastrointestinal motility dysfunctions.

In medical terms, pressure is defined as the force applied per unit area on an object or body surface. It is often measured in millimeters of mercury (mmHg) in clinical settings. For example, blood pressure is the force exerted by circulating blood on the walls of the arteries and is recorded as two numbers: systolic pressure (when the heart beats and pushes blood out) and diastolic pressure (when the heart rests between beats).

Pressure can also refer to the pressure exerted on a wound or incision to help control bleeding, or the pressure inside the skull or spinal canal. High or low pressure in different body systems can indicate various medical conditions and require appropriate treatment.

Root canal irrigants are substances used during root canal treatment to clean, disinfect and rinse the root canal system. The main goal is to remove tissue remnants, dentinal debris, and microorganisms from the root canal space, thus reducing the risk of reinfection and promoting healing. Commonly used irrigants include sodium hypochlorite (NaOCl), which is a potent antimicrobial agent, and ethylenediaminetetraacetic acid (EDTA), which is used to remove the smear layer and improve the penetration of other irrigants and root canal sealers. The choice of irrigant, concentration, and application technique may vary depending on the specific case and clinician's preference.

The dental pulp cavity, also known as the pulp chamber, is the innermost part of a tooth that contains the dental pulp. It is located in the crown portion of the tooth and is shaped like an upside-down pyramid with the narrow end point towards the root of the tooth.

The dental pulp is a soft tissue that contains nerves, blood vessels, and connective tissue. It plays an important role in the development and maintenance of the tooth, including providing nutrients to the dentin and producing reparative dentin.

The dental pulp cavity can become infected or inflamed due to tooth decay, trauma, or other factors, leading to symptoms such as pain, sensitivity, and swelling. In such cases, treatment options may include root canal therapy, which involves removing the infected or inflamed pulp tissue from the dental pulp cavity and sealing the space to prevent further infection.

Root canal filling materials are substances used to fill and seal the root canal system inside a tooth following root canal treatment. The main goal of using these materials is to prevent reinfection, provide structural support to the weakened tooth, and restore its functionality.

Commonly used root canal filling materials include:

1. Gutta-percha: A rubber-like material derived from the sap of the Palaquium gutta tree. It is widely used as the primary filling material due to its biocompatibility, malleability, and ability to be compacted into the root canal space. Gutta-percha points or cones are typically used in conjunction with a sealer for optimal adaptation and seal.

2. Sealers: These are adhesive materials that help bond gutta-percha to dentin walls and improve the seal between the filling material and root canal walls. Some commonly used sealers include zinc oxide eugenol, calcium hydroxide-based sealers, and resin-based sealers.

3. Silver points: These are silver cones with a sharp tip that can be inserted into the root canal space as an alternative to gutta-percha. However, their use has declined due to concerns about corrosion and potential tooth discoloration.

4. Mineral trioxide aggregate (MTA): A biocompatible cement composed primarily of Portland cement, bismuth oxide, and other additives. MTA is used for various applications in endodontics, including root-end filling, perforation repair, and apexification. It has excellent sealing ability, antibacterial properties, and promotes hard tissue formation.

5. Bioceramics: These are advanced materials with similar properties to MTA but with improved handling characteristics and setting times. They include materials like Bioaggregate, EndoSequence BC Sealer, and iRoot SP.

6. Thermoplasticized gutta-percha: This technique involves heating and softening gutta-percha using a specialized device called a thermomechanical compactor or an oven. The softened gutta-percha is then injected into the root canal space, providing better adaptation to the root canal walls and creating a more uniform seal.

The choice of materials depends on various factors, including the clinical situation, patient's needs, and practitioner's preference.

APUD cells are a type of neuroendocrine cell that originated from the neural crest and are widely distributed throughout the body. The term "APUD" is an acronym for "Amine Precursor Uptake and Decarboxylation," which describes the ability of these cells to take up and decarboxylate amino acid precursors to produce biologically active amines, such as serotonin, histamine, and catecholamines.

APUD cells are capable of synthesizing, storing, and releasing hormones or neurotransmitters in response to various stimuli. They can be found in several endocrine and neural tissues, including the thyroid gland, adrenal medulla, pituitary gland, pancreas, lungs, and gastrointestinal tract.

In the gastrointestinal tract, APUD cells are often referred to as enterochromaffin cells or Kulchitsky cells. They play a crucial role in regulating gut motility, secretion, and blood flow through the release of hormones such as serotonin, gastrin, and somatostatin.

It's worth noting that the APUD cell concept has been largely replaced by the more comprehensive neuroendocrine system concept, which encompasses a broader range of cells with neurosecretory functions.

A colostomy is a surgical procedure that involves creating an opening, or stoma, through the abdominal wall to divert the flow of feces from the colon (large intestine) through this opening and into a pouch or bag worn outside the body. This procedure is typically performed when a portion of the colon has been removed due to disease or injury, such as cancer, inflammatory bowel disease, or trauma.

There are several types of colostomies, including end colostomy, loop colostomy, and double-barrel colostomy, which differ in terms of the location and configuration of the stoma. The type of colostomy performed will depend on the individual's medical condition and the specific goals of the surgery.

After a colostomy, patients will need to learn how to care for their stoma and manage their bowel movements using specialized equipment and techniques. With proper care and management, most people are able to lead active and fulfilling lives after a colostomy.

The urogenital system is a part of the human body that includes the urinary and genital systems. The urinary system consists of the kidneys, ureters, bladder, and urethra, which work together to produce, store, and eliminate urine. On the other hand, the genital system, also known as the reproductive system, is responsible for the production, development, and reproduction of offspring. In males, this includes the testes, epididymis, vas deferens, seminal vesicles, prostate gland, bulbourethral glands, and penis. In females, it includes the ovaries, fallopian tubes, uterus, vagina, mammary glands, and external genitalia.

The urogenital system is closely related anatomically and functionally. For example, in males, the urethra serves as a shared conduit for both urine and semen, while in females, the urethra and vagina are separate but adjacent structures. Additionally, some organs, such as the prostate gland in males and the Skene's glands in females, have functions that overlap between the urinary and genital systems.

Disorders of the urogenital system can affect both the urinary and reproductive functions, leading to a range of symptoms such as pain, discomfort, infection, and difficulty with urination or sexual activity. Proper care and maintenance of the urogenital system are essential for overall health and well-being.

The pelvic floor is a group of muscles, ligaments, and connective tissues that form a sling or hammock across the bottom of the pelvis. It supports the organs in the pelvic cavity, including the bladder, rectum, and uterus or prostate. The pelvic floor helps control urination, defecation, and sexual function by relaxing and contracting to allow for the release of waste and during sexual activity. It also contributes to postural stability and balance. Weakness or damage to the pelvic floor can lead to various health issues such as incontinence, pelvic organ prolapse, and sexual dysfunction.

Defecation is the medical term for the act of passing stools (feces) through the anus. It is a normal bodily function that involves the contraction of muscles in the colon and anal sphincter to release waste from the body. Defecation is usually a regular and daily occurrence, with the frequency varying from person to person.

The stool is made up of undigested food, bacteria, and other waste products that are eliminated from the body through the rectum and anus. The process of defecation is controlled by the autonomic nervous system, which regulates involuntary bodily functions such as heart rate and digestion.

Difficulties with defecation can occur due to various medical conditions, including constipation, irritable bowel syndrome, and inflammatory bowel disease. These conditions can cause symptoms such as hard or painful stools, straining during bowel movements, and a feeling of incomplete evacuation. If you are experiencing any problems with defecation, it is important to speak with your healthcare provider for proper diagnosis and treatment.

Rectal prolapse is a medical condition where the rectum, which is the lower end of the colon, slips outside the anus, the opening through which stool leaves the body. This usually occurs due to weakened muscles and supporting structures in the pelvic area, often as a result of aging, childbirth, or long-term constipation or diarrhea.

The rectal prolapse can be partial, where only a small portion of the rectum slips outside the anus, or complete, where the entire rectum protrudes. This condition can cause discomfort, pain, bleeding, and difficulty with bowel movements. Treatment options may include dietary changes, medication, or surgical intervention.

Squamous cell carcinoma is a type of skin cancer that begins in the squamous cells, which are flat, thin cells that form the outer layer of the skin (epidermis). It commonly occurs on sun-exposed areas such as the face, ears, lips, and backs of the hands. Squamous cell carcinoma can also develop in other areas of the body including the mouth, lungs, and cervix.

This type of cancer usually develops slowly and may appear as a rough or scaly patch of skin, a red, firm nodule, or a sore or ulcer that doesn't heal. While squamous cell carcinoma is not as aggressive as some other types of cancer, it can metastasize (spread) to other parts of the body if left untreated, making early detection and treatment important.

Risk factors for developing squamous cell carcinoma include prolonged exposure to ultraviolet (UV) radiation from the sun or tanning beds, fair skin, a history of sunburns, a weakened immune system, and older age. Prevention measures include protecting your skin from the sun by wearing protective clothing, using a broad-spectrum sunscreen with an SPF of at least 30, avoiding tanning beds, and getting regular skin examinations.

Constipation is a condition characterized by infrequent bowel movements or difficulty in passing stools that are often hard and dry. The medical definition of constipation varies, but it is generally defined as having fewer than three bowel movements in a week. In addition to infrequent bowel movements, other symptoms of constipation can include straining during bowel movements, feeling like you haven't completely evacuated your bowels, and experiencing hard or lumpy stools.

Constipation can have many causes, including a low-fiber diet, dehydration, certain medications, lack of physical activity, and underlying medical conditions such as irritable bowel syndrome or hypothyroidism. In most cases, constipation can be treated with lifestyle changes, such as increasing fiber intake, drinking more water, and getting regular exercise. However, if constipation is severe, persistent, or accompanied by other symptoms, it's important to seek medical attention to rule out any underlying conditions that may require treatment.

Three-dimensional (3D) imaging in medicine refers to the use of technologies and techniques that generate a 3D representation of internal body structures, organs, or tissues. This is achieved by acquiring and processing data from various imaging modalities such as X-ray computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, or confocal microscopy. The resulting 3D images offer a more detailed visualization of the anatomy and pathology compared to traditional 2D imaging techniques, allowing for improved diagnostic accuracy, surgical planning, and minimally invasive interventions.

In 3D imaging, specialized software is used to reconstruct the acquired data into a volumetric model, which can be manipulated and viewed from different angles and perspectives. This enables healthcare professionals to better understand complex anatomical relationships, detect abnormalities, assess disease progression, and monitor treatment response. Common applications of 3D imaging include neuroimaging, orthopedic surgery planning, cancer staging, dental and maxillofacial reconstruction, and interventional radiology procedures.

The tooth apex is the tip or the narrowed end of the root of a tooth. It is the portion that is located deepest within the jawbone and it contains dental pulp tissue, which includes nerves and blood vessels. The apex plays an essential role in the development and maintenance of a tooth, as well as in the process of root canal treatment, where instruments and materials are introduced through it to clean and fill the root canals. It is also a crucial landmark in endodontic surgery and dental imaging.

Parasympatholytics are a type of medication that blocks the action of the parasympathetic nervous system. The parasympathetic nervous system is responsible for the body's rest and digest response, which includes slowing the heart rate, increasing intestinal and glandular activity, and promoting urination and defecation.

Parasympatholytics work by selectively binding to muscarinic receptors, which are found in various organs throughout the body, including the heart, lungs, and digestive system. By blocking these receptors, parasympatholytics can cause a range of effects, such as an increased heart rate, decreased glandular secretions, and reduced intestinal motility.

Some common examples of parasympatholytics include atropine, scopolamine, and ipratropium. These medications are often used to treat conditions such as bradycardia (slow heart rate), excessive salivation, and gastrointestinal cramping or diarrhea. However, because they can have significant side effects, parasympatholytics are typically used only when necessary and under the close supervision of a healthcare provider.

The vagina is the canal that joins the cervix (the lower part of the uterus) to the outside of the body. It also is known as the birth canal because babies pass through it during childbirth. The vagina is where sexual intercourse occurs and where menstrual blood exits the body. It has a flexible wall that can expand and retract. During sexual arousal, the vaginal walls swell with blood to become more elastic in order to accommodate penetration.

It's important to note that sometimes people use the term "vagina" to refer to the entire female genital area, including the external structures like the labia and clitoris. But technically, these are considered part of the vulva, not the vagina.

Combined modality therapy (CMT) is a medical treatment approach that utilizes more than one method or type of therapy simultaneously or in close succession, with the goal of enhancing the overall effectiveness of the treatment. In the context of cancer care, CMT often refers to the combination of two or more primary treatment modalities, such as surgery, radiation therapy, and systemic therapies (chemotherapy, immunotherapy, targeted therapy, etc.).

The rationale behind using combined modality therapy is that each treatment method can target cancer cells in different ways, potentially increasing the likelihood of eliminating all cancer cells and reducing the risk of recurrence. The specific combination and sequence of treatments will depend on various factors, including the type and stage of cancer, patient's overall health, and individual preferences.

For example, a common CMT approach for locally advanced rectal cancer may involve preoperative (neoadjuvant) chemoradiation therapy, followed by surgery to remove the tumor, and then postoperative (adjuvant) chemotherapy. This combined approach allows for the reduction of the tumor size before surgery, increases the likelihood of complete tumor removal, and targets any remaining microscopic cancer cells with systemic chemotherapy.

It is essential to consult with a multidisciplinary team of healthcare professionals to determine the most appropriate CMT plan for each individual patient, considering both the potential benefits and risks associated with each treatment method.

Fluorouracil is a antineoplastic medication, which means it is used to treat cancer. It is a type of chemotherapy drug known as an antimetabolite. Fluorouracil works by interfering with the growth of cancer cells and ultimately killing them. It is often used to treat colon, esophageal, stomach, and breast cancers, as well as skin conditions such as actinic keratosis and superficial basal cell carcinoma. Fluorouracil may be given by injection or applied directly to the skin in the form of a cream.

It is important to note that fluorouracil can have serious side effects, including suppression of bone marrow function, mouth sores, stomach and intestinal ulcers, and nerve damage. It should only be used under the close supervision of a healthcare professional.

Muscle contraction is the physiological process in which muscle fibers shorten and generate force, leading to movement or stability of a body part. This process involves the sliding filament theory where thick and thin filaments within the sarcomeres (the functional units of muscles) slide past each other, facilitated by the interaction between myosin heads and actin filaments. The energy required for this action is provided by the hydrolysis of adenosine triphosphate (ATP). Muscle contractions can be voluntary or involuntary, and they play a crucial role in various bodily functions such as locomotion, circulation, respiration, and posture maintenance.

A reflex is an automatic, involuntary and rapid response to a stimulus that occurs without conscious intention. In the context of physiology and neurology, it's a basic mechanism that involves the transmission of nerve impulses between neurons, resulting in a muscle contraction or glandular secretion.

Reflexes are important for maintaining homeostasis, protecting the body from harm, and coordinating movements. They can be tested clinically to assess the integrity of the nervous system, such as the knee-j jerk reflex, which tests the function of the L3-L4 spinal nerve roots and the sensitivity of the stretch reflex arc.

Radiotherapy dosage refers to the total amount of radiation energy that is absorbed by tissues or organs, typically measured in units of Gray (Gy), during a course of radiotherapy treatment. It is the product of the dose rate (the amount of radiation delivered per unit time) and the duration of treatment. The prescribed dosage for cancer treatments can range from a few Gray to more than 70 Gy, depending on the type and location of the tumor, the patient's overall health, and other factors. The goal of radiotherapy is to deliver a sufficient dosage to destroy the cancer cells while minimizing damage to surrounding healthy tissues.

Gutta-Percha is defined in the medical field as a naturally occurring rubber derived from the sap of the Palaquium gutta tree, which is native to Malaysia. It has been historically used in various medical and dental applications due to its unique properties such as being malleable yet durable when heated, and remaining stable at room temperature.

In dentistry, gutta-percha is commonly utilized as a root canal filling material, as it can be easily shaped and compacted into the root canal space to seal off the tooth from bacteria and other infectious agents. It is often used in combination with a sealer cement to ensure a proper seal and prevent reinfection of the tooth.

Overall, gutta-percha is a valuable material in medical and dental applications due to its unique properties and versatility.

Rectal neoplasms refer to abnormal growths in the tissues of the rectum, which can be benign or malignant. They are characterized by uncontrolled cell division and can invade nearby tissues or spread to other parts of the body (metastasis). The most common type of rectal neoplasm is rectal cancer, which often begins as a small polyp or growth in the lining of the rectum. Other types of rectal neoplasms include adenomas, carcinoids, and gastrointestinal stromal tumors (GISTs). Regular screenings are recommended for early detection and treatment of rectal neoplasms.

Papillomaviridae is a family of small, non-enveloped DNA viruses that primarily infect the epithelial cells of mammals, birds, and reptiles. The name "papillomavirus" comes from the Latin word "papilla," which means nipple or small projection, reflecting the characteristic wart-like growths (papillomas) that these viruses can cause in infected host tissues.

The family Papillomaviridae includes more than 200 distinct papillomavirus types, with each type being defined by its specific DNA sequence. Human papillomaviruses (HPVs), which are the most well-studied members of this family, are associated with a range of diseases, from benign warts and lesions to malignant cancers such as cervical, anal, penile, vulvar, and oropharyngeal cancers.

Papillomaviruses have a circular, double-stranded DNA genome that is approximately 8 kbp in size. The viral genome encodes several early (E) proteins involved in viral replication and oncogenesis, as well as late (L) proteins that form the viral capsid. The life cycle of papillomaviruses is tightly linked to the differentiation program of their host epithelial cells, with productive infection occurring primarily in the differentiated layers of the epithelium.

In summary, Papillomaviridae is a family of DNA viruses that infect epithelial cells and can cause a variety of benign and malignant diseases. Human papillomaviruses are a significant public health concern due to their association with several cancer types.

Dental instruments are specialized tools that dentists, dental hygienists, and other oral healthcare professionals use to examine, clean, and treat teeth and gums. These instruments come in various shapes and sizes, and each one is designed for a specific purpose. Here are some common dental instruments and their functions:

1. Mouth mirror: A small, handheld mirror used to help the dentist see hard-to-reach areas of the mouth and reflect light onto the teeth and gums.
2. Explorer: A sharp, hooked instrument used to probe teeth and detect cavities, tartar, or other dental problems.
3. Sickle scaler: A curved, sharp-edged instrument used to remove calculus (tartar) from the tooth surface.
4. Periodontal probe: A blunt, calibrated instrument used to measure the depth of periodontal pockets and assess gum health.
5. Dental syringe: A device used to inject local anesthesia into the gums before dental procedures.
6. High-speed handpiece: Also known as a dental drill, it is used to remove decay, shape teeth, or prepare them for fillings and other restorations.
7. Low-speed handpiece: A slower, quieter drill used for various procedures, such as placing crowns or veneers.
8. Suction tip: A thin tube that removes saliva, water, and debris from the mouth during dental procedures.
9. Cotton rolls: Small squares of cotton used to isolate teeth, absorb fluids, and protect soft tissues during dental treatments.
10. Dental forceps: Specialized pliers used to remove teeth or hold them in place while restorations are being placed.
11. Elevators: Curved, wedge-shaped instruments used to loosen or lift teeth out of their sockets.
12. Rubber dam: A thin sheet of rubber or latex that isolates a specific tooth or area during dental treatment, keeping it dry and free from saliva and debris.

These are just a few examples of the many dental instruments used in modern dentistry. Each one plays an essential role in maintaining oral health and providing effective dental care.

Cisplatin is a chemotherapeutic agent used to treat various types of cancers, including testicular, ovarian, bladder, head and neck, lung, and cervical cancers. It is an inorganic platinum compound that contains a central platinum atom surrounded by two chloride atoms and two ammonia molecules in a cis configuration.

Cisplatin works by forming crosslinks between DNA strands, which disrupts the structure of DNA and prevents cancer cells from replicating. This ultimately leads to cell death and slows down or stops the growth of tumors. However, cisplatin can also cause damage to normal cells, leading to side effects such as nausea, vomiting, hearing loss, and kidney damage. Therefore, it is essential to monitor patients closely during treatment and manage any adverse effects promptly.

Sodium hypochlorite is a chemical compound with the formula NaOCl. It is a pale greenish-yellow liquid that is highly reactive and unstable in its pure form. However, it is commonly available as a dilute aqueous solution known as bleach, which has the characteristic smell of chlorine.

In medical terms, sodium hypochlorite is widely used for its disinfectant and antiseptic properties. It is effective against a broad range of microorganisms, including bacteria, viruses, fungi, and spores. Sodium hypochlorite solution is commonly used to disinfect surfaces, medical instruments, and wounds.

When applied to wounds or skin infections, sodium hypochlorite can help reduce bacterial load, promote healing, and prevent infection. It is also a component of some mouthwashes and toothpastes, where it helps to kill bacteria and freshen breath. However, it can be irritating to the skin and mucous membranes, so it should be used with caution and at appropriate concentrations.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

A tooth root is the part of a tooth that is embedded in the jawbone and cannot be seen when looking at a person's smile. It is the lower portion of a tooth that typically has a conical shape and anchors the tooth to the jawbone through a periodontal ligament. The tooth root is covered by cementum, a specialized bone-like tissue, and contains nerve endings and blood vessels within its pulp chamber.

The number of roots in a tooth can vary depending on the type of tooth. For example, incisors typically have one root, canines may have one or two roots, premolars usually have one or two roots, and molars often have two to four roots. The primary function of the tooth root is to provide stability and support for the crown of the tooth, allowing it to withstand the forces of biting and chewing.

Periapical periodontitis is a medical condition that affects the tissues surrounding the root tip (apex) of a tooth. It is typically caused by bacterial infection that originates from the dental pulp, which is the soft tissue inside the tooth that contains nerves and blood vessels. When the dental pulp becomes inflamed or infected due to decay or injury, it can lead to periapical periodontitis if left untreated.

The infection spreads from the pulp through the root canal and forms an abscess at the tip of the tooth root. This results in inflammation and destruction of the surrounding bone and periodontal tissues, leading to symptoms such as pain, swelling, tenderness, and sensitivity to hot or cold temperatures.

Periapical periodontitis is usually treated with root canal therapy, which involves removing the infected pulp tissue, cleaning and disinfecting the root canal, and filling and sealing the space to prevent reinfection. In some cases, antibiotics may also be prescribed to help clear up any residual infection. If left untreated, periapical periodontitis can lead to more serious complications such as tooth loss or spread of infection to other parts of the body.

Calcium hydroxide is an inorganic compound with the chemical formula Ca(OH)2. It is also known as slaked lime or hydrated lime. Calcium hydroxide is a white, odorless, tasteless, and alkaline powder that dissolves in water to form a caustic solution.

Medically, calcium hydroxide is used as an antacid to neutralize stomach acid and relieve symptoms of heartburn, indigestion, and upset stomach. It is also used as a topical agent to treat skin conditions such as poison ivy rash, sunburn, and minor burns. When applied to the skin, calcium hydroxide helps to reduce inflammation, neutralize irritants, and promote healing.

In dental applications, calcium hydroxide is used as a filling material for root canals and as a paste to treat tooth sensitivity. It has the ability to stimulate the formation of new dentin, which is the hard tissue that makes up the bulk of the tooth.

It's important to note that calcium hydroxide should be used with caution, as it can cause irritation and burns if it comes into contact with the eyes or mucous membranes. It should also be stored in a cool, dry place away from heat and open flames.

Ultrasonography, also known as sonography, is a diagnostic medical procedure that uses high-frequency sound waves (ultrasound) to produce dynamic images of organs, tissues, or blood flow inside the body. These images are captured in real-time and can be used to assess the size, shape, and structure of various internal structures, as well as detect any abnormalities such as tumors, cysts, or inflammation.

During an ultrasonography procedure, a small handheld device called a transducer is placed on the patient's skin, which emits and receives sound waves. The transducer sends high-frequency sound waves into the body, and these waves bounce back off internal structures and are recorded by the transducer. The recorded data is then processed and transformed into visual images that can be interpreted by a medical professional.

Ultrasonography is a non-invasive, painless, and safe procedure that does not use radiation like other imaging techniques such as CT scans or X-rays. It is commonly used to diagnose and monitor conditions in various parts of the body, including the abdomen, pelvis, heart, blood vessels, and musculoskeletal system.

Papillomavirus infections are a group of diseases caused by various types of human papillomaviruses (HPVs). These viruses infect the skin and mucous membranes, and can cause benign growths such as warts or papillomas, as well as malignant growths like cervical cancer.

There are more than 100 different types of HPVs, and they can be classified into low-risk and high-risk types based on their potential to cause cancer. Low-risk HPV types, such as HPV-6 and HPV-11, commonly cause benign genital warts and respiratory papillomas. High-risk HPV types, such as HPV-16 and HPV-18, are associated with an increased risk of developing cancer, including cervical, anal, penile, vulvar, and oropharyngeal cancers.

HPV infections are typically transmitted through sexual contact, and most sexually active individuals will acquire at least one HPV infection during their lifetime. In many cases, the immune system is able to clear the virus without any symptoms or long-term consequences. However, persistent high-risk HPV infections can lead to the development of cancer over time.

Prevention measures for HPV infections include vaccination against high-risk HPV types, safe sex practices, and regular screening for cervical cancer in women. The HPV vaccine is recommended for both boys and girls aged 11-12 years old, and can also be given to older individuals up to age 45 who have not previously been vaccinated or who have not completed the full series of shots.

Catheterization is a medical procedure in which a catheter (a flexible tube) is inserted into the body to treat various medical conditions or for diagnostic purposes. The specific definition can vary depending on the area of medicine and the particular procedure being discussed. Here are some common types of catheterization:

1. Urinary catheterization: This involves inserting a catheter through the urethra into the bladder to drain urine. It is often performed to manage urinary retention, monitor urine output in critically ill patients, or assist with surgical procedures.
2. Cardiac catheterization: A procedure where a catheter is inserted into a blood vessel, usually in the groin or arm, and guided to the heart. This allows for various diagnostic tests and treatments, such as measuring pressures within the heart chambers, assessing blood flow, or performing angioplasty and stenting of narrowed coronary arteries.
3. Central venous catheterization: A catheter is inserted into a large vein, typically in the neck, chest, or groin, to administer medications, fluids, or nutrition, or to monitor central venous pressure.
4. Peritoneal dialysis catheterization: A catheter is placed into the abdominal cavity for individuals undergoing peritoneal dialysis, a type of kidney replacement therapy.
5. Neurological catheterization: In some cases, a catheter may be inserted into the cerebrospinal fluid space (lumbar puncture) or the brain's ventricular system (ventriculostomy) to diagnose or treat various neurological conditions.

These are just a few examples of catheterization procedures in medicine. The specific definition and purpose will depend on the medical context and the particular organ or body system involved.

"Anal canal". Anal+Canal at the U.S. National Library of Medicine Medical Subject Headings (MeSH) "Anal Canal - Location, ... The anal verge refers to the distal end of the anal canal, a transitional zone between the epithelium of the anal canal and the ... The anus is the aperture at the terminal portion of the anal canal. In humans, the anal canal is approximately 2.5 to 4 cm ( ... The ischioanal fossa are on each side of the anal canal. The perianal space surrounds the anal canal below the white line. The ...
"Anal Cancer Treatment". National Cancer Institute. 2018. Retrieved 30 May 2019. "Cancer of the Anus, Anal Canal, and Anorectum- ... Stage 1 anal cancer Stage 2 anal cancer Stage 3 anal cancer Stage 4 anal cancer Pathologic TNM staging of anal carcinomas: ... American Cancer Society: Anal Cancer Anal cancer information from Cancer Research UK National Cancer Institute: Anal cancer ( ... Anal Pap smears similar to those used in cervical cancer screening have been studied for early detection of anal cancer in high ...
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This is thought to allow a small amount of rectal contents to descend into the anal canal where specialized mucosa samples ... The IAS contributes 55% of the resting pressure of the anal canal. It is very important for bowel continence, especially for ... "Chapter 36: The rectum and anal canal". Archived from the original on 2012-05-04. Retrieved 2011-07-12. David E. Beck, Patricia ... it terminates distally about 6 mm from the anal orifice.[citation needed] The internal anal sphincter aids the sphincter ani ...
The specimen is sent to a pathologist, indicating the source of the smear (anal canal). The liquid in which the cells are ... An anal Pap smear is the anal counterpart of the cervical Pap smear. It is used for the early detection of anal cancer. Some ... Kesic, Vesna (2004). "Chapter 14: Colposcopy of the vulva, perineum, and anal canal" (PDF). In Bősze, Péter; Luesley, David M ... There is no consensus on who should get an anal Pap smear. Some individuals recommend that all men and women who have anal sex ...
... or anal stenosis is a narrowing of the anal canal. It can be caused by a number of surgical procedures including ... Katdare, MV; Ricciardi, R (February 2010). "Anal stenosis". The Surgical Clinics of North America. 90 (1): 137-45, Table of ... Ehrenpreis, Eli D. (2003). Anal and rectal diseases explained. London: Remedica Group. pp. 53. ISBN 9781901346671. ...
The anal glands are situated within the wall of the anal canal and communicate with the lumen of the canal via ducts that open ... Humans have 12 anal glands on average (which are evenly distributed around the circumference of the anal canal). The glands are ... The anal glands or anal sacs are small glands near the anus in many mammals. They are situated in between the external anal ... The anal gland of the Indian mongoose consists of large sebaceous glands that surround the anus, called the anal sac. The anal ...
The anal canal is twisted anteriorly. The extremities are usually short and the outer lip of the aperture has well-developed ...
The siphonal canal is rather short, almost completely closed and curved to the left at the base. There is no apparent anal ... top whorls and around the siphonal canal. The sutures between the whorls are deep and crossed by the oblique varices. The ... canal. The inner surface of the aperture has a rippled form, reflecting the form of the ribs at the outer surface. The ...
Stapled: A stapled anal anastomosis is done using a tool that seals the pouch to the anal canal. Unlike with a hand sewn ... A hand sewn anal anastomosis may be necessary when ulcerative colitis, FAP, or cancer patients retain disease in the anal canal ... Strictures or stenosis Narrowing of the anal canal under the pouch can cause evacuation difficulties. Anal stricture can be a ... ileal-anal reservoir (IAR), an ileo-anal pouch, ileal-anal pullthrough, or sometimes referred to as a J-pouch, S-pouch, W-pouch ...
An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on ... Anal dilation, or stretching of the anal canal (Lord's operation), has fallen out of favour in recent years, primarily due to ... External anal fissures on the anal verge can be diagnosed by visual inspection.[citation needed] Internal anal fissures in ... Chelsea Eaton anal speculum 23mm diameter, Park anal retractor or by digital rectal examination with a finger inside the anal ...
The lower rectum to the anal canal above the pectinate line drain to the internal ileocolic nodes. The anal canal below the ... and anal canal. Some other sources exclude the anal canal. In humans, the large intestine begins in the right iliac region of ... and anal canal. The four sections of the colon are: the ascending colon, transverse colon, descending colon, and sigmoid colon ... and then descending to the rectum and its endpoint at the anal canal. Overall, in humans, the large intestine is about 1.5 ...
... of the anal canal is rare. It may extend up to the anorectal junction. On digital examination it feels hard and ... Progression to anal stenosis has been described. The malignant potential is seemingly low, and few cases of anal carcinoma have ... "Anal leukoplakia: an unusual case of anal stenosis". Endoscopy. 33 (5): 469. doi:10.1055/s-2001-14256. PMID 11396772. Soames JV ... Dyskeratosis congenita may be associated with leukoplakia of the oral mucosa and of the anal mucosa. Within the mouth, ...
... is a chronic abnormal communication between the anal canal and usually the perianal skin. An anal fistula can be ... Anal fistulae commonly occur in people with a history of anal abscesses. They can form when anal abscesses do not heal properly ... Anal fistulae originate from the anal glands, which are located between the internal and external anal sphincter and drain into ... The anal canal is held open using a speculum and irrigation solution is used to give a clear view of the fistula tract. Light ...
... is a surgical procedure that involves treating mucosal fissures from the anal canal/sphincter. The word is ... W. Patric Mazier M.D. (1972). "An evaluation of the surgical treatment of anal fissures". Diseases of the Colon & Rectum. 15: ... Lateral internal sphincterotomy List of surgeries by type "Anal Sphincterotomy". Winchester Hospital. Retrieved April 14, 2021 ...
Branches also supply sensation to the anal canal.: 8 By providing sensation to the penis and the clitoris, the pudendal nerve ... The pudendal canal that carries the pudendal nerve is also known by the eponymous term "Alcock's canal", after Benjamin Alcock ... 422 the external anal sphincter (via the inferior anal branch),: 7 and male or female external urethral sphincter.: 424-425 As ... The pudendal canal is also known by the eponymous term "Alcock's canal", after Benjamin Alcock, an Irish anatomist who ...
Nigro ND, Vaitkevicius VK, Buroker T, Bradley GT, Considine B (1981). "Combined therapy for cancer of the anal canal". Dis. ... Blumetti, Jennifer; Bastawrous, Amir (27 May 2009). "Epidermoid Cancers of the Anal Canal: Current Treatment". Clinics in Colon ... Ehrenpreis, Eli (2003). Anal and Rectal Diseases Explained. Remedica. pp. 113. ISBN 9781901346671. "In Memoriam: Norman D. ... Success of the preoperative regimen changed the paradigm of anal cancer treatment from surgical to non-surgical and was the ...
The ovate aperture has a barely perceptible anal canal. The outer lip is finely crenulate but its inner surface is smooth. The ... The siphonal canal is of moderate length and, as typical for this genus, fused on top, almost sealed below and pointing to the ... extending from the shoulder of the preceding whorl to the end of the siphonal canal. The shell sculpture shows major and minor ...
Anal canal length: This is measured during maximal evacuation. Anal canal width: Again measured during maximal evacuation, this ... "mid-axial longitudinal axis of the rectum and the anal canal", created by the anterior pull of the puborectalis sling at the ... At rest, it is held at 90 - 100°. This becomes more acute (70 - 90°) when the patient contracts the anal sphincters and pelvic ...
... siphonal canal and a deep anal sinus. The anterior canal has a moderate length and is slightly twisted to the left. The thin ...
The large intestine includes the rectum and anal canal. Partially digested food starts to arrive in the small intestine as semi ... The pylorus, the lowest section of the stomach which attaches to the duodenum via the pyloric canal, contains countless glands ...
Anterior siphonal canal is short and strongly reflected left of shell axis. Anal canal is deep and folded into weak inner ...
in the anal canal, it forms the internal anal sphincter. In the colon, the fibres of the external longitudinal smooth muscle ... Thinnest muscularis layer in the alimentary canal is found in the rectum, where minimum peristalsis occurs. The muscularis ... layer is responsible for the peristaltic movements and segmental contractions in and the alimentary canal. The Auerbach's nerve ...
The siphonal canal and anal emargination are wide and shallow. The animal is of a yellowish color. The columellar muscle is ... Behind the proboscis the alimentary canal con-tinues of moderate size for nearly a whorl, when there is an inconspicuous ... The columella is obscurely thickened behind, attenuated anteriorly, as long as the siphonal canal, straight, but slightly ... and a few feeble narrow threads on the base and the siphonal canal under a pale thin epidermis. The body whorl is compressed at ...
Anal fistulas connect the anal canal and the perianal skin. Anovaginal or rectovaginal fistulas occur when a hole develops ... Anal fistulas connect between the epithelialized surface of the anal canal and the perianal skin. Anovaginal or rectovaginal ... Gastric fistula: from the stomach to the skin surface (K38.3) Fistula of appendix (K60) Anal and rectal fissures and fistulas ( ... K60.3) Anal fistula (K60.5) Anorectal fistula (fecal fistula, fistula-in-ano): connecting the rectum or other anorectal area to ...
Anal+Canal at the U.S. National Library of Medicine Medical Subject Headings (MeSH) "anal canal" at Dorland's Medical ... In humans, the rectum is followed by the anal canal which is about 4 centimetres (1.6 in) long, before the gastrointestinal ... The most common early symptom is difficulty in remembering recent events (short-term memory loss). Anal canal - is the terminal ... The outer ear consists of the pinna and the ear canal. Since the outer ear is the only visible portion of the ear in most ...
There is no differentiated siphonal canal, anal sulcus or fasciole. The shell is axially ribbed. The columella is thin and ...
Anal canal Dentate line Hilton's Law Ewing MR (July 1954). "The white line of Hilton". Proceedings of the Royal Society of ... The anocutaneous line, also called the Hilton white line or intersphincteric groove, is a boundary in the anal canal. Below the ... The anocutaneous line represents the transition point from non-keratinized stratified squamous epithelium of the anal canal to ... line is slightly below the pectinate line and a landmark for the intermuscular border between internal and external anal ...
It can be removed either by pulling it out or through defecation, removing the concern of losing the plug in the anal canal. In ... An anal plug (anal tampon or anal insert) is a medical device that is often used to treat fecal incontinence, the accidental ... the risk of bacteria spreading from the anal area to the urinary tract will be reduced. Prevent anal fissures - anal fissures ... When exposed to warmth and moisture in the anal canal, the film dissolves, allowing for the plug to expand. It has a conical ...
... is a pre-cancerous condition which occurs when the lining of the anal canal undergoes abnormal changes. It can ... "Prevalence and Risk Factors for Human Papillomavirus Infection of the Anal Canal in Human Immunodeficiency Virus (HIV)-Positive ... Anal dysplasia is most commonly linked to human papillomavirus (HPV), a usually sexually-transmitted infection. HPV is the most ... "Fact Sheets: Anal dyspasia". Canadian Aids Treatment Information Exchange. Archived from the original on 2009-02-01. Retrieved ...

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