Anal warts are small warts that can occur inside and around the anus. The condition is also called condyloma acuminata. Anal warts are a form of genital warts. However, they can become irritating if they grow large enough, and might itch or bleed. If no symptoms occur, people with anal warts may not even know they have them. Anal warts may occur only in one spot, or may spread to different parts of the genitals and anus over time.
Common Anorectal Problems
ANAL ABSCESS AND FISTULA
Women frequently describe symptoms of anorectal disease to their gynecologist. These symptoms may coexist with pregnancy or pelvic floor disorders, or may occur independently. The most common symptoms are pain and bleeding with defecation, but may also include itching, drainage, and fullness from a mass e. These are most often attributed to benign disorders e. Diet and lifestyle changes can ameliorate symptoms from fissures and hemorrhoids, but the patient with persistent symptoms or a more complicated entity may require evaluation and possibly surgical intervention by a specialist. The anal canal is approximately 4 cm long and embryologically originates from proctoderm fused with the rectum derived from the hindgut. Its caudal-most margin is the anal verge , marked by corrugated skin.
An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. An anal fistula also commonly called fistula-in-ano is frequently the result of a previous or current anal abscess. Normal anatomy includes small glands just inside the anus. The fistula is the tunnel that forms under the skin and connects the clogged infected glands to an abscess. A fistula can be present with or without an abscess and may connect just to the skin of the buttocks near the anal opening. Anal abscesses are classified by their location in relation to the structures comprising and surrounding the anus and rectum: perianal, ischioanal, intersphincteric and supralevator. The perianal area is the most frequent and the supralevator the least. If any of these particular types of abscess spreads partially circumferentially around the anus or the rectum, it is termed a horseshoe abscess.
NCBI Bookshelf. David F. Sigmon ; Bishoy Emmanuel ; Faiz Tuma. Authors David F.