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Surgical resection of abnormal growths and surgical tightening or loosening of anal walls is also an option. Here, once the anal reconstruction surgery is conducted, the doctor will reconstruct the anus to reduce scarring and injury. Reconstructive surgery of the rectum, anus and perineum provides the reader with a didactic discussion of complex problems which require re-operative surgery including details of preoperative investigation, postoperative follow-up and a detailed operative approach. Even though neoadjuvant therapy is the standard of care for more advanced rectal cancers, 2, 3 surgery continues to be the mainstay in the management of these tumors. 4 for patients with mid and low rectal tumors, sphincter-preserving techniques have become increasingly common due to the advent of new devices, which permit low anastomoses with acceptable oncologic results and preserved. Take the pain medicine every three to four hours as needed for pain. Apply ela-max 5 percent cream to anus (inside and out) every two to four hours as needed. This is not covered by any health insurance and costs up to 65 a tube. And anal (or rectal) cancer is one of the most common forms of cancer. The anus and rectum are vital to the bodys system of waste disposal, so anorectal conditions affect routine activities like going to the bathroom. Our team uses surgery to treat conditions of the anus and rectum. Reconstructive colorectal and anal surgery presents a didactic discussion of complex colonic, rectal, anal, and perineal problems which require reoperative surgery. Anal-rectal manometry reasons an anal-rectal manometry is performed. Anal manometry or anal-rectal manometry is used to determine the cause of fecal incontinence or constipation. plastic-reconstructive measures of rectal and anal carcinomas modern treatment of rectal and anal carcinomas includes a multimodal therapy concept. Preoperative neoadjuvant radio-chemotherapy has become standard treatment for rectal cancer and has been shown to downstage tumors ( 15 , 16 ), before radical aggressive surgery is applied to achieve a lasting cure ( 8 , 17 ). muscle transpositions have documented effectiveness as reconstructive procedures in the treatment of fecal incontinence. These procedures are technically challenging and carry a distinct probability of morbidity, although there is a significant body of literature that finds an equivalent quality of life for patients with a colostomy versus imperfect anorectal function after reconstructed. Sodomized guantnamo captive recovering after reconstructive rectal surgery. Since then, he said, he has had to manually reinsert parts of his anal cavity to defecate.