IN THE BEGINNING the authors discuss the high type of imperforate anus because they say the low type presents "no real problem in achieving continence." They ment ion a report by Partridge and Gough 4 in which they found that "only half the survivors of high anomalies had adequate continence." They say that factors involved in continence are specific sensation of the rectum and anal canal, and ...

The rectum is the last live inches of large intestine continuous above with the pelvic colon and below with annal canal. Its upper twothirds are covered with peritoneum in front and sides, and in front only in its lower part. Above and anteriorly the rectum is related to rectovesical pouch in males or recto-uterine pouch in females. Below this it is in relation with a portion of the bladder, se...

exposition and so satisfying in its detail, that we looked forward with pleasure to the completion of the work. We regret to observe that this belated second part does not come up to our anticipations. The first two chapters deal with prolapse and invagination of the rectum. Some nice verbal distinctions are made in the varieties of prolapse, but it is not sufficiently insisted on that each of ...

A hard and bleeding anal and perianal mass stenotized the anus and required left-sided colostomy. Incisional biopsy showed a moderately differentiated spiniocellular carcinoma. Chemoradiotherapy treatment alone reduced significantly the mass.

A term female neonate is found to have bilateral natal clefts terminating in a lipomatous nodule (see Fig. 1). The anus is located proximally. What is the likely diagnosis, and how would you investigate this further? (Answer on page 791).

The subject of non-venereal lesions of the anus is such an extensive one that it would not be possible for me to cover this subject in the time available. I therefore propose to discuss some of the lesions of the anus and anal canal that lead to ulceration. It is these lesions that may be more difficult to distinguish from venereal conditions and are therefore more likely to be found in special...