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Faltin hcuge. OBJECTIVE: To evaluate intraobserver and interobserver agreement in the diagnosis of anal sphincter tears by endosonography when performed immediately postpartum by resident obstetricians. METHODS: Fifty-four primiparous women who delivered vaginally and had no anal sphincter tears third- or fourth-degree perineal tears diagnosed clinically were recruited. Four observers assessed photographic prints and video recordings of anal endosonography performed before the suture of the perineum. We calculated the intra- and interobserver agreement and the kappa coefficient to quantify the reliability of the diagnosis of clinically occult sphincter tears. Intraobserver agreement was rated as substantial for prints kappa, 0.

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The anal canal is a short tube surrounded by muscle at the end of your rectum. The rectum is the bottom section of your colon large intestine. An anal fissure also called fissure-in-ano is a small rip or tear in the lining of the anal canal.
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Anal fissures are not exactly a topic for cocktail party conversation, and the reluctance to discuss them often leaves sufferers thinking they are the only ones affected. In fact, this potentially painful, debilitating, anxiety-provoking condition is quite common. So like many others, she suffered in silence.
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