A 65-year-old P3+0 female complains of procidentia. She has a past history significant for MI and is diabetic and hypertensive. The patient is not sexually active. Ideal management of prolapse in this patient is:
ACervicopexy
BVaginal hysterectomy
CWait and watch
DLe Fort's repair
In Procidentia which of the following is true?
ABoth uterus and vagina outside the introitus
BUterus in vagina cervix outside the introitus
CUterus and cervix in vagina
DNone of the options
A 57-year-old man presents to the office with complaints of perianal pain during defecation and perineal heaviness for 1 month. He also complains of discharge around his anus, and bright red bleeding during defecation. The patient provides a history of having a sexual relationship with other men without using any methods of protection. The physical examination demonstrates edematous verrucous anal folds that are of hard consistency and painful to the touch. A proctosigmoidoscopy reveals an anal canal ulcer with well defined, indurated borders on a white background. A biopsy is taken and the results are pending. What is the most likely diagnosis?
AAnal cancer
BPolyps
CAnal fissure
DHemorrhoids
EProctitis
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