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This is done under direct visualization either with or through an endoscope, or if directly visible, using a type of biopsy needle under local anesthesia. Anal cancer is usually curable when found localized. That's all I know. Genital warts are due to a human papillomavirus HPV. The pectinate line is not seen on inspection in clinical practice, but under anesthesia the anal canal descends down, and the pectinate line can be seen on slight retraction of the anal canal skin. The coccygeus muscle completes the pelvic floor which is also called the pelvic diaphragm.
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Chapter 38: The perineal region and external genitalia

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The Sexual Anatomy Of Women: Vulva and Vagina

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Chapter 36: The rectum and anal canal

At the bottom of these columns are anal sinuses or crypts, into which open the anal glands and anal papillae. Top of page Table of Contents. The anatomic ligaments form natural barriers to the spread of infection, cancer, and hematomas. To the right of the esophageal opening of the stomach it is formed by that part of the diaphragm which supports the caudate lobe of the liver.
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