Page 19 - MuRAL Procedure

􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰬􏰏􏰍􏰋􏰍􏰆􏰍􏰏􏰍􏰓􏰗 􏰞􏰐􏰓􏰃􏰍􏰘 􏰔􏰙􏰜􏰝􏰃􏰃􏰙􏰑􏰓 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰳 􏰔􏰙􏰜􏰓􏰛􏰜􏰙􏰏􏰙 􏰔􏰙􏰜􏰝􏰃􏰃􏰙􏰑􏰓 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰳 􏰔􏰙􏰜􏰓􏰛􏰜􏰙􏰏􏰙 􏰟􏰚􏰽􏰍􏰑􏰜􏰓􏰙􏰃 􏰈􏰗􏰚􏰙􏰃􏰓􏰛􏰑􏰍􏰐 􏰳 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 Step 1: resolve sphincter hypertonia Step 2: MuRAL 􏰒􏰑􏰐􏰏 􏰩􏰍􏰉􏰉􏰝􏰃􏰙 􏰳 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 Step 1: MuRAL Step 2: resolve anal fissure 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰳 􏰁􏰙􏰏􏰠􏰍􏰜 􏰩􏰏􏰛􏰛􏰃 􏱍􏰑􏰜􏰛􏰛􏰃􏰇􏰍􏰑􏰐􏰓􏰍􏰛􏰑 􏰄􏰗􏰉􏰌􏰝􏰑􏰜􏰓􏰍􏰛􏰑 Scenario 1 Scenario 2 Prolapsed Hemorrhoids & Cystocele 􏰟􏰜􏰙􏰑􏰐􏰃􏰍􏰛 􏰧 􏰟􏰀􏰐􏰏􏰏 􏰛􏰃 􏰀􏰙􏰇􏰍􏰝􏰀 􏰚􏰃􏰛􏰏􏰐􏰚􏰉􏰙 􏰁􏰩􏱍􏰄 􏰽􏰐􏰉 􏰓􏰛 􏰆􏰙 􏰃􏰙􏰉􏰛􏰏􏰠􏰙􏰇 􏰆􏰙􏰌􏰛􏰃􏰙 􏰜􏰛􏰑􏰉􏰍􏰇􏰙􏰃􏰍􏰑􏰋 􏰞􏰝􏰔􏰒􏰎 􏰟􏰜􏰙􏰑􏰐􏰃􏰍􏰛 􏰥 􏰎􏰐􏰃􏰋􏰙 􏰛􏰃 􏰠􏰙􏰃􏰗 􏰏􏰐􏰃􏰋􏰙 􏰚􏰃􏰛􏰏􏰐􏰚􏰉􏰙 􏰔􏰙􏰜􏰛􏰀􏰀􏰙􏰑􏰇􏰍􏰑􏰋 􏰓􏰛 􏰚􏰙􏰃􏰌􏰛􏰃􏰀 􏰧􏰉􏰓 􏰞􏰝􏰔􏰒􏰎 􏰔􏰙􏰽􏰐􏰆􏰍􏰏􏰍􏰓􏰐􏰓􏰍􏰛􏰑 􏰀􏰙􏰐􏰉􏰝􏰃􏰙􏰉 􏰓􏰛 􏰓􏰃􏰙􏰐􏰓 􏰁􏰩􏱍􏰄 􏰁􏰐􏰓􏰍􏰙􏰑􏰓 􏰓􏰛 􏰆􏰙 􏰍􏰑􏰌􏰛􏰃􏰀􏰙􏰇 􏰓􏰽􏰐􏰓 􏰓􏰽􏰙􏰗 􏰀􏰍􏰋􏰽􏰓 􏰃􏰙􏰢􏰝􏰍􏰃􏰙 􏰐 􏰌􏰛􏰏􏰏􏰛􏱀􏰕􏰝􏰚 􏰓􏰃􏰙􏰐􏰓􏰀􏰙􏰑􏰓 􏱀􏰍􏰓􏰽 􏰞􏰝􏰔􏰒􏰎 􏰍􏰑 􏰓􏰽􏰙 􏰙􏰠􏰙􏰑􏰓 􏰓􏰽􏰙􏰗 􏰇􏰙􏰠􏰙􏰏􏰛􏰚 􏰐 􏰃􏰙􏰜􏰝􏰃􏰃􏰙􏰑􏰜􏰙 􏰐􏰌􏰓􏰙􏰃 􏰁􏰩􏱍􏰄 􏰃􏰙􏰽􏰐􏰆􏰍􏰏􏰍􏰓􏰐􏰓􏰍􏰛􏰑 Prolapsed Hemorrhoids & Abscess Abscess has to be resolved before considering MuRAL Prolapsed Hemorrhoids Anal Fistula Treatment protocol to include MuRAL complementary to resolving Cystocele Prolapsed Hemorrhoids & Pelvic Organ Prolapse (POP) Anal fistula has to be resolved before considering MuRAL Resolving POP followed by MuRAL (same intervention or in 2 steps) 􏰎􏰙􏰋􏰙􏰑􏰇 􏰬􏰎􏱍􏰪􏱍􏰤􏰎􏰬 􏰬􏰎􏱍􏰪􏱍􏰤􏰎􏰬 􏰕 􏰞􏰐􏰑􏰐􏰋􏰍􏰑􏰋 􏰊􏰛􏰑􏰇􏰍􏰓􏰍􏰛􏰑􏰉 􏰇􏰝􏰃􏰍􏰑􏰋 􏰛􏰑􏰙 􏱍􏰑􏰓􏰙􏰃􏰠􏰙􏰑􏰓􏰍􏰛􏰑 􏰊􏱃􏰯􏰄􏱍􏰰􏱍􏱃􏰯􏰒􏰎􏰎􏰻 􏰬􏰎􏱍􏰪􏱍􏰤􏰎􏰬 􏰯􏱃􏰰 􏰬􏰎􏱍􏰪􏱍􏰤􏰎􏰬