Modality of Teaching:  Online/Offline

Hours: 150 hours

Duration: 12 months

1) General – The followings are general objective focusing points for obtaining this diploma

1. A) Details about Proctology and its developments in Ayurveda and Allopath
2. i) General, Surgical anatomy & Physiology of Ano Rectum, &Pelvic areas
3. ii) The integrate knowledge of Proctology and pelvic floor, with the aim of acquiring the necessary anamnesis skills for sound practice

iii) Pathological views of Proctologic disorders.

.B)  Detail knowledge about counseling and clinical with physical examinations of Proctology

1. C) Acquire the necessary knowledge for the interpretation of complementary tests focused on mental diagnostic algorithms in proctology.
2. D) Know the subsequent surgical indication of the pathologies that comprise field of Proctology surgery.
3. E) Identify and learn the medical treatments and surgical techniques/procedures used for each type of proctology and pelvic floor pathology
4. F) Know the Important fields of Skill managements of Psycho somatic affects of Proctologic diseases
5. G) Concept of Holistic health for restoring the health of Proctologic victims
6. H) Preventive and Health care of Proctology with diet, sleep and life styles
7. I) Study the Role of diet in Proctology
8. B) Specific – There are many specific areas and objectives dealt in Proctology. Out of them some following important specific points are to be learnt.
9. I) Review the etiology, clinical symptoms, diagnostic and treatment aspects of about 38 types of Proctologic disorders followed by more prevalent Ano rectal diseases.
10. II) Review the etiology, clinical symptoms, and diagnostic aspects of Hemorrhoids/Piles from a practical point of view.

III) Address the medicinal, non-surgical and surgical management of hemorrhoidal pathology, from classical methods and hemorrhoidectomy to new techniques as PCA therapy.

1. IV) Learn about the evidence and results from the current literature of concerned disease.

IIV) Gain in-depth knowledge of the best postoperative treatment and special situations such as pregnancy, anticoagulation, and links to other pathologies

1. IV) Review the etiology, clinical symptoms, and diagnostic features &updated treatments. of anal fissures
2. V) Identify the need for complementary tests prior to anal fissure surgery.
3. VI) Address the different current medical treatments and define the failure of a treatment

 and indicate appropriate surgery.

VII)  Hand to hand the surgical technique of sphincterotomy

VIII) Establish the definition and classification of sphincter lesions, as well as to learn the surgical technique of sphincter correction

1. IX) Learn about special situations of anal fissure presentation
2. X) Review the etiology, diagnosis, classifications, and complementary tests of growth, Bleedings, Perianal Abscesses, Sinus and Fistulas

XII) Get, up-to-date and unify knowledge of perianal abscess drainage and management of anal fistulas according to location and classification

XIII) Early recognition of signs of Perianal growth, abscess complications, specifically gangrene

XIV) Acquire in-depth knowledge of the diagnostic and therapeutic algorithms of recto-vaginal fistulas

1. XV) Understand the role of stem cell therapy in fistulous pathology

XVI) Know about Para-Surgical procedures in advanced methods of Ayurveda and other systems

XVII) Know about the importance of PCA Therapy and its applications

XVIII) Proctology Examinations &diagnostic measures.

XVIV) Role of Proctology Assistant, Paramedical & attendants

X X) Laser surgery& its applications in Proctology

XXI) Contemporary Para Surgical procedures and their Merits& Demerits of applied aspects 

XXII )Proctologic Diseases-Anal warts, Anal Incontinence, Anal Stricture, Ano Rectal polyp ,Anorectal injury, Tumors, abscess, Cancer, constipation, Crohns disease, Fissure, Foreign body, Proctotis, Hemorrhoids, Fistulae, Prolapsed, Stricture  Procto- colitis etc  ,  

                            Module –  1. Hemorrhoids

1.1- Concept and Etiology 
1.2- Clinical diagnosis and Classification 
1.3- Medical treatment
1.4. Non-Surgical Treatment – Banding, Sclerosis, Dilatation, other procedures   etc
1.5. Surgical management
1.6. Emergency treatment
1.7. Post-Operative Care
1.8. Special Situations

1.8.1. Pregnancy
1.8.2. Anticoagulation/ Complication management
1.8.3. Links to other Pathologies

1.9. Post-Surgical Complications and Prevention
1.10. Comparison of the Techniques According to Evidence and Algorithms

1.10.1. Comparison of Different Techniques/procedures according to evidence 
1.10.2.Degree wise selection of Treatments

1.11.3-Preventive treatments primary position

1.12.4-Applied successful procedures of PCA therapy

              Module- 2- Anal Fissure and Sphincter Lesions

2.1. Concept and Etiology
2.2. Clinical Diagnosis

2.3. Classification and Complementary Tests 
2.4.  Know treatment schedules of Acute and Chronic

2.4.1. Lifestyle modifications
2.4.2. Medical treatment
2.4.3.Role of diet in management

2.5. Surgical Management
2.6. Management of Post-Operative and Complications
2.7. Special Situations: Anal Fissure

2.7.1. Superbness of PCA therapy in alternative to Surgery

2.7.2- Recurrent or Relapsing Fissure
2.7.3-. Fissure and Stenosis
2.7.4. Fissure and Crohn’s Disease
2.7.5. Fissure and Hemorrhoids

2.7.6. Fissure and Fistulae

2.7.7. Fissure and Other associations

2.8. Sphincter Lesions – Definition and Classification
2.9. Sphincter Lesions – Diagnostic Tests
2.10. Treatment of Sphincter Lesions – Anoplasty

                 Module 3.  Perianal Abscesses   And Fistulas

3.1 Concept and Etiology
3.2 Diagnosis and Complementary Tests
3.3 Classifications
3.4 Perianal Abscess Treatment
3.5 Perianal Fistula Treatment
3.6 Perianal Abscess Complications – Fournier’s Gangrene
3.7 Special Situations: Different Fistulae in Ano
3.8 Surgical Treatments

3.9. Surgical complications

3.10. Relapses/Recurrences
3.9 -Critical Fistulae -RV F, VVF, Horse shoe etc
3.10 The Role of Stem Cells in Fistulas

3.11. Flap therapy

3.12-The Importance of PCA therapy and its applications

3.13.-Sucessful answers to recurred cases with PCA therapy          .

                     Module – 4. Anal Stricture

4-1-Concept and Etiology

4.2 Diagnosis and Complementary Tests
4.3 Classification 

4-4-Management of Acute & Chronic

4.5-Surgical & Para surgical approaches

4.6. Importance of PCA therapy

                4.6- Management of primary Anal Stricture & its complications

                                    Module-5 Ano-Rectal Prolapse

5-1.Concept and Etiology

5.2 Diagnosis and Complementary Tests
5.3 Classification 

5-4-Management of Acute & Chronic

5.5-Surgical & Para surgical approaches

5.6. Importance of PCA therapy

               5.7- Management of Primary Ano-Rectal Prolapsed conditions

               5.8-Preventive care of Primary/Early diagnosis and management

Reference books

1-Practice of Ano Rectum Care and Health by Prof. Dr Chaturbhuja Bhuyan, Published by Indian Proctology Society, Odisaha-2020

2-Piles& Fistulae Authored by Prof. Dr Chaturbhuja Bhuyan, Published by Indian Proctology Society, Odisaha-2017

3-Fissure, Incontinence Stricture in Ano (FIS) by Prof. Dr Chaturbhuja Bhuyan, Published by Indian Proctology Society, Odisaha-2019

4-Para Surgery in Ayurveda by Prof. Dr Chaturbhuja Bhuyan, Published by Indian Proctology Society, Odisaha-2019

5-Malasayaroga Chikitsa Vinjana by Prof. Dr Chaturbhuja Bhuyan, Published by Chaukhambha Orientalia, Varanasi-2013-

6-Surgical anatomy, edited by  GAG Decker. Dj du Plessis published by KM Varghese Company, PB 7119, Bombay, Maharastra

7-Human Anatomy by B.D Chaurasia Lower limb & Abdomen, Published by CBS Publishers &Distributors Delhi

8-Physiological basis of medical practice by Herbert Best Norman Burke Taylor 7^th edition 1961

9-Pharmacology and Pharmacotherapeutics by RS Satoskar etal Part I&II, published by Popular Prakashana Bombay-1995

10-Health At your Command ,authored by Emeritus professor Dr Chaturbhuja Bhuyan, Published by Indian Proctology Society, Odisaha-2022