Management of Common Benign Anorectal Disease: What All Physicians Need to Know - 18/06/18

Doi : 10.1016/j.amjmed.2018.01.050

David Parés, MD, PhD ^a,^* , Herand Abcarian, MD ^b
^a Department of Colon and Rectal Surgery, Hospital Germans Trias i Pujol, School of Medicine, Universitat Autónoma de Barcelona, Badalona, Spain
^b Division of Colon and Rectal Surgery, University of Illinois at Chicago

^*Requests for reprints should be addressed to David Parés MD, PhD, Department of Colorectal Surgery, Hospital Germans Trias i Pujol, Universitat Autónoma de Barcelona, C/ Canyet s/n. Badalona, Barcelona 08916, Spain.Department of Colorectal SurgeryHospital Germans Trias i PujolUniversitat Autónoma de BarcelonaC/ Canyet s/n. BadalonaBarcelona08916Spain

Abstract

Benign anorectal conditions produce anal pain, rectal bleeding, or discharge from the perianal region, which are highly prevalent symptoms in the general population. Hemorrhoidal disease, anal fissure, perianal abscess, proctalgia syndromes, and pruritus anii are the most common clinical disorders. Well-trained physicians, irrespective of their specialty, can treat most of these disorders and refer them to a specialist in proctology only when necessary. The aim of this review is to provide a practical guide to the management of benign anorectal disorders in terms of their initial management and the criteria for specialist referral.

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Keywords : Anal pain, Anorectal disease, Proctology