Vol. 3, Issue 3 (2017)
Clinical study of perianal disorders and their management: A study of 200 cases
Author(s): Rakesh Sharma, Amandeep Kaur, Sahil Mittal, Rohit Goyal, NS Neki
Abstract: Perianal disorders include a diverse group of pathological disorders that generate significant patient discomfort and disability. Its prevelance in general population is much higher than seen in clinical practice since most patients with symptoms referable to perianal disorders do not seek medical attention. They manifest with a limited number of possible symptoms like bleeding, pain, itching, burning, protrusion, diarrhea, constipation, seepage, discharge and incontinence. Of these symptoms, most patients with perianal disease present with pain, bleeding, protrusion or itching. Perianal disorders include haemorrhoids, fissures, fistulas, perianal abscesses, pruritis ani and anal canal carcinomas and on rough estimate account for more than 81% of complaints centering around this part of human anatomy. In this study, most common perianal disorder seen was haemorrhoids in 49% cases followed by fistula in ano in 27 % cases seen in the age group of 18-45 (64%). The most common presenting sympto was bleeding per rectum seen in 106 cases followed by discharge and itching. Constipation and poor hygiene were the most common predisposing factors seen in all perianal diseases. Most of the patients were treated with the surgical management in 96% cases with minimal recurrence without any mortality.