title: Office management of common anorectal problems.
abstract: Common anorectal problems can often be treated in the office setting. Hemorrhoids are usually relieved with use of bulk laxatives or stool softeners; if this fails, coagulation or rubber band ligation may be effective. Surgical therapy is still preferred for third- and fourth-degree hemorrhoids. Perirectal and perianal abscesses are treated by drainage, but in up to 30% of cases a fistula occurs following treatment. Surgical evaluation is appropriate when a fistula is suspected. Acute anal fissures often heal with conservative management; sphincterotomy may be needed for chronic fissures. Anal warts tend to recur and require several treatment sessions with use of ablative techniques.
authors.affiliation: Department of General Surgery, Georgetown University Medical Center, Washington, DC 20007-2197.
authors.forename: T J
authors.initials: TJ
authors.lastname: Stahl
mesh_terms: D000368:Aged; D001004:Anus Diseases / Q000175:diagnosis / Q000628:therapy*; D015658:HIV Infections / Q000150:complications; D006484:Hemorrhoids / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D011320:Primary Health Care