title: [Anal hygiene in perianal skin diseases--compatibility of water moist and dry toilet paper].
abstract: The most common morphological changes in 485 of our ambulatory patients were found on external examination of the anal region (46%). These changes included erosions, fissur and eczema. Regarding the symptoms the predominant complaints were itching and burning in 42.1%. Anal hygiene after defaecation was most commonly done with dry toilet-paper (55%). A change in anal hygiene after defaecation relieves symptoms: By changing from water to moist toilet paper in 9%, from dry toilet paper to moist toilet paper in 30%, from moist toilet paper to water in 32%, an from dry toilet paper to water in 60%. These results confirm known facts regarding the influences of conserving agents an printing materials in dry (often recycled) and moist toilet papers on the skin. These side-effects to be even more pronounced in the compromised skin and suggest that anal hygiene should be done with water only.
authors.affiliation: Erstes Deutsches Darmzentrum, Vlotho-Exter.
authors.forename: W
authors.initials: W
authors.lastname: Brühl
authors.forename: R
authors.initials: R
authors.lastname: Schmauz
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D001003:Anal Canal; D003672:Defecation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010209:Paper; D017592:Skin Care / Q000379:methods*; D012871:Skin Diseases / Q000453:epidemiology / Q000209:etiology*; D014867:Water
chemical_list: D014867:Water
vernacular_title: Analhygiene bei perianalen Hauterkrankungen Verträglichkeit von Wasser, feuchtem und trockenem Toilettenpapier.