Anorectal Disease - Always Require Surgery - A Myth Busted Early the Diagnosis Easy the Management

Anorectal diseases are very common problems that affect many patients of all ages. Treatment is sought from internists and family practitioners, gynecologists, gastroenterologists, general surgeons, and colorectal surgeons. It is critical to understand the basic principles of diagnosis and treatment of these problems to best serve our patients and recognize when they deserve specialty care. The management of anorectal disease distinguishes the colon and rectal surgeon from other physicians who manage patients, both medically and surgically. While considered “trivial” by the casual observer, disorders of the anorectum can be life-altering for the patient. From “simple” problems such as pruritus ani and hemorrhoids to complex issues such as anal fistula and rectal polyps, understanding of the patho physiology and anatomy is critical to success in management. We now have a large body of data on which to base our treatment of these conditions.