A review of proctological disorders

Ano-perianal lesions are essential part of the family practice setup. Patients usually present with symptoms like pain, bleeding, pruritus, and constipation. In the modern era, the patients prefer a conservative therapy or else they opt for a quick office procedure to get rid of the symptoms. Newer pharmacological therapies and a handful of simple and safe office procedures have emerged in the last decade for treatment of ano-perianal lesions. A judicious application of these techniques has been found successful in tackling most of the proctological ailments. Complicated or advanced pathologies, however, require an expert opinion and it is desirable that such patients are referred to the care of colorectal clinics. This paper describes presentation symptoms, approach towards diagnosis, and various therapeutic modalities of common anal disorders commonly seen in a developing country.