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Published on: August 22, 2012
Sexually transmitted infections of the anus and rectum
Roland Assi1, Peter W Hashim1, Vikram B Reddy1
1Roland Assi, Peter W Hashim, Vikram B Reddy, Hulda Einarsdottir, Walter E Longo, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, United States.
Abstract:
Sexually transmitted infections (STIs) represent a significant public health concern. Several STIs, once thought to be on the verge of extinction, have recently reemerged. This change is thought to be partially related to an increase in STIs of the anus and rectum. Importantly, the global human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) epidemic has contributed to the emergence of particular anorectal lesions that require specialized approaches. In this report, we review common anorectal STIs that are frequently referred to colorectal surgeons in the United States. Epidemiology, clinical presentation, and management are summarized, including the latest treatment recommendations. The particularity of anorectal diseases in HIV/AIDS is addressed, along with recent trends in anal cytology and human papillomavirus vaccination.
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