PR: Anorectal Disease Treatment In Patients with HIV

05.12.2017

How successful is the treatment of anorectal disease in patients with HIV, what are their main complaints, in what cases surgery is the only way out - a brief display.

The number of HIV-infected people tremendously grows each year. Anorectal diseases are quite a common thing among them. Especially it concerns male patients that have homosexual contacts. Among the most common pathologies of anorectal sphere among them are anal condyloma, HIV-associated ulcers and a large specter of other diseases. This specter includes the rectal abscesses, sexually transmitted disease, traumas, tuberculosis and hemorrhoids.

Considering the specialties of HIV-infected patients, the diseases require more time and efforts for treatment. Surgical treatment is usually complicated because of difficult recovery process and higher chances on complications developing. Still, the average statistics of successful treatment grows and it gives hopes for further improvement.

The symptoms of disease, though may be different usually have some common features. Almost in all cases patients feel constant or growing pain in perineal or rectum, fever, difficulties with urination, bleeding or other extractions, growing of the formations. Here is a list of symptoms that warn about certain disease in HIV-patients:

  1. Condyloma – easily felt uneven structure, itch, bleeding.
  2. HIV-associated ulcers – pain, purulent extractions, bleeding.
  3. STD – perirectal pain (herpes), serous purulent extractions, and diarrhea.
  4. Abscess – edema, pain, fever, inflammatory infiltration.
  5. Hemorrhoids – bleeding from anus, prolapse.

These diseases can be treated conservatively, but sometimes only operation will help. In what cases surgery is the only helpful strategy in treating anorectal diseases in HIV-patients? It is appointed in case with ulcers and hemorrhoids if the conservative treatment failed, condylomas, abscesses and tumors. Residual cancer can be operated only after the radiotherapy course. Hemorrhoid can be treated with ligation only if there is no immunosuppression. If it occurs, only the surgical treatment is possible. 

Article last time updated on 17.05.2018.

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