In a 38-year period of practice in Coloproctology, the author had the opportunity to attend 34,000 patients and the diagnosis of hemorrhoid as the main cause of the symptoms presented was achieved in 9,289 patients (27.3%) being hemorrhoid associated with several anorectal diseases in 1,122 patients (12.1%). 2,417 patients of the patients underwent hemorrhoidectomy (26.0%) and 729 of theese patients were operated on for associated anal diseases at the same time (65.0%). The most frequently diagnosed associated anal diseases were anal fissures (541 cases, 5.8%) and hyperthrofied anal papila (312 cases, 3.4%) folowed by anal fistulae (117 cases, 1.3%), partial fecal incontinence (112 cases, 1.2%), anal condyloma (37 cases, 0,4%) and anal tumors (3 cases, 0,03%). The same order of incidence was verified in relation to the 1,122 cases of associated anal diseases: anal fissures (48.2%), hyperthrofied anal papila (27.8%), anal fistulae (10.4%), partial fecal incontinence (10.0%), anal condyloma (3.3%) and anal tumors (0,3%). As far as associated anal diseases are concerned (1,122 cases), the incidence of surgery was 65.5% (729 patients) in this order: fissurectomy (317 cases, 28.3%), anal papilectomy (267 cases, 23.8%), anal fistulectomy (89 cases, 7.9%), partial fecal incontinence (31 cases, 2.8%), resection of anal condylomata (22 cases, 1.9%), resection of anal tumors (3 cases, 0.3%). And as far as each associated anal disease is concerned the incidence of surgery was the following: resection of anal tumors (100,0%), papilectomy (85.6%), fistulectomy (76.0%), resection of anal condylomata (59.6%), fissurectomy (58.6%) and partial fecal incontinence (25.8%). Associated anal diseases with the highest proportion of confirmation of proctologic diagnosis by the histopathologic examination were anal fistula (100.0% of 89 operated patients), anal condyloma (100.0% of 22 operated patients), hyperthrophied anal papilla (79.0% - 211 - of 267 operated patients), anal fissure (68.5% - 217 - of 317 operated patients) and anal cancer (66.7% - 2 of 3 operated patients).
Hemorrhoids; Anal diseases
