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Women's preferences regarding the use of chaperones during proctological examinations conducted by male physicians: a randomised clinical trial.
Int J Colorectal Dis
January 2025
Department of Surgery, Division of Coloproctology, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande Do Sul. Room 600 A, Rua Ramiro Barcelos, Porto Alegre, RS, 2350, Brazil.
Article Synopsis
- The study investigates female patients' feelings about having chaperones during proctological exams by male physicians, noting ongoing debate in medical guidelines.
- In a randomized trial with 190 women, one group had a chaperone and the other did not, with follow-up questionnaires assessing comfort and future preferences.
- Results showed no significant comfort difference between groups, but more women without a chaperone preferred the exam format for the future, suggesting chaperones should be optional based on individual patient needs.
Comparison of Pudendal Nerve Block and Spinal Anesthesia in Proctological Surgeries: Efficacy, Safety, and Patient Outcomes.
Medicina (Kaunas)
October 2024
Department of General Surgery, School of Medicine, Muğla Sıtkı Koçman University, Muğla 48121, Türkiye.
The selection of an appropriate anesthesia method is a critical factor in the surgical treatment of proctological diseases, significantly impacting patient outcomes and comfort. Pudendal nerve block (PNB) and spinal anesthesia (SA) are commonly employed in these surgeries, yet the optimal choice between the two remains debated. This study aims to compare the efficacy and safety of PNB and SA in patients undergoing surgical treatment for various proctological conditions, with a focus on postoperative pain management, functional outcomes, and complication rates.
View Article and Find Full Text PDFBelgian consensus guideline on the management of anal fissures.
Acta Gastroenterol Belg
August 2024
Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Article Synopsis
- Acute and chronic anal fissures are common health issues that lead to significant discomfort and frequent doctor visits; therefore, evidence-based treatment guidelines are crucial.
- A Delphi consensus method was used to review existing literature and create a set of statements regarding the treatment options for anal fissures, finalized by January 2023.
- The guidelines emphasize that both men and women are equally affected, conservative treatments should be tried first, and surgical options like lateral internal sphincterotomy and fissurectomy can be considered if conservative methods fail.
Spectrum of Diagnoses in Female Patients With Proctologic Symptoms Presenting to the Surgery Unit of a Tertiary Care Center.
Cureus
April 2024
Department of Pathology, Khyber Medical College, Peshawar, PAK.
Introduction Anorectal diseases are prevalent in the general population and may vary from benign disorders to malignant lesions that can metastasize. There is a variety of proctologic symptoms associated with each disease. The incidence of proctologic disease varies in different cultures due to dietary habits and variations in lifestyle.
View Article and Find Full Text PDFAnal pruritus: Don't look away.
World J Gastrointest Endosc
March 2024
Department of Gastroenterology, Fernando Pessoa Teaching Hospital, Gondomar, Porto 4420-096, Portugal.
Article Synopsis
- * It can be caused by a variety of factors, including anorectal diseases, infections, and systemic illnesses, and a proper examination is necessary to identify underlying issues.
- * Treatment typically involves maintaining hygiene, avoiding irritants, and using topical therapies like steroids or capsaicin; colonoscopies can help evaluate the condition and guide treatment options.
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