Gay anus disease

Find in topic Formulary Print Share. Sign in. The anal canal, which is surrounded by internal involuntary and external voluntary sphincter muscles, extends 2. Evaluation of anorectal symptoms in men who have sex with men. If digital rectal exam reveals a palpable abnormality that cannot be visualized on anoscopy, flexible sigmoidoscopy may be used initially to evaluate the cause of anorectal lesions.

This topic last updated: Jun 14, To continue reading this article, you must sign in with your personal, hospital, or group practice subscription. Select the option that best describes you. General approach — The cause of anorectal symptoms in men who have sex disease men MSM is often suggested by history and physical examination gay table 1.

The evaluation of anorectal symptoms in MSM will be addressed in this topic. See "Perianal and perirectal abscess", section on 'Management' and "Anorectal fistula: Clinical manifestations and diagnosis" and "Condylomata acuminata anogenital warts : Management of external condylomata acuminata in adult males" and "Clinical presentation, diagnosis, and staging of anal cancer" and "Anal fissure: Medical management" and "Anal fissure: Surgical management" and "Home and office treatment of symptomatic hemorrhoids" and "Surgical treatment of hemorrhoidal disease" and "Approach to the patient with anal pruritus", section on 'Initial management'.

View Topic. Sexually transmitted bowel and rectal diseases are common in gay men and are caused by a wide variety of infectious agents. How can UpToDate help you? In the mid-point of the anal canal is the dentate line, which is the demarcation between columnar epithelium superiorly and squamous epithelium inferiorly figure 1.

Patients should be evaluated by obtaining a detailed history, performing an external rectal exam for visible abnormalities eg, anal warts, hemorrhoids and performing a digital rectal exam for palpable abnormalities eg, perianal abscess, rectal mass.

" Gay anus syndrome " is an obsolete classification of various sexually transmitted rectal infections observed in men who have sex with men. The team also further analyzed the data in relation to Crohn’s disease and found men who engaged in high-risk same-sex sexual activity were more likely to have peri-anal disease including peri-anal abscess, rectal abscess and stricturing disease of the colon or small intestine.

The former would be suggestive of a perianal abscess, while the latter would raise concern for anal cancer.

The gay bowel syndrome

No drug references linked in this topic. Depending upon the finding, such as a mass lesion or other lesion suspicious for neoplasia, the patient should be referred for transrectal ultrasound or pelvic magnetic resonance imaging MRI scan with and without contrast to determine if the finding represents a cystic or solid lesion.

Why UpToDate? Select Language Chinese English. Formulary drug information for this topic. Product Editorial Subscription Options. Font Size Small Normal Large. Each of the entities implicated in the gay bowel syndrome is considered separately and epidemiologic considerations responsible for the appearance of such a syndrome are examined.

Along the dentate line lie crypts, which have small glands at their base. The management of common anal problems in the general patient population, with the exception of proctitis, which is covered here, are discussed separately.

[1]. It was first used by Dr. Henry L. Kazal in to describe conditions he observed in his proctology practice, which had many gay patients. See 'History' below and 'Physical examination' below and 'Anoscopy' below.