Do male homosexual patients present any anal disease more frequently than heterosexual patients?
In the case of male homosexual patients, we most frequently diagnose sexually transmitted diseases at the level of the anus, especially the human papillomavirus, which produces lesions called condylomata.. We can also find other sexually transmitted diseases such as syphilis, gonorrhea and herpes. And like the rest of the general population, we diagnose diseases such as hemorrhoids, fissures and fistula.
In what cases is a surgical treatment necessary and what does it consist of?
We perform a surgical treatment of condylomas when they are large in the perianal and intra-anal areas.. The surgical treatment consists in the elimination of the lesions either by means of a monopolar scalpel or a laser scalpel.. A biopsy of the removed lesions is always performed.
How are post-operative and recovery?
Post-operative pain varies depending on the size of the lesions, which may be one week in the case of small lesions up to 2 or 3 weeks in the case of large lesions.. This is why it is important that the patient visit the surgeon whenever they notice an abnormal lesion in their perianal area.
Why is it important for the gay patient to have medical check-ups?
It is important that gay patients are monitored in consultation because there are subtypes of the human papilloma virus that are capable of causing pre-malignant lesions and squamous cell cancer of the anus.. Special care should have gay patients over-infected with the AIDS virus since they have a much higher risk of developing squamous anus cancer, so it is necessary to perform cytologies.