Spectrum of benign anorectal diseases of patients admitted to Ibn - Sena general hospital in Mukalla city during period 2010-2014

Abstract

Background: The benign anorectal diseases are
common problems that affect scores of patients.
These disorders not only provide the basis for the
proctology practice for colorectal surgeons, but also
the general surgeons and primary care physicians.
Objective: To describe the spectrum of benign anorectal diseases among patients attending to general
Ibn-Sena hospital in Mukalla city during 2010 –
2014.
Metods: This is retrospective descriptive study, was
carried out in Hadhramout governorate –Yemen between period of January 2010 and June 2014 .Total
of 1128 patients, both male and female of all age
groups, having benign anorectal disease were including in this study. Their age group classified to
less than 25 years, between 25-49 years, and more
than 50 year. The data was obtained from case files
of patients admitted to surgical department of
Ibn-Sena general hospital, for all benign anorectal
disease cases registered for treatment during 2010-
2014. Data collection include age, sex, surgical and
histopathology diagnosis.
Results: The results showed that the most common
type of the anorectal diseases was hemorrhoids which
presented 771 of the whole cases (68.2 %) followed
by perianal fistula which presented 231 of whole cases (20.4%), anal fissure which presented 117 cases
(10.3 %), benign tumors which presented 15 cases
(1.6%) and rectal prolapse which presented 6 cases
( 0.5 % ), while the least common type was the pilonidal sinus which presented 3 cases ( 0.3%). They
were common in females (59.4%), in 25-49 years
age group (58%), and bleeding was the commonest
symptom (35.19%).
Conclusions: Hemorrhoids was the commonest benign anorectal disease in our study. Benign anorectal
diseases were frequent among females, with peak incidence detected in 25-49 years age group, and bleeding was the commonest presentation.