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CC BY-NC-ND 4.0 · Journal of Coloproctology 2023; 43(02): 075-081
DOI: 10.1055/s-0043-1769486
Original Article

Sexually Transmitted Infections Lesions Found during Colonoscopies

Alexandre Gomes 
1   Surgical Clinic, Faculty of Medical and Biological Sciences, Pontifical Catholic University of São Paulo (FCMS/PUC-SP) Sorocaba, São Paulo, Brazil
,
João Batista Sampaio Netto
1   Surgical Clinic, Faculty of Medical and Biological Sciences, Pontifical Catholic University of São Paulo (FCMS/PUC-SP) Sorocaba, São Paulo, Brazil
,
Ricardo de Oliveira Ayres
1   Surgical Clinic, Faculty of Medical and Biological Sciences, Pontifical Catholic University of São Paulo (FCMS/PUC-SP) Sorocaba, São Paulo, Brazil
,
José Mauro da Silva Rodrigues
1   Surgical Clinic, Faculty of Medical and Biological Sciences, Pontifical Catholic University of São Paulo (FCMS/PUC-SP) Sorocaba, São Paulo, Brazil
,
Ronaldo Antonio Borghesi
1   Surgical Clinic, Faculty of Medical and Biological Sciences, Pontifical Catholic University of São Paulo (FCMS/PUC-SP) Sorocaba, São Paulo, Brazil
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Abstract

Introduction Anal examination and videoanoscopy (VA) are rarely performed during colonoscopies. In recent years, there has been a considerable increase in lesions of sexually transmitted anal and rectal infections, but these conditions are not noticed or reported during routine colonoscopy.

Objective To raise awareness regarding the fortuitous findings of lesions and sexually transmitted infections (STIs) in colonoscopy exams and to demonstrate that anal examination and VA provide important information and should be routinely performed.

Methods We conducted a descriptive retrospective study in 16,132 patients screened by colonoscopy and VA between 2006 and 2018. Among numerous other findings, the presence of anal condylomata and sexually transmitted retitis or perianal dermatitis was observed. The rates of each finding were calculated, and the patients were subdivided by sex and into age groups by blocks of ten years.

Results Among the 16,132 colonoscopies performed, 26 cases of condyloma (0.16%) and 50 cases of proctitis or perianal dermatitis suspicious for STI (0.33%) were found.

Conclusion Performing anal examination and VA systematically in all routine colonoscopies enabled the identification of numerous anal conditions, including several fortuitous cases of STIs. The study proposes that anal examination and VA should be performed in all routine colonoscopies and, in suspected cases, complementary tests for STIs.

Keywords

proctoscopy - anal canal - colonoscopy - STI


Publikationsverlauf

Eingereicht: 10. Dezember 2022

Angenommen: 07. März 2023

Artikel online veröffentlicht:
23. Juni 2023

© 2023. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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