Primary care office management of perianal and anal disease

Benign anorectal processes, hemorrhoids, fissures, abscesses, fistulas, and infections, as well as some functional disorders, are common. They generate significant patient discomfort and disability. Appropriate recognition of these processes allows for outpatient, office-based intervention. With the techniques and management described in this article, many patients' symptoms can be ameliorated expeditiously.