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Research Paper | General Surgery | India | Volume 12 Issue 5, May 2023 | Popularity: 5 / 10
Prevalence of Benign Anal Conditions in Patients using Hand in Comparison with Jet Flush or Bidet Flush for Cleaning Anal Region after Defecation in a Tertiary Care Teaching Institute Puducherry
Paruchuri Anvitha, Selvakumar K
Abstract: Introduction: Anal hygiene or anal cleansing refers to hygienic practices that are performed on a person?s anus, usually shortly after defecation. In water based cleaning either a hand is used for rubbing the area against running water and in bidet systems or jet flushes pressurized water does the job of cleaning. Repeated hitting of the anus by water stream could potentially cause injury to the anal canal epithelium and lead to development of benign anal conditions. There are several studies on prevalence of benign anal conditions but only few studies are available regarding using hand in comparison with jet flush or bidet flush. Hence, the study was undertaken. Objectives: To determine the prevalence of benign anal conditions in patients using hand and jet flush or bidet flush after defecation and to compare both techniques of anal cleansing and find out the better method for anal hygiene to be practiced after defecation. Methods: A Cross-sectional study was conducted in tertiary care teaching hospital from September 2021 to November 2021 on 161 patients in general surgery department with complaints of benign anal conditions. After taking consent, the data was collected regarding patient details; the type of anal cleansing technique using a questionnaire and per rectal examination was carried out to confirm the diagnosis. Data was entered in Microsoft- Excel and analysed using SPSS version 20.0. Result: The prevalence of Benign anal conditions in subjects using Jet flush was found to be 52.2% and subjects who used Hand for washing was 47.8%. Fissure in ano was observed to be more in subjects 80(49.7%) who were using Jet flush for anal cleansing and found to be statistically significant(p<0.05). Fistula in ano was seen more in subjects who used hand for washing. Conclusion: The prevalence of Benign anal conditions in subjects using Jet flush was found to be high when compared to subjects who used Hand for washing. Fissure in ano was observed to be more in subjects who were using Jet flush for anal cleansing. Water used as a sharp stream to cleanse after defecation is hazardous and should be avoided. Hand for washing can be considered as better method for anal hygiene to be practiced after defecation.
Keywords: Anal cleansing, Anal hygiene, Bidet flush, water, Jet flush
Edition: Volume 12 Issue 5, May 2023
Pages: 2544 - 2548
DOI: https://www.doi.org/10.21275/MR23528171349
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