John Libbey Eurotext

Hépato-Gastro & Oncologie Digestive

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Sexually transmitted proctitis (except HPV) Volume 23, issue 9, Novembre 2016

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Authors
1 Groupe hospitalier Paris Saint-Joseph, Institut Léopold Bellan, service de proctologie médico-chirurgicale, 185, rue Raymond Losserand, 75014 Paris, France
2 Groupe hospitalier Paris Saint-Joseph, service de microbiologie, 185, rue Raymond Losserand, 75014 Paris, France
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Sexually transmitted infections (STI) are a major public health problem worldwide because their incidence is increasing despite prevention campaigns and because they raise the risk of human immunodeficiency virus (HIV) infection. Anorectal localizations of STI are common among men who have sex with me but can also be reported in heterosexual populations (men or women). Transmission occurs through unprotected sexual behaviours (receptive anal intercourse, oro-anal sex, fist-fucking). During the last years, sexual risky behaviours have led to resurgence of old affections (like syphilis), to increase of gonorrhea and to emergence of lymphogranuloma venereum in western countries. If suspected, the diagnosis is confirmed by a rectal swab and tested with molecular biology test. Treatment should be initiated before the results of laboratory tests, and is based on recommendations.