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Background <p>Anorectal diseases are the most typical presentation to surgery among HIV/AIDS patients. According to the Country Progress Report - Sudan, Global AIDS Monitoring 2020, Eastern Sudan has a high prevalence of HIV/AIDS.</p> Methods <p>This is a prospective observational study conducted at Kassala State in Sudan between June 2013 and May 2022; we included all patients with anorectal diseases who proved to have HIV/AIDS. The study design included short-term postoperative follow-up to assess early wound-healing outcomes. Data from 358 participants is collected anonymously in collaboration with the Voluntary Counselling and Testing Center (VCTC).Data from 358 participants is collected anonymously in collaboration with the Voluntary Counselling and Testing Center (VCTC).</p> Results <p>In the study, 269(75.1%) were males. The mean age was 23 years. The incidence of anorectal conditions reveals that anal warts (35.8%) were the most common diagnosis, followed by fistula-in-ano (24%) and hemorrhoids (19.6%) with less frequency for proctitis, perianal ulcers, perianal abscesses, and anal fissures. Among the study population, 323 (90.2%) participants gave a history of unprotected sex; 323(90.2%) patients were from rural areas, and 324(90.5%) were illiterate. Surgery was done for 273(76.3%) patients. Postoperatively, 222 (62%) patients responded well and recovered within three weeks. The significant association was only between the residence of the participant and their socioeconomic status and education. In both situations, the P value was &lt; 0.0001.</p> Conclusions <p>Anorectal diseases among HIV/AIDS patients are common, and they can be managed with good outcomes, especially in patients in the treatment program with antiretroviral medications. These findings reflect outcomes within Eastern Sudan and should not be interpreted as prevalence estimates for East Africa or sub-Saharan Africa as a whole. The study showed that most patients are poor, from rural areas, and uneducated, which diagnoses the main problem and tells the solution.</p>

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Prevalence and Outcome of Anorectal Diseases Among HIV/AIDS Patients; Eastern African Model

  • 期刊论文

  • 发表日期：

    2026年3月17日

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  • Abdel Latif Khalifa Elnaim,
  • Mamoun Magzoub Mohamed

摘要

Background

Anorectal diseases are the most typical presentation to surgery among HIV/AIDS patients. According to the Country Progress Report - Sudan, Global AIDS Monitoring 2020, Eastern Sudan has a high prevalence of HIV/AIDS.

Methods

This is a prospective observational study conducted at Kassala State in Sudan between June 2013 and May 2022; we included all patients with anorectal diseases who proved to have HIV/AIDS. The study design included short-term postoperative follow-up to assess early wound-healing outcomes. Data from 358 participants is collected anonymously in collaboration with the Voluntary Counselling and Testing Center (VCTC).Data from 358 participants is collected anonymously in collaboration with the Voluntary Counselling and Testing Center (VCTC).

Results

In the study, 269(75.1%) were males. The mean age was 23 years. The incidence of anorectal conditions reveals that anal warts (35.8%) were the most common diagnosis, followed by fistula-in-ano (24%) and hemorrhoids (19.6%) with less frequency for proctitis, perianal ulcers, perianal abscesses, and anal fissures. Among the study population, 323 (90.2%) participants gave a history of unprotected sex; 323(90.2%) patients were from rural areas, and 324(90.5%) were illiterate. Surgery was done for 273(76.3%) patients. Postoperatively, 222 (62%) patients responded well and recovered within three weeks. The significant association was only between the residence of the participant and their socioeconomic status and education. In both situations, the P value was < 0.0001.

Conclusions

Anorectal diseases among HIV/AIDS patients are common, and they can be managed with good outcomes, especially in patients in the treatment program with antiretroviral medications. These findings reflect outcomes within Eastern Sudan and should not be interpreted as prevalence estimates for East Africa or sub-Saharan Africa as a whole. The study showed that most patients are poor, from rural areas, and uneducated, which diagnoses the main problem and tells the solution.