ABSTRACT
Colorectal infections and sexually transmitted diseases (STDs) are important to colorectal surgeons as many of these diseases cause gastrointestinal symptoms and produce lesions in the perineum, anus, and rectum [1]. An explosive growth in the prevalence and variety of STDs has occurred in the past two decades, which can be traced to increases in promiscuity, homosexuality, and the use of the anorectum for sexual gratification [2]. Anogenital, oroanal, and other analbased erotic practices have increased. Approximately 2-2.5 million British citizens regularly use the anorectum for sexual fulfilment [2,3]. Similarly, 4-13% of the adult male population of the United States are predominantly homosexual or bisexual for at least a significant portion of their lives [4]. Promiscuity also plays a major role in the transmission of the vast majority of these diseases. It has been estimated that the average homosexual has about 1000 sexual partners during his lifetime [2,3], and other studies suggest that a “moderately active” homosexual man will have sexual relations with 100 men per year [2].
