Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study

Background: Water used as a single sharp stream in toilet commode for post defecation cleansing is a common practice in several countries across the globe including India. Repeated hitting of the anus by water stream could potentially cause injury to the anal canal epithelium and lead to development...

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Autores principales:	Pankaj Garg, Pratiksha Singh
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2017
Materias:	anal fissure anterior cause water bidet toilet Medicine R
Acceso en línea:	https://doaj.org/article/c155c0a208a34194ad77397a565675bf
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spelling	oai:doaj.org-article:c155c0a208a34194ad77397a565675bf2021-11-16T07:43:30ZWater Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study2783-2430https://doaj.org/article/c155c0a208a34194ad77397a565675bf2017-03-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47157_776707b712aaf0c9a9f24f710ef68487.pdfhttps://doaj.org/toc/2783-2430Background: Water used as a single sharp stream in toilet commode for post defecation cleansing is a common practice in several countries across the globe including India. Repeated hitting of the anus by water stream could potentially cause injury to the anal canal epithelium and lead to development of fissure-in-ano. As the water stream is emanating from the backside of the toilet commode, the possible injury, if any, would be on the anterior anal canal.Objectives: The present study aimed at determining whether water stream usage in toilet commodes increased the incidence of anterior fissure-in-ano; this was determined by the incidence of anterior fissure-in-ano the study and control groups.Methods: All consecutive fissure-in-ano patients referring to a colorectal clinic from February 2012 to 2015 were included in the study. The patients were classified as a study group (who were using water stream for cleansing purposes in toilet commodes) and a control group (patients who were not using water stream). The characteristics and location (position) of the fissure-in-ano wasnoted.Results: In this study, 165 patients were prospectively enrolled. Male/female ratio was 96/69, and the mean age was 36.3±11.2 years.The anterior fissure-in-ano in the study group was 55.9% (47/84), while it was 17.3 % (14/81) in the control group (P < 0.0001, oddsratio: 6.08, 95% CI: 2.96 - 12.47].Conclusions: Water used as a single sharp stream to cleanse after defecation in toilet commodes is hazardous and should be avoided.Pankaj GargPratiksha SinghShiraz University of Medical Sciencesarticleanal fissureanteriorcausewaterbidet toiletMedicineRENIranian Journal of Colorectal Research, Vol 5, Iss Issues 1-2, Pp 1-4 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	anal fissure anterior cause water bidet toilet Medicine R
spellingShingle	anal fissure anterior cause water bidet toilet Medicine R Pankaj Garg Pratiksha Singh Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study
description	Background: Water used as a single sharp stream in toilet commode for post defecation cleansing is a common practice in several countries across the globe including India. Repeated hitting of the anus by water stream could potentially cause injury to the anal canal epithelium and lead to development of fissure-in-ano. As the water stream is emanating from the backside of the toilet commode, the possible injury, if any, would be on the anterior anal canal.Objectives: The present study aimed at determining whether water stream usage in toilet commodes increased the incidence of anterior fissure-in-ano; this was determined by the incidence of anterior fissure-in-ano the study and control groups.Methods: All consecutive fissure-in-ano patients referring to a colorectal clinic from February 2012 to 2015 were included in the study. The patients were classified as a study group (who were using water stream for cleansing purposes in toilet commodes) and a control group (patients who were not using water stream). The characteristics and location (position) of the fissure-in-ano wasnoted.Results: In this study, 165 patients were prospectively enrolled. Male/female ratio was 96/69, and the mean age was 36.3±11.2 years.The anterior fissure-in-ano in the study group was 55.9% (47/84), while it was 17.3 % (14/81) in the control group (P < 0.0001, oddsratio: 6.08, 95% CI: 2.96 - 12.47].Conclusions: Water used as a single sharp stream to cleanse after defecation in toilet commodes is hazardous and should be avoided.
format	article
author	Pankaj Garg Pratiksha Singh
author_facet	Pankaj Garg Pratiksha Singh
author_sort	Pankaj Garg
title	Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study
title_short	Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study
title_full	Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study
title_fullStr	Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study
title_full_unstemmed	Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study
title_sort	water stream in bidet toilet commode as a cause of anterior anal fissure: a case-control study
publisher	Shiraz University of Medical Sciences
publishDate	2017
url	https://doaj.org/article/c155c0a208a34194ad77397a565675bf
work_keys_str_mv	AT pankajgarg waterstreaminbidettoiletcommodeasacauseofanterioranalfissureacasecontrolstudy AT pratikshasingh waterstreaminbidettoiletcommodeasacauseofanterioranalfissureacasecontrolstudy
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Water Stream in Bidet Toilet Commode as a Cause of Anterior Anal Fissure: A Case-Control Study

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