Problems in Tropical Proctology

Anorectal pathology is a growing problem in the developing (tropical) world. Five proctology cases and other anorectal pathologies that highlight the problems of diagnosis and management in a developing tropical country (Cameroon) in West Africa are discussed. Proctological procedures can be safe and effective therapeutic modalities. However, the problems of proctology practice in the developing world include: patients' ignorance and fear of anorectal procedures rendering fecal incontinence; insufficient health education accentuating late diagnosis and management of anorectal disease; a poor referral system; the lack of trained colorectal surgeons and pathologists; limited resources; and the greater need for understanding sexually transmitted diseases such as HIV/AIDS in the practice of proctology.