{"id":978,"date":"2021-11-11T23:16:55","date_gmt":"2021-11-11T22:16:55","guid":{"rendered":"http:\/\/10.14.1.26\/website\/specialite\/proctologie\/"},"modified":"2022-03-27T21:46:42","modified_gmt":"2022-03-27T19:46:42","slug":"proctologie","status":"publish","type":"service","link":"https:\/\/www.stpierre-bru.be\/en\/service\/hepato-gastro-enterologie\/proctologie\/","title":{"rendered":"Proctologie"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;3.22&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.14.8&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Plusieurs sympt\u00f4mes doivent vous amener \u00e0 consulter un proctologue: saignement, douleur, gonflement, d\u00e9mangeaisons, et suintement de pus au niveau de l\u2019anus, difficult\u00e9 \u00e0 \u00e9vacuer ou \u00e0 retenir vos selles.<\/p>\n<p>Votre prise en charge se fera dans un premier temps dans le cadre d\u2019une consultation qui comprendra\u00a0:<\/p>\n<ul>\n<li>un interrogatoire<\/li>\n<li>un examen de l\u2019anus et du rectum par une palpation de l\u2019anus et un <strong>toucher rectal<\/strong><\/li>\n<\/ul>\n<p>En fonction de vos sympt\u00f4mes un ou plusieurs examens compl\u00e9mentaires vous seront propos\u00e9s\u00a0:<\/p>\n<ul>\n<li>Visualisation de l\u2019int\u00e9rieur de l\u2019anus ou du rectum \u00e0 l\u2019aide \u00a0d\u2019un <strong>anuscope<\/strong>\u00a0(anuscopie)\u00a0ou d\u2019un <strong>rectoscope<\/strong> (<strong>rectoscopie)<\/strong>; c\u2019est g\u00eanant mais ce n\u2019est pas douloureux.<\/li>\n<li>Examen de la muqueuse anale par\u00a0anuscopie haute r\u00e9solution ou de la paroi anale et de la p\u00e9riph\u00e9rie du canal anal par \u00e9cho-endoscopie ano-rectale.<\/li>\n<li>Examen fonctionnel du rectum\u00a0: manom\u00e9trie ano-rectale, d\u00e9f\u00e9cographie, \u00e9lectromyographie, etc.<\/li>\n<li>Examens d\u2019imagerie\u00a0: scanner, r\u00e9sonnance magn\u00e9tique.<\/li>\n<li>Occasionnellement pr\u00e9l\u00e8vements pour rechercher des maladies sexuellement transmises.<\/li>\n<\/ul>\n<p>Ces examens permettrons d\u2019\u00e9tablir des diagnostiques tels que: <strong>h\u00e9morro\u00efdes<\/strong>, maladies sexuellement transmises (<strong>MST<\/strong>), <strong>fissure anale<\/strong>, abc\u00e8s ou <strong>fistule anale<\/strong>, <strong>maladie de Crohn<\/strong>, <strong>recto-colite<\/strong>, <strong>constipation <\/strong>et <strong>incontinence<\/strong>, <strong>rectoc\u00e8le <\/strong>et <strong>prolapsus<\/strong>, etc. Les cancers sont plus rares mais doivent \u00eatre diagnostiqu\u00e9s pr\u00e9cocement.<\/p>\n<p>Le traitement que nous vous proposerons sera fonction du diagnostic sp\u00e9cifique \u00e0 vos sympt\u00f4mes. Il peut s\u2019agir d\u2019un traitement local ou m\u00e9dical mais parfois une chirurgie peut s\u2019av\u00e9rer n\u00e9cessaire. Nous travaillons en \u00e9troite collaboration avec le service de chirurgie digestive \u00e9galement impliqu\u00e9 dans la consultation de proctologie.<\/p>\n<p>[\/et_pb_text][et_pb_accordion open_toggle_text_color=&#8221;#00B9B4&#8243; icon_color=&#8221;#00B9B4&#8243; _builder_version=&#8221;4.14.8&#8243; _module_preset=&#8221;default&#8221; toggle_text_color=&#8221;#00B9B4&#8243; width=&#8221;100%&#8221; custom_margin=&#8221;|-198px||||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_accordion_item title=&#8221;Anuscopie Haute R\u00e9solution&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.14.8&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>L&#8217;AHR c\u2019est un examen de l\u2019anus \u00e0 l\u2019aide d\u2019une loupe qui\u00a0 permet de visualiser la muqueuse de l\u2019anus afin de rechercher et de caract\u00e9riser les l\u00e9sions dysplasiques parfois tr\u00e8s discr\u00e8tes. L\u2019examen est g\u00e9n\u00e9ralement compl\u00e9t\u00e9 par un pr\u00e9l\u00e8vement apr\u00e8s une anesth\u00e9sie locale. Notre \u00e9quipe s\u2019est rendue experte dans cette discipline tr\u00e8s sp\u00e9cifique.<\/p>\n<h4>D\u00e9roulement de l\u2019examen<\/h4>\n<ul>\n<li>Prenez\u00a0une bonne douche chez vous et arrivez bien \u00e0 l\u2019heure.<\/li>\n<li>Apr\u00e8s les formalit\u00e9s administratives, vous serez re\u00e7u par l\u2019infirmi\u00e8re puis le m\u00e9decin qui vous interrogera sur le cadre de l\u2019examen (d\u00e9pistage suite \u00e0 un frottis anal ou suivi apr\u00e8s un traitement, ant\u00e9c\u00e9dents, etc.).<\/li>\n<\/ul>\n<p>Pensez \u00e0\u00a0pr\u00e9ciser si vous avez une allergie aux produits contenant de l\u2019iode.\u00a0<\/p>\n<ul>\n<li>Vous serez ensuite invit\u00e9 successivement \u00e0: vous d\u00e9v\u00eatir du \u00ab bas \u00bb, rev\u00eatir un pantalon que nous vous remettrons, vous coucher sur le lit d\u2019examen, lat\u00e9ralement sur le c\u00f4t\u00e9 gauche, en \u00ab\u00a0position f\u0153tale\u00a0\u00bb, les fesses au bord de la table.<\/li>\n<li>Le m\u00e9decin effectuera ensuite l\u2019examen minutieux \u00e0 l\u2019aide de l\u2019anuscope \u00e0 haute r\u00e9solution. Il vous expliquera toutes les \u00e9tapes de la proc\u00e9dure au fur et \u00e0 mesure.<\/li>\n<li>Apr\u00e8s l\u2019examen, vous recevrez une prescription (pour une \u00e9ventuelle douleur ou un petit saignement) et un nouveau rendez-vous vous sera fix\u00e9\u00a0 afin d\u2019aborder en consultation le r\u00e9sultat des pr\u00e9l\u00e8vements et la prise en charge correspondante.<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Maladies sexuellement transmissibles: condylomes et dysplasies&#8221; _builder_version=&#8221;4.14.8&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p>La\u00a0peau, y compris celle des organes g\u00e9nitaux et du canal anal, peut \u00eatre infect\u00e9e par un ou plusieurs virus de la famille du<span>\u00a0<\/span><strong>Human Papilloma Virus<\/strong><span>\u00a0<\/span>(<strong>HPV<\/strong>). Il existe un vaccin contre certains de ces virus mais beaucoup de personnes sont encore porteurs de cette maladie sexuellement transmissible parfois sans le savoir.\u00a0 Certains HPV sont responsables de l\u00e9sions b\u00e9nignes, les<span>\u00a0<\/span><strong>condylomes<\/strong>, alors que d\u2019autres peuvent causer des l\u00e9sions pr\u00e9canc\u00e9reuses, la<span>\u00a0<\/span><strong>dysplasie<\/strong>. Au niveau de l\u2019anus on parle de<span>\u00a0<\/span><strong>dysplasie anale<\/strong><span>\u00a0<\/span><strong>ou anal intraepithelia neoplasia (AIN)<\/strong>.<\/p>\n<p>La dysplasie anale (ou AIN) est class\u00e9e en diff\u00e9rents grades (1, 2, 3). Un certain pourcentage m\u00e9connu de dysplasie de grade 2 ou 3 (ou AIN 2 ou 3) peut \u00e9voluer vers un cancer de l\u2019anus.<\/p>\n<p>Par rapport \u00e0 la population g\u00e9n\u00e9rale, les personnes les plus \u00e0 risque sont\u00a0les patients porteurs du VIH, les patientes aux ant\u00e9c\u00e9dents de cancer du col de l\u2019ut\u00e9rus, les personnes qui ont une immunit\u00e9 diminu\u00e9e, les fumeurs et les personnes avec des rapports sexuels \u00e0 risque.<\/p>\n<p>La prise en charge de la dysplasie anale et des condyl\u00f4mes repose sur un<span>\u00a0<\/span><strong>frottis anal<\/strong><span>\u00a0<\/span>et l\u2019anuscopie haute r\u00e9solution. Le r\u00e9sultat des pr\u00e9l\u00e8vements et l\u2019attitude de prise en charge seront abord\u00e9s lors d\u2019une consultation d\u00e9di\u00e9e.<\/p>\n<p>Nous vous proposerons un traitement des condylomes (m\u00e9dical ou chirurgical), et de la dysplasie (m\u00e9dical ou chirurgical ou une surveillance r\u00e9guli\u00e8re). Que vous soyez trait\u00e9 ou pas, un suivi \u00e0 long terme est n\u00e9cessaire et vous sera conseill\u00e9.<\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prise en charge des maladies de l&rsquo;<strong>anus<\/strong> et du bas <strong>rectum<\/strong>.<\/p>\n","protected":false},"featured_media":859,"parent":826,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"Plusieurs sympt\u00f4mes doivent vous amener \u00e0 consulter un proctologue: saignement, douleur, gonflement, d\u00e9mangeaisons, et suintement de pus au niveau de l\u2019anus, difficult\u00e9 \u00e0 \u00e9vacuer ou \u00e0 retenir vos selles.\n\nVotre prise en charge se fera dans un premier temps dans le cadre d\u2019une consultation qui comprendra&nbsp;:\n<ul>\n \t<li>un interrogatoire<\/li>\n \t<li>un examen de l\u2019anus et du rectum par une palpation de l\u2019anus et un <strong>toucher rectal<\/strong><\/li>\n<\/ul>\nEn fonction de vos sympt\u00f4mes un ou plusieurs examens compl\u00e9mentaires vous seront propos\u00e9s&nbsp;:\n<ul>\n \t<li>Visualisation de l\u2019int\u00e9rieur de l\u2019anus ou du rectum \u00e0 l\u2019aide &nbsp;d\u2019un <strong>anuscope<\/strong>&nbsp;(anuscopie)&nbsp;ou d\u2019un <strong>rectoscope<\/strong> (<strong>rectoscopie)<\/strong>; c\u2019est g\u00eanant mais ce n\u2019est pas douloureux.<\/li>\n \t<li>Examen de la muqueuse anale par&nbsp;<a href=\"https:\/\/www.stpierre-bru.be\/fr\/services-medicaux\/hepato-gastro-enterologie\/proctologie\/anuscopie-haute-resolution-1\">anuscopie haute r\u00e9solution <\/a>ou de la paroi anale et de la p\u00e9riph\u00e9rie du canal anal par \u00e9cho-endoscopie ano-rectale.<\/li>\n \t<li>Examen fonctionnel du rectum&nbsp;: manom\u00e9trie ano-rectale, d\u00e9f\u00e9cographie, \u00e9lectromyographie, etc.<\/li>\n \t<li>Examens d\u2019imagerie&nbsp;: scanner, r\u00e9sonnance magn\u00e9tique.<\/li>\n \t<li>Occasionnellement pr\u00e9l\u00e8vements pour rechercher des <a href=\"https:\/\/www.stpierre-bru.be:\/fr\/services-medicaux\/hepato-gastro-enterologie\/proctologie\/maladies-sexuellement-transmissibles-condylomes-et-dysplasies-1\">maladies sexuellement transmises<\/a>.<\/li>\n<\/ul>\nCes examens permettrons d\u2019\u00e9tablir des diagnostiques tels que: <strong>h\u00e9morro\u00efdes<\/strong>, maladies sexuellement transmises (<strong>MST<\/strong>), <strong>fissure anale<\/strong>, abc\u00e8s ou <strong>fistule anale<\/strong>, <strong>maladie de Crohn<\/strong>, <strong>recto-colite<\/strong>, <strong>constipation <\/strong>et <strong>incontinence<\/strong>, <strong>rectoc\u00e8le <\/strong>et <strong>prolapsus<\/strong>, etc. Les cancers sont plus rares mais doivent \u00eatre diagnostiqu\u00e9s pr\u00e9cocement.\n\nLe traitement que nous vous proposerons sera fonction du diagnostic sp\u00e9cifique \u00e0 vos sympt\u00f4mes. Il peut s\u2019agir d\u2019un traitement local ou m\u00e9dical mais parfois une chirurgie peut s\u2019av\u00e9rer n\u00e9cessaire. Nous travaillons en \u00e9troite collaboration avec le service de chirurgie digestive \u00e9galement impliqu\u00e9 dans la consultation de proctologie.","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false},"categories":[1861,44],"tags":[1113,1111,1105,1109,1108,1112,1107,1106,1092,1110,1039,1104,1094],"class_list":["post-978","service","type-service","status-publish","has-post-thumbnail","hentry","category-hepato-gastro-enterologie","category-specialite","tag-anuscopie","tag-condylomes","tag-constipation","tag-cul","tag-demangeaison-anus","tag-dysplasies","tag-gonflement-anus","tag-hemorroide","tag-kaka","tag-mal-aux-cul","tag-proctologue","tag-recutm","tag-selles"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - 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