Common sexually transmitted bacterial organisms may affect the anorectum and perianal skin. While some of these infections are a result of contiguous spread from genital infection, most result from receptive anal intercourse. Polymicrobial infection is common and there is overlap in symptoms caused by the organisms that may infect the anorectum. This article addresses the most common bacterial organisms that are sexually transmitted and affect the anorectum. It includes discussions of gonorrhea, campylobacter, chlamydia, shigella, chancroid, granuloma inguinale, and syphilis.

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Few studies have described infections in women who engage in anal intercourse. We performed testing for rectal infections in women who reported ano-receptive intercourse at the Miami Dade Health Department Sexually Transmitted Diseases STD clinic and report the prevalence and characteristics of women with rectal CT or GC infections. Our results revealed a prevalence of

Fistulas are abnormal connections anastomosis between two surfaces, such as blood vessels, intestines, or other hollow organs. They commonly develop around the anus. They are caused by injury or surgery, but they can also result from an infection, inflammation, or diseases such as Crohn's disease or ulcerative colitis. Left unrepaired, fistulas can be traumatic, debilitating, and can do additional harm to the body. Fistulas can develop in various parts of the body including: the eyes, adnexa, ear, the circulatory system pulmonary vessels, arteries , the respiratory system pyothorax, between the trachea and the esophagus , the digestive system salivary gland, stomach, pancreas, anus, colon , between joints, and the urogenital system.