Background Anorectal diseases including hemorrhoids, anal fissures, and fistulas significantly impact quality of life, yet the relationship between toilet behaviors and disease development remains poorly understood. Methods This cross-sectional study conducted at Muğla Sıtkı Koçman University compared 211 proctology patients with anorectal diseases to 369 healthy controls. Data on demographics, toilet behaviors, hygiene practices, and lifestyle factors were collected through structured interviews. Results Among 58…