Water or Wipe: Implications for Human Papilloma Virus Associated Cancers?

It's commendable statistic that was deciphered by Islami et al (2016). It is interesting question raised by them whether the trends of receptive anal intercourse may explain the trends towards anal cancer incidence among various countries. However, they could have also reflected in their discussions whether plain water vs. dry wipe role in anal hygiene could potentially contribute to the trends in anal cancer because it would be worth a while to investigate whether post-defecation water use with associated anogenital hygiene variability in itself can act as an independent shield in our battle against anogenital cancer.