Anal Fissure diagnosis & treatment process
Diagnosis
To Identify Anal Fissures and evaluate the overall physical condition of the patient's anus area, some Tests may include:
- Anoscopy
- Flexible sigmoidoscopy
- Colonoscopy
Nonsurgical treatments
Normally in the primary condition of an Anal Fissure, nonsurgical treatment can be applied.
Lifestyle modification is the most important measure. It includes the following
Here we mentioned some of the medication treatment options:
- Externally applied nitroglycerin
- Topical combination of anesthetic, anti-inflammatory, and antibiotic creams
- Topical calcium channel blockers
- BotulinumtoxinA (Botox) injection
Surgical Treatment
If you have a chronic anal fissure that doesn't respond to other treatments, or if your symptoms are severe, we suggest surgery.
One common surgical procedure is called lateral internal sphincterotomy (LIS). During LIS, a small section of the anal sphincter muscle is carefully cut. This technique is aimed at facilitating healing and alleviating spasms and
pain.
Nowadays LIS can be done with diode LASER. We use 1470 nm European LASER.
Research indicates that surgery is significantly more effective than any medical treatment for chronic fissures. In the expert hand of a colorectal surgeon, surgery is very safe and brings excellent patient satisfaction. Inadvertent cutting of
the sphincter by novice unspecialized surgeon can cause fecal incontinence (inability to hold loose stool)
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