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Treatment of anal fissure

Anal fissures hold the “Bronze medal” among the other proctologic diseases. In its frequency of occurrence this disorder is inferior only to colitis and hemorrhoids, and occurring in 11.7% of proctology patients. English surgeon Roy Bennett said: "Anal fissure is a small disease, however; it causes considerable discomfort. Recovery from it brings people true joy of life" And he was absolutely right, because the fissures are often accompanied by a number of unpleasant complaints: pain during defecation, sphincter spasm, anal bleeding. In addition, anal fissures often lead to constipations, because, severe pain detains normal defecation.

Medical definition of the disease.

Anal fissure is spontaneously arising linear or elliptical defect rectal mucosa, which is usually located in the midline, most often on the back of the anal canal, and rarely on the front wall.

Acute anal fissure has a slit-like shape with smooth, straight edges; its bottom is a sphincter muscle. Over time, the bottom edge of the fissure becomes covered with granulations of fibrose nature. With prolonged duration of the disease (more than one month) connective tissue proliferation occurs on the edges of the anal fissure; the tissues become thickened and undergo trophic changes. In the inner and sometimes outer edge of anal fissure regions excess tissue develop. These are so-called anal tubercles, which can subsequently transform to fibrous polyp.

What are the causes of anal fissures?

  • Circulatory disorders of anus (stagnation of blood in the rectal area), occurs in people leading a sedentary lifestyle or holding the sitting position for a long time.
  • Chronic diseases of the upper gastrointestinal tract (gastritis, gastric ulcer and duodenal ulcer, cholecystitis).
  • Injuries to the anus are caused by constipation, by the content of not digested food particles in stool, or by the insertion of foreign bodies into the anal canal.
  • Hemorrhoids. Hemorrhoids weaken the walls of the anus and it becomes susceptible to injures during defecation. The presence of anal fissures associated with hemorrhoids can be also explained by blood circulation disorders (blood stagnation, thrombosis) in the anus.
  • Anatomical features of the rectum structure. In women, due to the structural features of genitals, the front end of the anus is the most fragile. Consequently, the fissures in the front wall of the anus are found most often in females.
  • The disorders of the rectal innervation (lasting spasm of the sphincter) along with the pathology of the nervous system.

Anal fissures have a number of stages, and each of them has its particular symptoms:

Acute anal fissures (symptoms):

  • Pain in the anus (a strong but brief). The pain occurs only during defecation and lasts for about 15 minutes after.
  • Spasm of the anal sphincter.
  • Minor bleeding from the anus. Typically, patients with anal fissure have bleeding during defecation, as a result of solid stool.
  • The difficulty during defecation.

Chronic anal fissures (symptoms):

  • Pain in the anus (pain is more lasting and increases when the patient spends a long time in a sitting position).
  • Bleeding from the anus (especially during constipation).
  • Purulence discharge from the anal canal.
  • "Defecation anxiety”. Many patients with chronic anal fissures delay the act of defecation for a long time because of the discomfort, and then resort to laxatives.

Complications of anal fissures

If you identify even the slightest symptoms of anal fissures, you should not allow the disease to develop, hoping that it will disappear by itself. It will not happen, on the contrary, if you ignore anal fissures for a long time, they may get worse, and give very undesirable complications, such as:

  • Severe pains (intensive pain syndrome of anal fissures occurs usually due to a strong spasm of the anal sphincter).
  • Acute paraproctitis – the inflammation of paraproctium due to the spread of inflammation from the anal crypts and anal glands.
  • Heavy bleeding.
  • Rectal fistula – a chronic inflammatory process in the anal crypt between the sphincter and adrectal gland with the formation of fenestration.
  • Colitis - an inflammatory disease of the large intestine’s inner mucosa.
  • Prostatitis - inflammation of the prostate gland.

Treatment of anal fissure

With the first symptoms of anal fissures it is strongly recommended to see a proctologist, because at an early stage it is still possible to avoid surgical intervention. Modern proctology can cure an acute anal fissure with exclusive products of Proctoline Company and some injections, which helps to achieve recovery in 90% of patients.

In the case of inveterate stage of the disease (chronic anal fissure), conservative methods are not always able to help, and if doctors incline to surgical methods that may have a number of unpleasant moments: pain, postoperative complications, infections and inflammatory processes.

“The Oxford Medical” offers a completely different method of anal fissure treatment – radio wave therapy. Due to this technology, everybody who underwent this procedure had no complains about pain during the maneuver.

"Surgitron" radio wave unit is a tool working wonders. With the help of this device proctologist can perform a large number of operations in one day, all of them with maximum efficiency.

The use of this device has several advantages:

  • Painless procedure (radio wave surgery can cut the soft tissues, using high-frequency waves, with a range of 3,8-4,0 MHz). Due to this, discission is made without physical pressure on the tissue and without fragmentation of its cells.
  • Prevention of postoperative swelling, inflammation and scar formation.
  • Healing is painless and implies no scars.
  • High-frequency radio wave exposure has also antiseptic effect, thereby preventing a whole list of complications.

There is no need for anesthesia, which often has a stronger impact on the patient’s health than the operation itself. When using the "Surgitron" unit, local anesthetic and sedative injection are sufficient for the comfortable procedure. Patients treated in “The Oxford Medical”, leave only positive feedbacks and assure: "We never thought that anal fissure treatment can be so efficient and comfortable." 

Anal fissure. The treatment is provided in all affiliated branches of "The Oxford Medical" clinic by the experienced proctologists. You can find more information and sign up for an appointment at the nearest branch of our clinic.

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