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Anal fissure treatment

In terms of frequency of its occurrence, such unpleasant disorder as the anal fissure concedes only to hemorrhoid and colitis. This disease is encountered with approximately 12% of patients, consulting with proctologists.


The anal fissure is a randomly occurring break of mucous membrane of anal canal. The form of anal fissure resembles a slit with smooth and even edges. In advanced cases of the disease, the connective tissue is growing over the edges of fissure, and the tissues undergo trophic changes. The development of redundant tissue, which threatens with formation of a fibrous polyp, starts within the area of fissure edges.


The anal fissures are very frequently accompanied with the pain during defecation, sphincter spasms and blood-streaked discharges from the anus. In addition, the rectal fissures often cause constipation, as due to severe pains, the person often strains bowel movement.


Multiple factors may lead to the occurrence of anal fissures:

  • disturbance of blood circulation in the anus (most often, due to the sedentary lifestyle);
  • problems with gastrointestinal tract (gastritis, ulcer disease, cholecystitis);
  • anal injuries (for example, during constipation or as the result of insertion of foreign bodies);
  • rectum structure;
  • continuous anal sphincter muscle spasm, caused by CNS pathologies;
  • hemorrhoid.


The anal fissures may be chronic and acute. The main signs of acute anal fissures include:

  • complicated defecation, accompanied with pains;
  • blood-streaked discharges from the anus;
  • anal sphincter spasms.

The symptoms of chronic anal fissures include:

  • continuous periodic pain in the anus, especially intensifying when sitting for long time;
  • prolonged period of delay of defecation due to pain and unpleasant feelings;
  • bleeding during constipation;
  • purulent discharges from the anus.

After identifying even minor symptoms of anal fissures, you should never delay your visit to a proctologist and treatment. If you ignore the rectal fissures for long time, they can lead to very serious complications:

  • pronounced pain syndrome due to the anal sphincter muscle spasm;
  • excessive bleeding;
  • painful inflammatory processes (acute paraproctitis, colitis, rectal fistula);
  • prostatitis (among men);


It is very important to timely see a proctologist upon appearance of the first symptoms of rectal fissures – it will help to avoid surgical intervention. In Oxford Medical clinic, the acute anal fissures are effectively treated with the help of exclusive drugs and injections. If the disease became chronic, the conservative methods are not very effective. The doctors have to resort to surgical methods of treatment, which are accompanied with some unpleasant moments: complications, infections, inflammatory processes. These procedures are painful and require a continuous rehabilitation period.


The Proctology Department of Oxford Medical clinic uses a unique painless and highly effective method of treatment of anal fissures – radio-wave therapy. By using a radio-wave apparatus Surgitron, the proctologist can perform many operations just for one day and with maximum efficiency.


The advantages of using a radio-wave device:

  1. Absolute painlessness. Radio-wave surgery allows incising soft tissues, using high-frequency waves (3.8 – 4.0 MHz). As a result, the incision is performed without any physical pressure over tissue and cell fission.
  2. Exposure to radio-wave high frequencies has a sterilizing effect and prevents risk of occurrence of complications and inflammations after the operation, development of postoperative edemas and formation of scars.
  3. There is no need in the narcosis, which is frequently tolerated by patients worse than after the operation itself. The performance of operation, using Surgitron apparatus, requires only local anesthesia and injections of the sedative drug.
  4. After the procedure, the patient does not have any scars left, and the healing process passes quickly and painlessly.


The innovative minimally invasive methods are applied for treatment of diseases in Oxford Medical clinic. The high-class colorectal surgeons and proctologists of the clinic work, using the most sparing methods. It enables the person to return to a normal life and forget about his disorder forever. After the operations, performed in the clinic, the patients do not need long-term hospitalization and rehabilitation. Many patients, who underwent successful treatment in Oxford Medical, give positive reviews, saying: “We did not even think that it is possible to treat such disorder as the anal fissure so quickly, effectively and comfortably”.


Once you start feeling discomfort in your anus, make appointment with the proctologist. The experience shows: it is better to undergo a modern and painless examination with a specialist than to spend a lot of time, effort, nerves and funds on the treatment of anal fissure or its complications.


You can obtain additional information and make appointment by calling (044) 204 40 40 in Kyiv.


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Bondarenko Iuliia IgorevnaProctologist

Glubochitskaya street, 40X;

information about doctor

Kindratishin Bogdan TeodorovichPhysician surgeon Video CV

Glubochitskaya street, 40X;

information about doctor

1993-1999 - graduated from Kiev Medical University, Ukrainian Association of Folk Medicine.

1999 - internship in surgery at the Kiev National Medical Academy of Postgraduate Education named after Shupyk.

1999-2000 - a surgeon in the Kyiv Municipal Clinical Emmergency Hospital.

2000-2002 – a junior research fellow at the X-ray Surgery Department at the Oncology Institute of Academy of Medical Sciences of Ukraine.

2002 - an advanced course on endovascular surgery, "New technologies in endovascular surgery” at the Kiev National Medical Academy of Postgraduate Education named after Shupyk.

2005. - received the 2nd category.

2006 – got the speciality of a physician-proctologist.

2006-2009 – a surgeon at Interventional Radiology Department, National Cancer Institute.

Since 2009 - Chief of Interventional Radiology Department, National Cancer Institute.

Since 2009 - Doctor- procologist at “The Oxford Medical” clinic.

2010 - got the 1st category.

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Kravchenko Olga Valerievna Doctor proctologist
Kravchenko Olga ValerievnaDoctor proctologist Video CV

Glubochitskaya street, 40X;

information about doctor

2001 - graduated from National Medical University named after A.A. Bogomolets;

2001 till 2003 - internship on the basis of the Kiev Medical Academy of Postgraduate Education named after Shupyk, specialty – “General Surgery”;

2003 till 2005 - clinical residency training on the basis of the Kiev Medical Academy named after Shupyk;

2005 - a surgeon at the hospital of the State Border Service of Ukraine, General Surgery Department;

2010 – doctor-proctologist at “The Oxford Medical” clinic.

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information about doctor

2003 – 2009 Study in NationalMedicineUniversity named after Bogomoletz, department of general medicine.

2009 – 2012 Internship on specialty “surgery” on the base of academic department of surgery N 4 of National Medicine University named after Bogomoletz.

2011. - "Live" laparoscopic surgery", on the base of "Scientific and Practical Center for Preventive and Clinical Medicine"

2012 – Refresher course on specialty “Psychology” .

2012 - Course on hemorrhoids treatment by method HAL-RAR.

2016 - workshop "Lasers in colorectal surgery" (Cologne, Germany)

2017 - participant of the 5th congress of vascular surgeons, phlebologists and angiologists of Ukraine

9.11.2017. - participant of the scientific-practical conference with international participation "Actual issues of modern surgery"

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01-08-2019 Хочу выразить огромную благодарность Денису Сергеевичу, за то, что помог вылечить проблему с которой я жила последние 8 месяцев.В ноябре прошлого года мне «посчастливилось» провести операцию в городе Запорожье по удалению геморроя, после которой при каждом походе в туалет у меня открывалось кровотечение, которое вообще не заживало. Бегая от врача к врачу мне говорили «диагноз анальная трещина, надо резать». Как резать, если я только с операционного стола? Не готова к этому, ни морально, ни физически, так как уровень боли после предыдущей операций 11 из 10. Попав к Денису Сергеевичу, проведя нормальный осмотр, он опроверг предыдущие диагнозы, назначил адекватное!!! доступное лечение, и вот спустя месяц я могу продолжать жить нормально, чувствую себя великолепно, и очень рада что этот кошмар закончился. Спасибо Денис Сергеевич!За то, что остаётесь чутким и добрым доктором, в этом, порой, неадекватном мире!

department: Proctology

15-07-2019 Спасибо Кравченко Ольге Валерьевне за профессиональную консультацию и помощь. Мою проблему с геморроем решили. Жутко боялся, но все прошло без проблем

department: Proctology

09-07-2019 Хочу поблагодарить врача проктолога Бондаренко Юлию Игоревна за четкое отношение , профессионализм , любовь к своей работе и клиентам . Я очень довольна приемом и оказанной мне помощью с моей проблемой . Юлия Игоревна желаю вам здоровья , благополучия и успехов в вашем благородном труде ! Спасибо огромное за квалифицированную помощь!

department: Proctology

13-06-2019 Кузьменко Денис Сергеевич - врач, который помог мне излечить хроническую трещину заднего прохода без операции.К Денису Сергеевичу пришел с проблемой, которая уже существовала целый год.Все другие врачи, к которым обращался до этого, настаивали на необходимости операции и говорили, что такая трещина сама уже не заживет.Благодаря лечению, назначенному Денисом Сергеевичем, трещина постепенно затянулась и уже не беспокоит.На лечение ушло около полугода, но это лучше любой операции, которая всегда сопряжена с риском и возможными осложнениями.Доктор ориентирован на результат, а не шаблонное решение вопроса.Очень благодарен доктору за профессионализм, терпение и настойчивость в выборе консервативного лечения, которое в итоге привело к успеху.Побольше бы таких врачей!Всем рекомендую!

department: Proctology

29-05-2019 Дякую, Денису Сергійовичу за прийом, врач дуже хороший і привітний, в своїй справі на висоті,розказав,пояснив

department: Proctology

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