Anal fissure treatment

• 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).

There are 2 stages of anal fissures:

1. Acute - lasts for 1-2 months after the appearance of the rupture, proceeds without changes in the surrounding tissues and can be treated with medication.
2. Chronic - develops 1-2 months after the appearance of the fissure, accompanied by thickening of the edges of the fissure, the formation of scars and other structural changes, so it is treated only by surgery.

When a patient consults a proctologist, an examination is performed first. The doctor performs a digital examination of the sphincter and anoscopy – an examination of the anal canal using a special device. These are quick and painless procedures that make it possible to immediately diagnose a rectal fissure and determine its stage.

Treatment of acute anal fissures at «Oxford Medical» is carried out using conservative methods. For this purpose, individually selected topical medications and injections are used. After completion of the treatment course, a repeat examination is performed.

In chronic anal fissures, medication therapy is ineffective because of changes in the mucous membrane and the formation of scars. The damage can only be eliminated surgically.

At «Oxford Medical», chronic anal fissures are treated using minimally invasive methods with the Surgitron high-frequency coagulator (manufactured in the USA), a diode laser, and infrared radiation.

Radiofrequency therapy using the Surgitron device is most often preferred. This is a unique, highly effective, and painless method of treating anal fissures that makes it possible to resolve the problem within a minimum amount of time in a day hospital setting. At the same time, the risk of complications is reduced to a minimum compared with conventional surgical procedures, and the rehabilitation period is quick and easy.

The advantages of radio wave treatment of anal fissures are

• refusal of anesthesia and manipulation under local anesthesia;
• opening of tissues with the help of high-frequency radio waves without the use of a scalpel, which ensures maximum reduction of discomfort
• reducing the risk of postoperative inflammation and other complications due to the disinfectant properties of high-frequency radio wave radiation;
• fast and painless recovery;
• no scars after surgery.