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Surgical procedures are generally reserved for people with anal fissures who have tried medical therapy for at least one to three months and have not healed. It is not the first option in treatment. The main concern with surgery is the development of anal incontinence. Anal incontinence can include the inability to control gas, mild fecal ...
Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
Definitive treatment of a fistula aims to stop it recurring. Treatment depends on where the fistula lies, and which parts of the internal and external anal sphincters it crosses. However, treatment is challenging as complete eradication of the anal sphincters may lead to continence impairment, but failure to excise the affected areas results in ...
He lists anal fissures, which are tears or cuts in the anus, as well as hemorrhoids, which are dilated veins in the rectum or anus that can cause discomfort, itching and even bleeding.
The surgery can be performed under any kind of anesthesia. After anesthesia is administered, the area is cleaned with an antiseptic solution. The sphincter is separated either by simply stretching or cutting. Cutting the muscle prevents spasm and temporarily weakens the muscles. Both methods help the underlying area to heal.
Unfortunately, Greenwald says, doctors regularly see patients rely on over-the-counter medications for symptomatic relief of hemorrhoids without addressing the root cause of the problem, which is ...
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