Treatment of anal fissure in Poltava

An anal fissure is a defect in the mucous membrane in the area of the anal sphincter and lower rectum. The causes of anal fissures are abnormal bowel pattern (constipation or diarrhea), insufficient hygiene or trauma in the anus. The diagnostics and treatment of anal fissure is carried out by a proctologist. 

Symptoms of anal fissure 

Anal fissure causes significant discomfort. Symptoms of anal fissure include the following:

• pain in the anus, aggravated by bowel movements (bowel movement);
• bloody discharge during bowel movements;
• swelling in the anal sphincter area (occurs if the fissure becomes inflamed);
• anal itching.

There are acute and chronic anal fissures. An acute anal fissure is a fresh wound in the mucous membrane of anal canal. Self-healing of anal fissure is prevented by the trauma of the wound during defecation and its infection with bacteria living in the intestine. If the acute fissure does not heal within a month, a chronic anal fissure develops. Chronic fissure is a deeper defect in the mucous membrane (ulcer), where a scar forms. 

The diagnosis of anal fissure is made at the reception during the examination by a proctologist. The proctologist conducts an external examination of the anal sphincter, digital examination of the rectum and anoscopy (instrumental examination of anal canal and lower rectum, which allows obtaining images of the structure of mucous membrane of the investigated area).

Treatment methods for anal fissure at ON Clinic Poltava

The method for treating anal fissures depends on the type of fissure (acute or chronic), depth of the defect and presence of inflammation. There are the following methods for treating anal fissures:

• conservative (drug) treatment;
• surgical treatment.

With the help of drug therapy, it is possible to cure an acute anal fissure. Conservative treatment for the acute anal fissure includes the following:

• diet and correction of abnormal bowel pattern (type of diet for anal fissure depends on the tendency to constipation or diarrhea);
• gentle hygiene of the perianal zone (washing away with warm water, temporary refusal to use toilet paper);
• local medicines in the form of ointments and suppositories;
• anti-inflammatory drugs and drugs for the treatment of anal itching.

Surgical treatment can be radical and minimally invasive. Among the minimally invasive methods of treating cracks around the anus, the following are used:

• plasma lifting of a perianal zone;
• radio wave excision of the anal fissure.

Plasma lifting of a perianal zone in the anal fissure treatment

Plasma lifting of a perianal zone (prp-therapy) is the treatment of anal fissure with injections of drugs made from one's own blood plasma with high platelet content. Plasmolifting is used in proctology to treat acute anal fissures and wounds remaining after surgical procedures (including after treatment of hemorrhoids or excision of chronic anal fissures). 

The effect of plasma lifting of the perianal zone is to accelerate the regeneration (healing) of mucosal defects. Thanks to plasma lifting, the contours of the wound are smoothed and the conditions for the development of pathogenic bacteria are eliminated.

Prp therapy in proctology is performed under local anesthesia. No special preparation is required before plasma lifting of the perianal zone. One procedure takes an average of 20 minutes. The duration of the course of treatment is determined individually by the proctologist (usually 4-5 procedures are needed). The advantages of plasma lifting are its safety, high efficiency and low invasiveness of the procedure. The procedure for plasma lifting of the perianal zone does not cause side effects.

Indications and contraindications for plasma lifting of perianal zone

Plasma lifting in the treatment of anal fissures is indicated in the presence of deep and long-term non-healing defects in the mucous membrane of the anal canal.

Contraindications to plasma lifting of the perianal zone are the following:

• pregnancy and lactation;
• immune and oncological diseases;
• symptoms of active inflammation in the area of the anal fissure;
• acute infectious processes.

Treatment of chronic anal fissures

Chronic anal fissures do not heal on their own and do not respond to drug treatment, and therefore must be surgically removed. Minimally invasive surgical procedures are preferable while choosing the operative method for treating anal fissures.

Excision of anal fissure by radio wave method

Excision of anal fissure with the radio wave method is a minimally invasive method of treating anal fissure. With the help of the radio wave, only the edges of the wound are excised, while the healthy tissues of the anal canal are not affected. The procedure for anal fissure radio wave excision does not require special preparation and is carried out under local anesthesia. You can start your usual activities immediately after the procedure.

Prevention of the appearance of anal fissure

To prevent the appearance of anal fissures, it is necessary to follow the rules of a healthy diet, maintain hygiene in the perianal region and establish regular bowel movements. Bowel emptying should normally occur every day or once every two days and not cause discomfort. Timely treatment of acute anal fissures is the prevention of the appearance of chronic fissures.

You can make an appointment with a proctologist in Poltava in one of the most convenient ways for you: by calling the contact centre or by filling out the appointment form on our website.