Fistula & Fissure

Incidences of fissures are common in India and many people suffer from them at some point in their lives. A fissure is a crack in the anal area that can be caused because of the damage caused by passage of hard stools or excessive straining during bowel movement. Fissures are extremely painful with minimal bleeding.

Most fissures heal with good dietary advice and change in lifestyle. The recurrent fissures can lead to scarring, making the anal orifice incapable of full relaxation. This stage requires surgical intervention. The procedure of choice today is Lateral Sphincterotomy. It gives immediate pain relief and is a day procedure.

Fistulas usually present as a discharge through a small opening in the anal region. The discharge is usually cyclical coming on and off and associated with some pain.

Fistulas may have presented as abscesses initially which would have failed to heal. Fistulas require surgical intervention and will not usually heal with medical treatment. Conventional fistulectomies involve removal of the entire fistula tract through open surgery which leads to a wound that needs to heal.

In recent times, newer techniques are also used such as VAAFT – Video Assisted Anal Fistula Treatment. VAAFT uses a fine small camera which navigates the tract and destroys the same with electric current. This process seals the tract and helps it heal later.

Statutory warning: This information is provided with the objective of creating general awareness of the disease and treatment options considering the best interest of people. Please consult a doctor for the right diagnosis and suitable treatment options as per the situation.