Fissures (Laser Surgery)

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Fissures (Laser Surgery)

Overview

A fissure is a crack or tear around the anal area which causes severe pain and bleeding during bowel movements. It occurs when there is a trauma inside the inner lining of the anus. The most common causes for fissures are hard bowels and chronic diarrhoea.
An untreated fissure may become chronic making it harder to treat. A longer delay in diagnosis may cause other conditions to fester like infections or even cancer. Therefore, timely diagnosis is crucial.

Complications:

Recurrence
Chronic anal fissure
Anal stenosis
Colon cancer

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Causes

Nasal polyps

Constipation

Dry stools

Chronic Diarrhoea

Syphilis

Crohn’s disease

Symptoms

Pain

Itching

Bleeding

Cracked skin

Small lump or skin tag

Yellow discharge from the ear

Intense pain

Diagnosis & Treatment

The doctor is likely to ask about the patient’s medical history and symptoms. For a complete diagnosis, a rectal examination is performed to identify the fissure. Here, the doctor will use an anoscope to look for tears or any other underlying conditions inside the anus.

When nonsurgical methods fail to provide any relief, doctors prefer surgery to treat anal fissures. For chronic anal fissure, sphincterotomy surgery is the most effective treatment. It is a minimally invasive day-care procedure, it is conducted within 30 minutes and causes no side-effects or pain. It has a fast recovery time.

Laser technique is preferred over traditional methods due to: