LASER Treatment For Anal Fissure
Laser Sphincterotomy or LASER treatment for fissures is one of the safest and most modern cures for anal fissures or fissures-in-ano
Procedure Name Fissure Dilatation
Surgery Type Minimally Invasive
Hospital Stay Nil (Outpatient)
Duration of Surgery 15-20 minutes
Type of Anaesthesia General Anesthesia
Full Recovery 3-4 weeks
Fissure dilatation is a procedure done as an adjunct to other treatment methods for anal fissures. Also known as the Lord’s dilatation, this procedure involves dilating the anal sphincter manually or with rectal dilators under general anesthesia. A proctologist (a doctor specializing in treating diseases of the anus and rectum) or a general surgeon performs the procedure. Fissure dilatation helps to lower intra-anal pressure (pressure in the anal canal), thus making the passage of stools easy and painless. The procedure is done on an outpatient basis, and you can go home the same day. Recovery from fissure dilatation takes 3 to 4 weeks.
Anal fissures are painful, bleeding tears or cuts in the lining of the anus that are caused by trauma or injury to the lining of the anus. The most common cause is chronic constipation. Frequent diarrhea, unhealthy anal intercourse, obesity, and faulty eating habits can also cause anal fissures. When you have fissures in the anus, passing stools can be extremely traumatic, with immense pain, burning, and bleeding.
Dilating the anal sphincter to release some tension helps the stools pass freely, reducing the intense pain. The procedure of dilating the anal sphincter is called Lord’s Dilatation. This procedure involves placing the fingers inside the anal opening and stretching gently to widen the anal sphincter opening. Alternatively, the procedure can be done using anal dilators (cylindrical tools of increasing diameter).
Fissure dilatation provides immense relief from the symptoms of fissures. It works even better when used as an adjunct to other non-surgical treatment options like stool softeners, nitroglycerine ointments, topical anesthetic creams, and blood pressure medications.
Fissure dilatation works best for people under 50 years with mild to moderate fissures and when done by an experienced surgeon. There may be complications like fecal incontinence (involuntary passage of stools) when this procedure is done in the elderly and in people with severe fissures. Forceful dilation can harm the anal tissue necessitating further surgical interventions to repair the damage.
Fissure dilatation or Lord’s dilatation is the manual dilatation of the anal sphincter. This is done to reduce the tension in the anal sphincter to allow free passage of stools. Fissure dilatation is always used as an adjunct to other non-surgical treatment methods for fissures. Fissure dilatation is effective with stool softeners, nitroglycerine ointments, topical anesthetic creams, and blood pressure medications.
Indications for the use of fissure dilatation include-
Fissure dilatation is not usually recommended in old people with weak muscles as dilatation in such cases, carries a high risk of fecal incontinence (involuntary passage of stools).
Anal fissures are tears in the lining of the anal canal. Fissures are generally associated with constipation and cause severe pain during and after a bowel movement. Small fissures usually resolve on their own or with medical treatment. Long-standing chronic fissures lead to the development of a skin fold over the tear, either inside or outside the anal opening. Fissure dilatation provides immense relief from the symptoms of fissures. Here is how you can prepare for the procedure.
Fissure dilatation is performed under general anesthesia as an outpatient procedure. A proctologist (a doctor specializing in treating diseases of the anus and rectum) or a general surgeon performs this procedure. The procedure is done manually or by using anal dilators. The time taken for the procedure to complete varies depending on the surgeon and the severity of the fissure. Here is how the procedure is done:
Once the procedure is completed, you will be shifted to an observation room. You can go home once the effects of anesthesia wear off. After this procedure, recovery time from the fissure is about 3 to 4 weeks. The relief from the symptoms of the fissure can be seen immediately.
Fissure dilatation helps to loosen the tense sphincter muscles and allows for the painless passage of stools. Once the procedure is done, there is an almost instant relief from the fissure symptoms. Complete recovery from this procedure takes about 3 to 4 weeks. After the dilatation, you can speed up the procedure using other non-surgical treatment options like nitroglycerine cream, topical anesthetic creams, blood pressure medications, and stool softeners.
Upon discharge, you will be given instructions to follow at home that will aid in speedy recovery.
Fissure dilatation is a quick procedure that helps relieve you of fissures' symptoms. The procedure is beneficial when used as an adjunct to other non-surgical treatment methods. Fissure dilatation also carries some risks.
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Fissure dilatation is performed as an added method of treatment. It is used with other non-surgical methods like stool softeners, topical anesthetic creams, nitroglycerine ointment, etc. If not done correctly, there may be overstretching of the muscles leading to complications like involuntary passage of stools and gas.
Fissure dilatation is a procedure to stretch and loosen the anal sphincter muscles. The tightness of these muscles causes extreme pain while passing stools, leading to the worsening of the existing fissure and the development of new fissures. The procedure is done on an outpatient basis, under general anesthesia.
After the procedure, you will find immediate relief from the fissure symptoms. However, the fissure will take 3 to 4 weeks to heal completely. Following the post-operative care instructions can speed up the recovery process.
After fissure dilatation, take warm sitz baths after passing stools to help with the pain and swelling. Use a wet tissue, or if possible, use warm water to clean yourself after a bowel movement. Wipe the area gently, and do not rub forcefully. Ensure that you take the prescribed medicines and ointments regularly to heal faster. Avoid spicy, oily food and stick to food rich in fiber. Keep yourself well-hydrated to avoid constipation.
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