“Anal fissure”
Suffering from anal fissure for 5 months with pain that's severe at bowel moment, and sometimes swelling over skin tag which is in anal posture. Doctor suggests surgery, is it necessary? If surgery happens, will the fissure repeat or not?
Female | 32 years old
Complaint duration: 1 day
6 Answers
There are 3 treatments for anal fissure. one is a medication, the other is botox injection and third if cutting a portion of the sphincter. We would move down the list.
See a gastroenterologist x a calcium channel blocker such as procardia, with a stool softener. I would also have a barium enema done to be sure this is not a 'fistula'.
That's a long time to be having symptoms from an anal fissure. Assuming that you have been treated in the usual manner with nitroglyercine ointment four times per day, laxatives, etc., and assuming that this medical treatment did not work, then surgery can be appropriate for a non-healing anal fissure. Nothing is 100%, but relief from surgery is a likely outcome and I would refer to surgery if a fissure is not healing after medical treatment.
Consider consulting GI and medical management first prior to any surgical intervention. Sometimes, surgery might be necessary.
Surgery is recommended for chronic anal fissure with mild anal stenosis and signs of chronicity (sentinel pile) that has failed medical management. Based on your history, surgery would be recommended. Recurrence rates after surgery are not 1%
Surgical evaluation advised. Chronic fissures heal with surgery. Acute fissures may not need surgical treatment. 5 months of symptoms indicates it’s chronic.
