Anal fissure: We can simply describe the situation as a crack in the anus. This is the disease most commonly confused with hemorrhoids. It gets very confusing due to similar complaints in the same area. However, fissure is a more painful condition and is typically described as removing glass pieces, especially during toilet use. Bleeding is usually small, and itching is common to accompany these complaints. Fissures are divided into two groups: acute and chronic, and this situation is evident on examination. While acute fissures are treated with medication and sitz baths, treatment for chronic anal fissures is intervention. Nowadays, very effective creams have been released and are highly therapeutic. However, in chronic anal fissures, surgery or anal botox should be considered. During the surgery, a muscle group on the inside of the anus, called sphincterotomy, is relaxed. This provides healing by breaking the vicious circle of pain and soasm. Botox, on the other hand, provides relaxation by temporarily paralyzing the muscle rather than cutting it, and can provide results as good as surgery. Anal botox can be performed in a polyclinic environment without requiring any anesthesia.
Anal fistula; It can be described as a channel that should not normally be present on the inner surface of the anus and on the edge of the anus. The most common cause is previous anal abscesses. After the abscess is drained spontaneously or as a result of intervention, a fistula develops as a result of the formation of a channel or path that should not exist between the place where the abscess is formed in the anus and the anus. It manifests itself with discharge, foul odor and pain. Even though the discharge stops from time to time, it often recurs. The treatment can be treated very successfully with lasers, as well as by opening the fistula canal with the classical surgical method, that is, fistulotomy, or by tightening the rope called setin between the inner and outer canal mouth. To decide which method to choose, it is necessary to know and visualize the fistula tract. Anal MRI helps in this regard. The inner mouth is usually not seen during colonoscopy. Fistulas are named according to the path they travel. Simple fistulas can be treated in a single session. In addition to all these, alternative treatment methods have been tried by filling the fistula channel with fillers. It would be best to determine the treatment method according to the patient, or rather the fistula path.
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