Anal fissure is a common and painful disease caused by a small tear or ulcer at the exit of the anus. It is also known as anal tear among the public. Anal fissure; It can cause bleeding, itching and pain after defecation and can sometimes be severe. General Surgery Specialist Op. Dr. Barış Gülcü gave information about non-surgical anal fissure treatments.
Anal fissure should be suspected when there is a throbbing pain in the anal area, aching that extends to the leg, a feeling like a knife cut during defecation, and bleeding from the anus.
Anal fissure usually heals within a few weeks, but if it does not heal within 4-6 weeks, it is called chronic fissure. Anal fissure can be caused by various reasons such as constipation, hard stools, diarrhea attacks, and childbirth. However, sometimes there is no obvious cause for the fissure.
WHAT IS BOTOX?
Botulinum toxin (Botox) is used to treat spinal cord injuries and muscle spasms in people with cerebral palsy. It has been used for several years in the treatment of various diseases caused by excessive muscle activity.
Botox functions by preventing excessive muscle contractions. Injecting Botox into the muscle around the anus will cause it to relax and reduce muscle tension. This will reduce pain and increase blood flow in the fissure, allowing it to heal naturally.
HOW DOES THE PROCEDURE HAPPEN?
No special preparation is required before the procedure, only mild It is sufficient to stay hungry 2 hours before you will be put to sleep (sedation). It is not necessary to make bowel preparation, it is sufficient to take a shower before the procedure.
The procedure is performed by a surgeon without entering the operating room and will only take a few minutes to perform. After the procedure, hospitalization is not required and you will return home and be able to return to work the next day.
The effects of Botox will begin gradually within 72 hours and the effect of Botox will last for 2-3 months, which is enough time for the fissure to heal.
ARE THERE ANY SIDE EFFECTS OR RISKS?
As with any surgical procedure, minor bleeding, infection or, in very rare cases, Botox There is a risk of allergic reaction.
DOES CRACK RETURN AFTER BOTOX?
There is a risk of recurrence of anal fissure after all anal fissure treatments. However, the most important feature of botox is that the disease can be treated without adding additional burden to the patient, even if the disease recurs in the future. Treatment of recurrences that develop after surgery is more difficult and more troublesome.
WHAT HAPPENS IF I HAVE SURGERY?
Lateral internal sphincterotomy (LIS) It is the most common treatment for chronic anal fissure. In this surgery, some of the spasmed internal anus muscles are cut, allowing the muscles to relax and relax.
In this surgery, hospitalization is required, the patient needs anesthesia (narcosis), and a period of rest is required after the surgery. If it is not done with the proper technique, keyhole deformity may develop due to muscle cutting.
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