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Anal Fissure, Severe Pain, Doctor Suggested Anal Dilatation. Want To Know The Negative Effects Of It.
Question: hi docs , i m suffering from anal fissure. Yesterday i have visited a laproscopic surgeon and he suggested anal dilatation..But i ve heard of its negative effects e.g, not able to hold or its not 100% cure. I m in severe pain from last 3 months. Can sombody help...
Hi
Thanks for posting your query
After going through your query it appears that the fissure you had in 2007 has re-occurred
The treatment you took has controlled the symptoms and the fissure would have gone chronic and asymptomatic
Usually it is observed that patients who get fissure once get it back if the constipation is not taken care off
Coming to your query regarding inability to control or hold [Incontinence], with dilatation :
The best treatment in form of surgery for fissure in lateral sphincterotomy, yet there are surgeons who perform dilatation, we perform a calibrated dilatation where in gradually increasing size of dilators are introduced under tonometry control
The incidence of incontinence in experienced hands is negligible you can go ahead and get operated as yours is a reccurent and you have been suffering for 3 months
In case you are scared of the procedure and want to try medical treatment for time being, control your constipation and use Diltiazem ointment twice a day
Hope all clear, in case of further query revert back
Get well soon
Thanks for posting your query
After going through your query it appears that the fissure you had in 2007 has re-occurred
The treatment you took has controlled the symptoms and the fissure would have gone chronic and asymptomatic
Usually it is observed that patients who get fissure once get it back if the constipation is not taken care off
Coming to your query regarding inability to control or hold [Incontinence], with dilatation :
The best treatment in form of surgery for fissure in lateral sphincterotomy, yet there are surgeons who perform dilatation, we perform a calibrated dilatation where in gradually increasing size of dilators are introduced under tonometry control
The incidence of incontinence in experienced hands is negligible you can go ahead and get operated as yours is a reccurent and you have been suffering for 3 months
In case you are scared of the procedure and want to try medical treatment for time being, control your constipation and use Diltiazem ointment twice a day
Hope all clear, in case of further query revert back
Get well soon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you sir for your valued advice.I would also want to know that how many days does it take to get fully recovered after dilatation. Also is there any chance of re-ccurence after dilatation in future?
Hi
Thanks for posting your query
It is a daycare procedure
You can be back to work the same evening
I have mentioned earlier also if you do not care for your constipatioin fissure is bound to re-occur
Hope all clear
Get well soon
Thanks for posting your query
It is a daycare procedure
You can be back to work the same evening
I have mentioned earlier also if you do not care for your constipatioin fissure is bound to re-occur
Hope all clear
Get well soon
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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