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Suffering From Anal Fissures. How Effective Is Surgery?

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Posted on Tue, 10 Dec 2013
Question: Hi. I am XXXXXXX XXXXXXX from Kolkata, India. I am suffering from Anal fissures for last 6-7 years. During the passing of bowl and also after that it pains a lot. I tried Allopathic and Homeopathic but things have not improved. After having medicines it sometime goes and then again things relapsed. I am now considering for a surgery. Can you please guide me in terms of how effective it is? Thanks XXXXXXX XXXXXXX
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Answered by Dr. Chakravarthy Mazumdar (57 minutes later)
Brief Answer: Surgery is definitely effective Detailed Answer: Hi If you have used up all the conservative measures like Allopathic and homeopathy medications you should directly go for interventions now without delay. It could be botulinum injections or sphincterotomy. It is important to understand the location of the fissure and the reason for non healing before deciding on the kind of intervention (surgery). Most likely there would be high pressure at the sphincter and low blood supply to the base of the fissure that reasons the slow healing or non healing. Current interventions or surgery is aimed at reducing resting anal pressure by diminishing sphincter tone and improving blood supply at the site of the fissure, thus promoting the healing rate. So it should be effective for you and I am sure you can lead better quality of life which you were missing for past 6 to 7 years. All the best.
Above answer was peer-reviewed by : Dr. Aparna Kohli
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Follow up: Dr. Chakravarthy Mazumdar (17 minutes later)
Thank you so much for your kind reply. One more question..can you suggest some good Surgeon in Kolkata whom I could talk to for the surgery.
doctor
Answered by Dr. Chakravarthy Mazumdar (11 minutes later)
Brief Answer: Colorectal surgeon / Proctologist. Detailed Answer: Consult Colorectal surgeon in your city. You will find them in larger centres like AMRI / Apollo Gleneagles. Thank you.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by : Dr. Aparna Kohli
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Answered by
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Dr. Chakravarthy Mazumdar

General & Family Physician

Practicing since :2004

Answered : 2242 Questions

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Suffering From Anal Fissures. How Effective Is Surgery?

Brief Answer: Surgery is definitely effective Detailed Answer: Hi If you have used up all the conservative measures like Allopathic and homeopathy medications you should directly go for interventions now without delay. It could be botulinum injections or sphincterotomy. It is important to understand the location of the fissure and the reason for non healing before deciding on the kind of intervention (surgery). Most likely there would be high pressure at the sphincter and low blood supply to the base of the fissure that reasons the slow healing or non healing. Current interventions or surgery is aimed at reducing resting anal pressure by diminishing sphincter tone and improving blood supply at the site of the fissure, thus promoting the healing rate. So it should be effective for you and I am sure you can lead better quality of life which you were missing for past 6 to 7 years. All the best.