Anal fissure surgery in Iran

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Anal fissure surgery in Iran

Anal fissure surgery in Iran


Medical terminology used for Fissure surgery is Sphincterotomy. This medical condition is very common in young adults. Women after childbirth may also suffer from this problem. Infants show some symptoms of anal fissures, that are usually cured with proper medication. Surgical treatment must be the last resolve to such problems; when all prescribed medicines and ointments fail to deliver effective result.

The process mos commonly employed to treat anal fissure is known as sphincterectomy. General anesthesia is used to perform the surgery. The sphincter muscle (relaxes and contracts anus while passing stool) is cut to relax it. This will reduce over-stretching anal mucosa while passing stool, which helps the fissure to heal. The surrounding damaged anal mucosa is surgically excised.

anal fissure surgery in iran

Causes of Anal Fissure

The anal fissure usually develops when the anal tissue is damaged during a hard and dry bowel movement which tears the anal lining.

The anal fissure can also develop due to higher than normal pressure in the anal sphincters. Diarrhea and inflammation of the anorectal area can also cause an anal fissure.

Many women during childbirth develop an anal fissure. Other causes of the anal fissure are: digital insertion (during examination), foreign body insertion, or anal intercourse.

In some cases, the anal fissure may be caused by other health conditions, such as: Vitamin B-6 deficiency, abdominal pain, fever, weight loss, Crohn’s disease, inflammatory bowel disease (IBD) that causes bloody diarrhea, syphilis, a suppressed immune system, tuberculosis, HIV infection, anal cancer. A low fiber diet may also contribute to the development of a fissure.

Diagnosis in Iran


Diagnosis can be made by inspection. Closer inspection will frequently reveal a tag or sentinel pile. After gentle separation of the skin of the anal verge, the ulcer usually posterior can be seen. Frequently the fibers of the internal anal sphincter muscle can be seen at the base of this punched-out ulcer. A well-lubricated finger with lidocaine ointment and a small caliber anoscope will help delineate the extent of the lesion. A colonoscope or sigmoidoscope exam might be useful to rule out abscesses, colitis, and other causes of rectal bleeding.

A fissure should be distinguished from an ulcer caused by Crohn’s disease, leukemia, or malignant tumors, because it is not shaggy, large or indolent. Fissures are seldom multiple. A biopsy can help to determine the diagnosis.

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Anal fissure treatment in Iran

Often treating one’s constipation or diarrhea can cure a fissure. An acute fissure is typically managed with non-operative treatments and over 90% will heal without surgery. A high fiber diet, bulking agents (fiber supplements), stool softeners, and plenty of fluids help relieve constipation, promote soft bowel movements, and aide in the healing process. Increased dietary fiber may also help to improve diarrhea. Warm baths for 10-20 minutes several times each day are soothing and promote relaxation of the anal muscles, which can also help healing. Occasionally, special medications may be recommended. A chronic fissure may require additional treatment.

anal fissure treatment in iran

After anal fissure surgery in Iran

After surgery, the patient's stool habits may get altered for some days. Diet has to be restricted to avoid constipation which could be aggravate anal fissures. Pain killers and antibiotics helps the patient to recover easily after surgery.
Apart from prescribed medicines and ointments, sitz bath is also a prevalent remedial measure for this medical condition. It can be considered as a healing or cleansing method. You need to sit in a tub containing warm water for two to three times a day. This prevents fissures from becoming acute that needs to be surgically treated.

Fissure surgeries are usually minor, having a recovery period of few weeks. Unfortunately, this surgical treatment cannot provide a permanent solution to this problem. Fissures may return after surgeries as well. However, avoiding constipation by having proper diet and drinking sufficient amount of water certainly prevents its recurrence.

Will the problem return?

Fissures can recur easily, and it is quite common for a healed fissure to recur after a hard bowel movement. Even after the pain and bleeding has disappeared one should continue to aim for good bowel habits and adhere to a high fiber diet or fiber supplement regimen. If the problem returns without an obvious cause, further assessment may be needed.

What can be done if a fissure doesn’t heal?

A fissure that fails to respond to treatment should be re-examined. Persistent hard or loose bowel movements, scarring, or spasm of the internal anal sphincter muscle all contribute to delayed healing. Other medical problems such as inflammatory bowel disease, infections, or anal growths (skin tumors) can cause fissure-like symptoms, and patients suffering from persistent anal pain should be examined to exclude these conditions.

anal fissure surgery in iran

How much does anal fissure surgery cost in Iran?

The fissure surgery cost in Iran will be vary,it,s depends on your hospital and your surgeon, The cost of fissure surgery in Iran starts from $430.

10 common Questions about anal fissure surgery

1Is fissure surgery painful?
They can be very painful, usually described as sharp burning or tearing pain while having a bowel movement. The pain is primarily due to spasms in the nearby sphincter muscle. Most anal fissures will heal on their own with proper bowel management. ... If these measures fail to heal your fissure, you may need surgery.
2How long does it take to heal from fissure surgery?
Sitting in warm water (sitz bath) after bowel movements will also help. Most people can go back to work and their normal routine 1 to 2 weeks after surgery. It will probably take about 6 weeks for your anus to completely heal.
3What is the best cream for fissures?
Your doctor may recommend: Externally applied nitroglycerin (Rectiv), to help increase blood flow to the fissure and promote healing and to help relax the anal sphincter. ... Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief.
4How do you fix a fissure?
There are several steps you can take to relieve your symptoms and help the fissure heal: Try to prevent constipation. ... Try taking stool softeners or laxatives to make bowel movements less painful. ... Sit in a tub filled with a few centimetres of warm water for 20 minutes, 2 or 3 times a day.
5Can fissures come back after surgery?
It's important to understand that, even with surgery, an anal fissure must heal on its own. A sphincterotomy involves operating on the sphincter muscles, not closing the actual fissure. ... The results last longer, and fewer people have anal fissures come back after surgery than after treatment with medicine.
6Is banana good for fissures?
Apples and bananas can cause constipation, so limit these fruits. Adequate water intake is important. ... Follow-up care: Your child should be followed regularly by your pediatrician or gastroenterologist (intestine specialist) doctor to make sure the fissure is healing and that the constipation is getting better.
7Can fissures cause cancer?
CAN FISSURES LEAD TO COLON CANCER? Absolutely not. Persistent symptoms, however, need careful evaluation since other conditions other than an anal fissure can cause similar symptoms. Your colon and rectal surgeon may request additional tests, even if your fissure has successfully healed.
8Do chronic fissures ever heal?
Anal fissures usually heal within a few weeks but those that have not healed after 4–6 weeks are called chronic fissures. ... That means that not enough oxygen (carried by the blood) gets to the fissure (or tear). Without enough oxygen, the cells which make up the lining can't grow and repair (heal) the fissure (or tear).
9Does Preparation H work on fissures?
Preparation H is a medication typically used to relieve hemorrhoids and their symptoms. However, the lubricating and healing properties of the product also make it a great remedy for anal fissures and fistulas. Anal fissures and fistulas can cause immense anal pain.
10What should not eat in fissure?
Warm baths (sitz baths) Use a topical anesthetic cream. Avoid using hemorrhoid suppositories. These hard, bullet-like medications are painful to insert and sometimes tear the fissure even more. ... Treatments Take plenty of water and fiber. Avoid foods such as popcorn, nuts or tortilla chips. Avoid constipating foods.

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