Professor Oded Zmuraleading surgeon
At Top Ihilov Clinic, any proctological disorders, including anal fissure, are successfully and quickly treated using the latest medical and surgical methods. Experienced proctologists apply the most effective ointments, and world-class colorectal surgeons perform minimally invasive surgeries such as lateral sphincterotomy.
Rapid Treatment of Anal Fissures at Top Ihilov Clinic
Conservative Treatment
The tissues of the rectum have good regenerative capacity, so under favorable conditions, most anal fissures heal on their own. Favorable conditions include: proper nutrition, an active lifestyle, the use of laxative enemas (in case of constipation), timely bowel movements, etc.
Special ointments and injections are also successfully used.
Surgical Treatment
In some cases (about 15%), when the fissure is located deeply, it causes constant irritation and spasm of the internal sphincter, which tightens, preventing blood vessels from delivering enough oxygen and nutrients to the site of the disease, resulting in the fissure not healing. Then surgical treatment is applied:
- Lateral sphincterotomy - a gentle operation that lasts only 30 minutes and requires hospitalization for 1 day. The essence of the operation is to incise one of the portions of the anal sphincter. This leads to relaxation of the sphincter muscles, immediately alleviates pain, allowing the fissure to heal quickly. The surgical intervention does not affect stool control, does not prolong the postoperative period, and is easily tolerated by patients.
- Fissurectomy involves the surgical excision of the fissure and suturing of the wound. This operation is indicated for women and elderly individuals when there is weakness of the anal sphincter muscles.
- Spatial redistribution of tissues - this is an operation to replace damaged tissues with healthy ones, recommended for patients with impaired control of defecation and gas expulsion.
Modern Treatment Methods
- Endoscopic closure of the fistula between the trachea and esophagus
Surgical Diagnostic Program
First Day - Preliminary Examination
On the very first day of their stay at the clinic, the patient is referred for a preliminary consultation with a leading proctologist, who conducts a primary examination, studies the medical history, and develops a diagnostic plan.
Second Day - Diagnosis
On the second day, the most necessary examinations are conducted. Typically, 2 methods are used:
- Anoscopy - examination of the mucous membrane of the anal canal.
- Rectosigmoidoscopy - a more thorough examination of the mucous membrane of the rectum, allowing inspection at a depth of 25-30 cm.
Third Day - Treatment Plan
On the third day, an expert group, specifically created for the patient and consisting of leading proctologists and colorectal surgeons, studies the test results and develops a treatment plan based on them. Throughout the patient's stay at the clinic, experts will monitor the course of treatment and adjust it if necessary.
Anal Fissure - Causes of Occurrence
Anal fissures are longitudinal tears, wounds, or ulcers in the rectum. The disease must be distinguished from hemorrhoids, where there is varicose dilation of the vein (hemorrhoidal), leading to the appearance of hemorrhoidal nodes. Both diseases are localized in the same area, accompanied by bloody discharge from the rectum, the presence of blood in the stool, but these diseases are different, as are their treatment methods.
Causes of anal fissures may include: constipation or frequent diarrhea, trauma to the rectum, rough anal sex, metabolic disorders, rectal overload, etc. The disease is more prevalent among young and elderly individuals. Acute disease is characterized by a sudden appearance of the fissure, accompanied by pain and bleeding, usually healing on its own, while chronic disease does not heal for several months, is accompanied by pain, bleeds, and causes constant discomfort to the patient.