Treatment of Anal Fissures in Israel

Anal fissures are small vertical defects or tears in the mucous membrane of the anal canal.

Causes

The main cause that leads to the development of an anal fissure is trauma to the mucosal canal.

Damage can occur due to the following reasons:

• Lack of physical activity;
• Prolonged labor;
• Straining during constipation and trauma due to the passage of hard stool;
• Increased intra-abdominal pressure when lifting heavy loads;
• Alcohol abuse, spicy food.

A number of diseases can also contribute to the formation of the defect:

• Colitis;
• Enterocolitis;
• Sigmoiditis;
• Proctitis;
• Hemorrhoids;
• Vascular disorders (stasis of blood circulation in the pelvis, ampoule of the rectum, as well as atherosclerosis).

Diagnosis of Anal Fissures in Israel

Patients are usually concerned about the following main symptoms:

• Pain at the anal opening at rest and during defecation;
• Tonic spasm of the anal sphincter;
• Bleeding from the anus, appearance of drops of blood on stool;
• Itching of the anal opening when an infectious agent is present.

At the leading clinic in Israel, Ichilov, the patient will undergo a series of progressive diagnostic procedures:

• Standard proctological digital examination;
• Complete blood count;
• Stool analysis;
• Anoscopy;
• Irrigoscopy;
• Transrectal ultrasound;
• Rectosigmoidoscopy is used if it is necessary to examine the rectum up to 25-30 cm deep.

In addition to taking the medical history and conducting diagnostics to confirm the diagnosis of anal fissure, detailed consultations with leading specialists in the field of coloproctology, surgery, and anesthesiology at Ichilov are scheduled.

Treatment of Anal Fissures in Israel

Treatment can be carried out through conservative and surgical methods.

The conservative method is based on the principle of normalizing defecation (softening hard stool) and relaxing the posterior circular anal muscle.

The complex includes the following measures:

• Medication treatment. This primarily involves relieving pain and alleviating the tonic spasm of the anal sphincter. For this purpose, the doctor at Ichilov will prescribe special ointments or other medications (for example, Botox);
• Warm sitz baths. Recommended for relieving spasms. The patient should take these baths with an infusion of medicinal herbs or a weak solution of potassium permanganate for 20 minutes 2-3 times a day;
• Diet therapy. Aimed at eliminating additional irritation of the rectal mucosa. The patient should refrain from consuming spicy foods, as well as pickles and smoked foods.

Surgical treatment of anal fissures in Israel is recommended if conservative therapy is ineffective for a month.

At Ichilov, patients will have access to a choice of surgical techniques:

1. Dilation of the anus;
2. Excision of the anal fissure;
3. Internal lateral sphincterotomy and plastic surgery.

Thanks to their mastery of various treatment methods, especially the latest surgical techniques, coloproctology doctors advocate for minimally invasive interventions. This principled position is evident for all surgical operations performed at Ichilov.

For minimally invasive treatment of anal fissures in Israel, the following methods are used:

• Infrared coagulation;
• Laser coagulation;
• Radiofrequency coagulation.

Surgical intervention using these methods at Ichilov has a number of undeniable advantages. First of all, it is minimally traumatic for patients. The incisions made by the surgeon are very small, allowing them to heal quickly and not leave a cosmetic defect in the form of a scar. At the same time, patients recover very quickly after such surgery, and the risk of complications approaches zero.