Anal Fissure Treatment in Dhaka - Laser Sphincterotomy

Diagnosis of Anal Fissure

The diagnostic procedure starts with a medical history and physical examination. Anal tears are usually easily visible upon examination. Acute anal fissures look like fresh tears, while chronic fissures look like deeper cuts with internal or external fleshy growths. The following diagnostic tests may be necessary to determine the cause and extent of anal tears:

• Anoscopy: During anoscopy, a scope is used to visualize the anus and rectum to see the extent of the fissures.
• Flexible sigmoidoscopy: During this test, the doctor will insert a thin, flexible tube scope in the bottom part of the colon to assess for intestinal diseases and colon cancer.
• Colonoscopy: A colonoscopy is performed under light sedation and is usually only performed when necessary. A thin scope is inserted through the rectum to inspect the entire colon.

Treatment Option For Anal Fissure

Usually, Anal fissures heal on their own within a few weeks with proper medication, however, in severe cases, surgical treatment becomes necessary. Common anal fissure treatments offered at Pristyn Care are:

• Medical management: Nonsurgical management of anal fissures is performed using ointments, anesthetic creams, oral medications, etc. There are a variety of medications that you can take, but you should consult a colorectal doctor before taking any to avoid any complications.
• Lateral Internal Sphincterotomy (LIS): During sphincterotomy, the surgeon cuts the muscle fibers to relax the muscles and make it easier to pass the stools. LIS can be performed through an open or closed approach. During the open approach, the surgeon creates an incision to expose internal sphincter muscle fibers and cuts them using a knife or cauterization device to relax the muscles. During the closed approach, instead of creating an incision to expose muscle fibers, the surgeon identifies the groove separating internal and external sphincter muscles and divides the muscle in this region.
• Laser Sphincterotomy: Laser sphincterotomy is performed similarly, but instead of using a knife to cut the muscles, the surgeon uses a laser beam. Additionally, since the surgery is performed using a laser, there are no cuts or bleeding and the patient does not require any stitches, which helps the recovery.

Book a consultation for laser sphincterotomy for anal fissure treatment from the best colorectal surgeons in Dhaka for long-term relief.