What is Anal Fissure and Anal Fistula?

Anal fissure: We can simply describe the situation as a crack in the breech. This is the disease most often confused with hemorrhoids. It is very confused due to similar complaints in the same region. However, the fissure is a more painful picture and is typically described as removing glass shards, especially during toileting. Bleeding is usually minor, and itching is common to accompany these complaints. Fissures are divided into two as acute and chronic, and this is evident on examination. Acute fissures are treated with medication and sitz baths, whereas chronic anal fissures are interventions. Today, very effective creams have emerged and are highly therapeutic. However, surgery or anal botox should be considered in chronic anal fissures. In the surgery, a muscle group on the inside of the anus called sphincterotomy is loosened. This provides healing by breaking the vicious cycle of pain and soasm. Botox, on the other hand, provides relaxation by temporarily paralyzing the muscle instead of cutting it, and can give results as good as surgery. Anal botox can be performed in the outpatient setting without any anesthesia.

anal fistula; It can be described as a channel that should not be at the edge of the breech with the inner surface of the breech. The most common cause is previous anal abscesses. After the abscess is drained spontaneously or as a result of intervention, a fistula develops as a result of the formation of a channel, a path that should not be between the place where the abscess occurs in the anus and the anus. It manifests itself with discharge, stench and pain. Although the flow is interrupted from time to time, it often recurs. The treatment can be treated very successfully with laser today, as with the classical surgical method of opening the fistula canal, that is, fistulotomy or tightening the rope between the inner and outer canal mouth, called a set. In order to decide which method to choose, it is necessary to know and view the fistula tract, that is, its path. Anal MRI helps with this. The inner mouth is not usually seen in colonoscopy. Fistulas are named according to the path they travel. Simple fistulas can be treated in a single session. In addition to all these, alternative treatment methods have been tried by filling the fistula canal with fillers. It would be best to determine the type of treatment according to the patient, more precisely the fistula route.

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