It is a long-lasting corrosive lesion mainly of the mucosa of the anus ring that reaches deep into the inner sphincter. The usual area where the stretch marks are created, with the patient in a gynecological position, is the 6th hour of the ring (ie towards the coccyx). In women it is also created towards the 12th hour (ie towards the vagina).
The patient comes to the doctor (General Surgeon or Gastroenterologist) due to the intense pain he feels in the area mainly after defecation and for its long duration (several hours a day).
Causes of Anal Fissure are:
a) the hypertonic internal clamp,
b) the injury of the area from large and hard stool, from ulceration of the area from a clotted hemorrhoidal nodule and from anal sex.
Anal Fissure marks are acute and chronic depending on the presence or absence of scar tissue at the bottom and lips. Acute stretch marks can be treated conservatively with a good chance of complete cure, while in chronic stretch marks the chance of conservative treatment to help is very small, so we recommend surgery more easily. For the above reason, it is necessary for the patient with proctalgia to visit the surgeon or gastroenterologist immediately for the correct and timely diagnosis of the problem. It is the only way to heal quickly and to have a chance to avoid the surgery that most people are afraid of.
Conservative treatment focuses on correcting constipation. In the fight against spasm of the sphincter and pain and of course in the effort to heal the stretch mark. RECTOGESIC ointment every 12 hours for eight weeks, 10cc paraffin oil twice a day for the first 20 days. The use and properties of the ointment should be carefully informed to the patient by his treating physician. Proposed surgery rejuvenation of the stretch and internal lateral sphincterotomy at 3 o'clock. It is so far the only treatment with immediate saving results.
Recently, there has been talk of a method using a laser that due to the short period of time used does not have long-term positive or negative results.
Both methods require a short stay in the clinic.