Anal fissure fistula

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Breakthrough treatment proves 90 success rate on painful anal fissures.   an anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it.   anal fissures affect males and females equally however, an anterior fissure is more likely to develop in women (25) than in men (8). Although anal fissures are the most common cause of rectal bleeding in infants, they are primarily seen in young adults. An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus (where poo leaves the body). Theyre usually the result of an infection near the anus causing a collection of pus in the nearby tissue. When the pus drains away, it can leave a small channel behind. Anal fissure, abscess and fistula the intestinal tract (or bowel) ends with the rectum. The last part of the rectum is a section about 1 12 inches long, known as the anal canal. It ends with the anus the opening to the outside of the body. Conclusion chronic anal fissure with associated anal fistula can be successfully managed with fistulotomy and injection of botulinum toxin a. Further studies would be helpful in determining if recognition and management of the fistula component in isolation with fistulotomy is as effective as fistulotomy plus botulinum a toxin. An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. For people with secondary anal fissure, managing the underlying cause, where possible, or referring the person to secondary care (using clinical judgement to determine the urgency) if a serious underlying cause (such as rectal cancer) is suspected. Adults with primary anal fissure should be reviewed after 68 weeks (or sooner if necessary). Breakthrough treatment proves 90 success rate on painful anal fissures.

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