Pain After Electrosurgery for Anal Fissures: What to Do? - Surgery

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Electrosurgery is a common procedure used to treat various conditions, including anal fissures and warts. While it can be effective, patients often experience pain and discomfort during and after the procedure. In your case, having undergone electrosurgery for warts two years ago, it is concerning that you are still experiencing pain and recurrent injuries in the anal area.
Firstly, it is important to understand that pain after electrosurgery can be attributed to several factors. During the procedure, the application of electrical current can cause thermal damage to the surrounding tissues, which may lead to inflammation and pain during the healing process. If the electrosurgery was not performed correctly or if there was inadequate healing, it could result in persistent pain or recurrent fissures.
Anal fissures are small tears in the lining of the anus, and they can be quite painful, especially during bowel movements. If you have been experiencing pain consistently since your electrosurgery, it is possible that the initial procedure did not fully resolve the underlying issue, or that new fissures have developed due to factors such as constipation, straining during bowel movements, or inadequate lubrication.

Regarding your question about whether you need another surgery, it is essential to consult with a healthcare professional who can evaluate your specific situation. A thorough examination may reveal whether there are any residual issues from the previous surgery or if new fissures have formed. In some cases, conservative treatments such as dietary changes, stool softeners, topical anesthetics, or medications to promote healing may be recommended before considering another surgical intervention.

If surgery is deemed necessary, your healthcare provider will discuss the potential risks and benefits with you. It is crucial to address any underlying factors contributing to your symptoms to improve the chances of a successful outcome.
In summary, the pain you are experiencing could be related to the previous electrosurgery, but it is essential to have a comprehensive evaluation to determine the exact cause. Depending on the findings, your healthcare provider will guide you on the best course of action, whether that involves further surgery or conservative management strategies. Always prioritize open communication with your healthcare team to ensure you receive the best care possible.