Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Three months post-surgery? Hello Doctor, I am the one who previously left a message regarding #204738. It has been three months since my anal fissure and hemorrhoid surgery, and the wound still shows no signs of healing. I am still taking stool softeners daily and using supposito...
Dr. Zhang Shuhao Reply:
If the wound continues to exude a white fluid, it can be monitored if it is tissue fluid. However, if there is swelling, pain, and purulent discharge, a medical evaluation and treatment are necessary. When using suppositories frequently, it is important to pay attention to the in...[Read More] Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...
Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...[Read More] Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Persistent pain 8 months after a lateral internal sphincterotomy for anal fissure? Hello Dr. Chang, I am a patient of #205047. Thank you for your recent response. The original surgeon kept telling me that the surgery was very successful and that he didn't know why I was in p...
Dr. Zhang Shuhao Reply:
Anorectal ultrasound involves inserting a probe through the anus to assess the integrity of the sphincter muscles and the condition of postoperative scarring. Additionally, anorectal manometry can be performed to identify the causes of incontinence. These two tests are typically ...[Read More] Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...
Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...[Read More] Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months post-surgery, and the wound has still not healed. After taking a sitz bath, I can see a red are...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up visits to monitor the wound. Suppositories can be refrigerated to maintain their shape; bef...[Read More] Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, the second paragraph contains the questions I asked last time. Thank you for clarifying many of my doubts; I have a few more small questions to consult with you. 1. Before my surgery, I had a...
Dr. Ke Fangxu Reply:
1. Only the surgeon knows exactly what procedure was performed. I am responding based on your mention of anal plastic surgery, which is typically performed on patients with anal stenosis. For more details, it is best to consult the surgeon directly. 2. The premise is whether you...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, I previously inquired about experiencing some incontinence after my anal fissure surgery. During my follow-up appointment, the doctor informed me that the sphincter muscle was not excised. Ins...
Dr. Ke Fangxu Reply:
1. All surgeries will leave scars, especially if the surgical area is extensive. Mild tingling is also normal. The scars around the anus will typically heal completely within 1-2 months. Due to the lack of aesthetic concerns, scar removal treatments are generally less common in t...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Recovery Time After Anal Fissure Surgery: What to Expect
The recovery time for a fissure surgery can vary depending on the individual and the extent of the procedure. Generally, patients can expect the wound to heal within 4 to 6 weeks. However, complete recovery Hello Dr. Zhang, I underwent anal fissure surgery and sentinel mole excis...
Dr. Zhang Shuhao Reply:
1. Anal fissure surgery typically involves the excision of the ulcer and relaxation of the sphincter muscle, with the wound generally healing in about four to six weeks. The terms "sphincter scarring" and "scab formation" usually refer to the same process. 2...[Read More] Understanding Recovery Time After Anal Fissure Surgery: What to Expect
Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options
Anal fissure issues (continued) Hello Dr. Ke: Thank you for taking the time to respond on May 1st. After visiting another clinic, I realized that the wound on the right posterior side is about one centimeter inside the anal area, which is not a large wound. Therefore, after using...
Dr. Ke Fangxu Reply:
1. Symptoms that persist for more than one month are considered chronic. 2. Sitz baths are recommended 3-4 times a day for 15 minutes each time, with water temperature not exceeding 36-38 degrees Celsius. If discomfort occurs after the bath, a topical ointment can be applied. ...[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options
Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms
Post-operative pain during bowel movements after mole removal? Hello doctor, I underwent a third-degree hemorrhoidectomy and anal fissure surgery on July 26, and I opted for self-paid ultrasonic scalpel treatment. Postoperatively, the wound is not very painful, but I experience s...
Dr. Zhang Shuhao Reply:
Early hemorrhoid surgery often resulted in anal stenosis due to injury to the sphincter muscle. However, with advancements in current hemorrhoid surgical techniques, the occurrence of anal stenosis has significantly decreased. Based on your description, it seems that the wound ha...[Read More] Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms
Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Hemorrhoid and anal fissure surgery issues? Hello Doctor, I have recently scheduled anal surgery, which includes an internal sphincterotomy and hemorrhoid surgery, and these two procedures will be performed simultaneously. However, my attending physician mentioned that I would no...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure internal sphincterotomy and hemorrhoid surgery can usually be performed simultaneously. The need for hospitalization is related to the severity of the hemorrhoids. Hospitalization allows for better pain control, a wider range of anesthesia options, and mor...[Read More] Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Please inquire about the recovery situation after anal fissure surgery? Hello Doctor, I underwent anal fissure surgery (LIS) and HET hemorrhoid coagulation surgery on February 17 of this year. It has been two months, and I still occasionally experience some discomfort in the anal...
Dr. Ke Fangxu Reply:
1. There have been case reports of poor wound healing associated with the use of energy devices in anal surgeries. If you are considering changing doctors, it would be more appropriate to choose one who has experience performing such procedures. 2. An anoscope is not necessary;...[Read More] Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu Reply:
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Postoperative care for hemorrhoids and anal fissures? Hello, I underwent traditional hemorrhoid and anal fissure surgery on February 24th, and it has been over forty days since the procedure. However, I still have a hematoma near the anus that is slightly larger than a thumbnail....
Dr. Ke Fangxu Reply:
1. Anorectal surgery typically results in complete wound healing within about a month post-operation; your situation is indeed somewhat unusual. 2. It is not entirely normal. 3. Using a combination of an antifungal ointment and an antibiotic ointment should not pose any issues....[Read More] Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Anal fissure, tight internal anal sphincter? Hello Dr. Ke, I have seen four colorectal surgeons, all of whom diagnosed me with chronic anal fissures. As the fissures have become more frequent, I have been experiencing significant pressure and a bloated feeling in my anus. However...
Dr. Ke Fangxu Reply:
1. Increased pressure in the internal anal sphincter is usually of unknown origin and should not be related to uterine fibroids, nor would incontinence be caused by anal fissure surgery or fibroid surgery. 2. The standard procedure for anal fissure surgery involves removing any p...[Read More] Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Managing Pain After Chronic Anal Fissure and Hemorrhoid Surgery
Chronic anal fissure post-hemorrhoidectomy? Hello, Director Ke! I underwent surgery for chronic anal fissure and hemorrhoids on July 1. Currently, I still experience pain during bowel movements and need to take sitz baths to relieve the discomfort. On July 18, I noticed a lump ne...
Dr. Ke Fangxu Reply:
Mild pain after chronic anal fissure surgery for 1-2 weeks is considered normal; however, if it persists beyond one month, it may indicate an issue. Light bleeding and minor discharge from the wound are also normal, but a small number of patients may experience complications such...[Read More] Managing Pain After Chronic Anal Fissure and Hemorrhoid Surgery
Understanding Anal Pain and Hard Lumps After Fissure Surgery
Anal pain without bleeding and a small hard lump at the anal opening? Hello, Doctor: I had an anal fissure surgery 10 years ago. Recently, due to constipation and diarrhea, the area where I had the surgery has started to hurt. There is no bleeding, but it is painful when I have a...
Dr. Yu Mingchang Reply:
Hello: If you have a higher likelihood of hemorrhoids, please take some time to consult the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare. We care about your health.[Read More] Understanding Anal Pain and Hard Lumps After Fissure Surgery