Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Post-hemorrhoidectomy anal deformity, with injury to the perineal area? On July 3rd, I underwent a self-funded Thunderbeat minimally invasive surgery at Shin Kong Wu Ho-Su Memorial Hospital, where I had a complete excision of both internal and external hemorrhoids. The procedure ...
Dr. Zhang Shuhao Reply:
The appearance of the wound after external hemorrhoid surgery can be unpredictable, as it may change due to surrounding skin tension and scar tissue formation. However, as long as the symptoms of hemorrhoids improve and there is no damage to the external anal sphincter, with no i...[Read More] Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
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
Post-Surgery Recovery: Managing Bowel Issues After Hemorrhoid Surgery
Inquiry about recovery status after hemorrhoid surgery? Hello Doctor, my father (79 years old) underwent minimally invasive surgery for hemorrhoids (PPH hemorrhoidectomy) on March 1st of this year. Due to his enlarged prostate issue, he had a urinary catheter for about a month po...
Dr. Zhang Shuhao Reply:
Generally, hemorrhoidectomy wounds heal within a few weeks, and there should be no issues with incontinence. Benign prostatic hyperplasia may lead to short-term urinary difficulties post-surgery, but it does not affect bowel movements in the long term. Based on the description, t...[Read More] Post-Surgery Recovery: Managing Bowel Issues After Hemorrhoid Surgery
Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Incontinence after anal fissure surgery? Hello Dr. Ke, I have undergone sentinel tag and anal sphincter relaxation surgery due to chronic anal fissures. It has been about a month and a half since the procedure, and I am still experiencing discomfort and episodes of incontinence....
Dr. Ke Fangxu Reply:
1. Generally, healing can take about a month; if pain persists, it is advisable to consult the surgeon to check for any abnormalities. 2. Postoperatively, mild incontinence may occur due to incomplete healing of the wound, which is caused by sensitivity and irritation of the in...[Read More] Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Understanding Discomfort and Swelling in the Perineal Area: What to Know
Swelling and pressure sensation issues? There is a transverse muscle resembling a sphincter located at the junction above the perineum and anus (at the 12 o'clock position), which seems to be pushing against the skin from within, causing a persistent feeling of swelling and ...
Dr. Zhang Shuhao Reply:
1. It could be a subcutaneous fistula or a deeper abscess. During the early stages of inflammation, there may be swelling without significant pain or signs of infection. 2. Consultation with a colorectal surgeon or urologist is appropriate, and in severe cases, incision and drain...[Read More] Understanding Discomfort and Swelling in the Perineal Area: What to Know
Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Chronic anal fissure-related issues? Hello Dr. Ke: A month ago, I inquired and returned for a follow-up with the doctor. The situation is that I have applied two different ointments. The first one is Yizhi Kang, which causes itching when applied to the anal area, so I had to stop...
Dr. Ke Fangxu Reply:
1. It is personally not recommended to apply irritating ointments, as I have not heard of any evidence suggesting that irritating a wound can aid in healing. 2. If only a sphincterotomy is performed, then the skin will not be excised. 3. A sphincterotomy involves making a small...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Understanding Anal Fissures: Challenges and Treatment Options
Anal issues Hello Doctor, I inquired at the beginning of January about a situation that has been ongoing since last summer (it's been a whole year!). Due to an anal fissure, I used ointments, sitz baths, and suppositories. By October of last year, I developed a dermatitis fr...
Dr. Ke Fangxu Reply:
If the pain from an anal fissure is severe, surgical treatment may be considered. If there is also increased pressure in the anal sphincter, a sphincterotomy may be necessary. However, I have encountered cases where anal pain was actually caused by nerve pain due to a herniated d...[Read More] Understanding Anal Fissures: Challenges and Treatment Options
Understanding Anal Itching and Fissures: Causes and Solutions
Anal itching and anal fissure? About 12 days ago, I experienced itching in the anal area almost every day (especially more frequently at night). Then, starting around May 2nd, I began to feel pain in the anus when having a bowel movement, which feels like an anal fissure. I looke...
Dr. Ke Fangxu Reply:
Excessive pressure in the anal sphincter can also be one of the causes of anal fissures; however, a medical examination is necessary to confirm this, as it may not be an issue related to anal fissures at all. It is advisable to start with warm sitz baths along with topical medica...[Read More] Understanding Anal Itching and Fissures: Causes and Solutions
Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Anal fissure issues? Hello, Doctor! I would like to ask the following questions: 1. I have had an anal fissure for several months, and after a hospital examination, it was determined to be a fresh wound. Does this not count as chronic? (I have been doing sitz baths and using su...
Dr. Ke Fangxu Reply:
1. It is also possible to have a chronic anal fissure combined with an acute wound. 2. The irritation from the anal fissure may trigger the urge to defecate, and this urge can cause relaxation of the anal sphincter, leading to moisture, which is a normal phenomenon. 3. As you...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Understanding Anal Fissures and Polyps: Concerns and Care
Anal fissures and polyps that do not heal? A month ago, I noticed some blood after having a bowel movement. Although it was only a drop or two, I was very worried and decided to see a doctor. During the examination, the doctor said that there was nothing unusual on the exterior o...
Dr. Zhang Shuhao Reply:
Polyps can develop into cancer, specifically referring to adenomatous polyps that form in the colorectal mucosa, which is why they are typically removed upon detection. Recurrent anal fissures are often accompanied by sentinel piles on the lateral side of the anus and hypertrophi...[Read More] Understanding Anal Fissures and Polyps: Concerns and Care
Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Post-anal fistula surgery Hello Dr. Chang, it has been 7 days since my anal fistula surgery, and I find myself unable to hold in gas, which is watery. When I pass this watery gas, there is also an involuntary discharge of a white (yellow) secretion that is sticky and somewhat res...
Dr. Zhang Shuhao Reply:
After anal fistula surgery, the wound may pass through the external anal sphincter, with part of it located on the inner side of the anus. The discharge consists of wound exudate and some intestinal fluid. You can continue to take sitz baths and change dressings to maintain clean...[Read More] Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Post-fistula surgery Hello, doctor. I underwent drainage for an anal abscess in November 2022, where three drainage tubes were inserted. On March 24, 2023, I had two fistula tracts surgically removed. The physician mentioned that one of the tracts might be deeper. Currently, I am...
Dr. Zhang Shuhao Reply:
1. After a complex fistula surgery, there will be a larger open wound, which may cause pain due to friction at the wound site and contractions of the sphincter muscles. In addition to taking warm sitz baths, oral anti-inflammatory and analgesic medications can be used. It is impo...[Read More] Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
Anal fissure surgery issues? Some time ago, I developed an anal fissure due to gastrointestinal issues. Although my gastrointestinal problems have been resolved and the fissure has healed, I still experience recurrent pain after several days of soft stools. Medical examinations c...
Dr. Ke Fangxu Reply:
Anal fissures can be classified into two types based on the pressure of the sphincter muscle. If the sphincter pressure is excessively high, surgical intervention tends to yield better outcomes. Conversely, if the sphincter pressure is insufficient, the results of surgery may be ...[Read More] Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
It has been over a year since the hemorrhoid surgery, and I am experiencing difficulty with bowel movements and a lack of sensation during defecation? Hello Doctor, after my hemorrhoid surgery last year following the Lunar New Year (the doctor mentioned that a significant amount ...
Dr. Zhang Shuhao Reply:
Postoperative difficulty in bowel movements after hemorrhoid surgery may be due to sensory or structural abnormalities. Sensory abnormalities occur when nerve endings are damaged, leading to an inability to accurately perceive the urge to defecate, which typically improves gradua...[Read More] Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Post-anal abscess surgery, anal fistula? Hello Dr. Ke, I previously had an anal abscess incision and drainage performed by you, and I returned for a follow-up appointment where you mentioned that there was no swelling or pain, so I should continue with sitz baths and observation....
Dr. Ke Fangxu Reply:
If such a situation occurs, it may indicate the formation of an anal fistula. To completely cure an anal fistula, surgical treatment is required. Some hospitals perform fistula surgery using minimally invasive techniques. Personally, I do not have experience with this approach be...[Read More] Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Unexplained Anal Pain: Causes and Solutions for Discomfort
It doesn't seem like an anal fissure, hemorrhoids, or an anal fistula, but it hurts a lot? Hello Doctor, recently I've been experiencing a sharp pain near my anus while walking for more than half an hour. It feels like a friction burn, and there have been two or three i...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to wear loose-fitting pants and pure cotton underwear, and to change them frequently. Generally speaking, the blood circulation in the perineal area is good, and small wounds heal quickly, usually just requiring the application of antibiotic ointment. If ...[Read More] Unexplained Anal Pain: Causes and Solutions for Discomfort
Can You Train Your Internal Sphincter? Post-Surgery Scar Softening Tips
Sphincter thinning and weakness issues? Hello Doctor, I am the questioner of #192223. I would like to ask you: 1. Is it possible to train the internal sphincter, or can only the external sphincter be trained? 2. Since it has been over a year since the surgery, is there still a ch...
Dr. Zhang Shuhao Reply:
1. The internal sphincter is involuntary muscle, so only the external sphincter and pelvic floor muscles can be trained. 2. While there are no guarantees, frequent sitz baths have no downsides, and even a slight possibility of benefit is worth trying.[Read More] Can You Train Your Internal Sphincter? Post-Surgery Scar Softening Tips
Understanding Weak Internal Anal Sphincter: Treatment and Recovery Options
Anal sphincter thinning? The doctor previously inquired about your postpartum hemorrhoid surgery, issues with fecal incontinence, and leakage problems. After conducting a rectal pressure test, nerve assessments, and ultrasound, it was confirmed that there is muscle weakness and r...
Dr. Zhang Shuhao Reply:
1. The internal sphincter is thin, and the muscle typically does not regenerate; however, over time, the remaining portions of the sphincter may compensate and improve function. 2. If the scar regains elasticity, it may improve leakage. 3. The internal and external anal sphincter...[Read More] Understanding Weak Internal Anal Sphincter: Treatment and Recovery Options