Before going to the blog let’s check the facts about Piles, Fissure, or Fistula in India.
Piles: Piles afflict approximately 11% of India’s population, with a higher rate in cities.
Fissures: According to one study, anal fissures account for around 30-40% of all anorectal disorders found in India. Males had a higher incidence, with a large number of cases reported in those aged 18 to 40.
Fistula: In India, males accounted for 80% of anal fistula occurrences, with the highest prevalence (30%) among those aged 41 to 50. The global prevalence is estimated to be one in every 10,000 people per year, with men having a higher incidence than women.
Causes of piles (hemorrhoids)
- Chronic constipation and straining during bowel motions.
- Low fiber diet causes hard stools.
- Obesity with long hours of sitting.
- Pregnancy causes greater pressure on veins.
- Heavy lifting or extreme physical strain
- Aging affects rectal tissues.
Now, how is piles surgery performed ?
Piles surgery (hemorrhoidectomy) is the removal of enlarged hemorrhoids by a knife, stapler, or a chemical injection to reduce them. It is done under general anesthesia for a painless treatment.
Common Techniques:
- Traditional Hemorrhoidectomy: It is the direct excision of hemorrhoids.
- Stapled Hemorrhoidectomy: Reduces blood flow to hemorrhoids, causing them to shrink.
- THD (Transanal Hemorrhoidal Dearterialization): Ties of blood vessels to reduce hemorrhoids, reducing pain and healing time.
Causes of anal fissures
- Passing hard or big stools
- Chronic diarrhea or frequent bowel motions.
- Constipation and excessive straining.
- Trauma during childbirth in women.
- Inflammatory bowel diseases (IBD), such as Crohn’s disease.
- Reduced blood supply to the anal region.
Now, how is fissure surgery performed ?
Fissure Surgery (Lateral Internal Sphincterotomy or LIS)
- A tiny incision is made into the anal sphincter muscle.
- This relieves pressure and promotes recovery.
- The wound is left exposed or stitched, and healing takes several weeks.
Causes of anal fistula
- Untreated anal abscess causes infection.
- Chronic inflammation of the anal glands.
- Crohn’s disease and other inflammatory bowel disorders
- Tuberculosis and sexually transmitted infections (STIs)
- Previous rectal surgeries or injuries.
- Poor hygiene and recurring illnesses.
Now, how is fistula surgery performed ?
Fistula surgery (fistulectomy or fasciotomy)
- The fistula tract is identified with a probe.
- The tract is either opened (fistulotomy) or excised (fistulectomy).
- In more difficult cases, an advanced flap or a seton (surgical thread) may be used to promote progressive healing.
Conclusion:
Ignoring piles, fissure, or fistula symptoms can result in serious consequences and long-term discomfort. Early diagnosis and treatment are critical for good management and a speedy recovery. If you are experiencing prolonged pain, bleeding, or swelling, see a physician to determine the best course of action. Receiving medical treatment at the appropriate time can help prevent developing diseases and promote a healthy, pain-free life.
Tirtham Surgical Hospital is the best surgical hospital in Ahmedabad, specializing in the treatment of piles, fistulas, and fissures using innovative procedures and customized care. Dr. Alpesh Patel, a highly qualified surgeon, is well-known for his ability in doing minimally invasive operations for various conditions, which result in faster recovery and less suffering. Tirtham Surgical Hospital is the top choice for successful and safe surgical procedures, because of its advanced equipment and patient-centered care.
