When an outpatient format is enough
A single small formation - papilloma, condyloma, fibroma, fimbria, small atheroma - is removed in 20-30 minutes under local anesthesia. The patient goes home immediately after the procedure. The material is sent for histological examination: this is a mandatory standard, since an apparently benign formation in rare cases turns out to be malignant. With multiple formations, large sizes or location in the anal canal, more extensive intervention is required in the operating room.
What is removed in the perianal area
The most common findings are genital warts, anal canal polyps, anal fimbriae, atheromas and papillomas. All of them are removed on an outpatient basis under local anesthesia.
The general principle is the same: the formation is excised within healthy tissue and sent for histological examination - in appearance, a benign formation is not always distinguishable from a malignant one.
Scalpel or laser
Classical excision remains a reliable and universal method. Laser destruction works without contact: the beam evaporates the tissue and at the same time seals the vessels, so there is practically no bleeding, and healing proceeds faster and with less scarring. Limitation of the laser - when the tissue is completely evaporated, there is no material left for histology, therefore, in case of suspicious formations, excision is preferable.
After the procedure
During the first few days there may be discomfort during bowel movements. Soft stools, good hygiene and sitz baths are important. Most patients return to work the next day.