When does a stricture develop?
Narrowing of the anal canal most often occurs as a consequence of operations - excessive excision of tissue during hemorrhoidectomy, as well as after long-term fissures, chronic inflammation and radiation therapy. It manifests itself as difficult defecation, ribbon-like feces and pain. Bougienage is carried out in a course: over several sessions, the diameter of the bougie is gradually increased, stretching the scar tissue. The method is effective for moderate strictures; with severe cicatricial narrowing, plastic surgery is required.
Outpatient proctology
A significant part of proctological problems can be solved by minor interventions that do not require long-term hospitalization: excision of a fissure, removal of a polyp of the anal canal, bougienage for narrowing, cauterization of fimbriae.
What they all have in common is a short turnaround time, local or spinal anesthesia, and a recovery time of 1-3 weeks. Many include one bed day for observation and pain management in the first hours.
Anal fissure
A fissure is a linear defect in the mucous membrane of the anal canal, causing severe pain during defecation and sphincter spasm. Spasm impairs blood supply and interferes with healing - a vicious circle is formed. A fresh crack is treated conservatively, and a chronic one, with scarred edges and a guard tubercle, is excised surgically.
Diagnostics
Sigmoidoscopy allows you to examine the rectum and part of the sigmoid colon to a depth of 25–30 cm. This is a basic endoscopic examination in proctology: it identifies polyps, inflammatory changes, sources of bleeding and tumors of the lower sections.