Why is the polyp removed?
An anal polyp may manifest itself as blood during defecation, a foreign body sensation, or prolapse, or it may not produce symptoms and be discovered by chance during anoscopy. Regardless of complaints, it is removed for two reasons: the polyp is injured and bleeds, and some adenomatous polyps eventually degenerate into a malignant tumor. The polyp is excised or removed by electrocoagulation at the base, and the material is sent for histology. It is the result of the histological examination that determines whether further observation and colonoscopy are needed.
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.