What are fringes
Perianal fimbriae are excess folds of skin around the anus. They form after thrombosis of the external hemorrhoid, when the thrombus resolves, but stretched skin remains, as well as after pregnancy and childbirth. The fimbria themselves are safe and do not degenerate, but they make hygiene difficult, causing itching, irritation and weeping. Removal is performed on an outpatient basis under local anesthesia by electrocoagulation or excision and takes 15–25 minutes. It is important that the diagnosis is made by a doctor: patients often mistake an external hemorrhoid or condyloma for a “fringe”.
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.