Text Size
Anal Surgery
Botox for Anal Fissure
BOTOX for Resistant Chronic Anal Fissure
During the past few years there has been renewed interest in the medical management of chronic anal fissure. For those patients who have failed topical GTN and Diltiazem, surgery usually is the next treatment offered. A group of patients who have had previous insults to anal continence, including difficult obstetric deliveries or anal surgery, are most at risk of frank incontinence following fissure surgery. Botox (botulinum neurotoxin) has been recently established as a second or third line treatment, following failed topical treatments in those at highest risk of incontinence. In addition, occasionally patients unable to comply with topical treatment or those unsuitable for a general anaesthetic would be candidates for botox as first line treatment.
Pilonidal Surgery
Pilonidal means “nest of hairs” and between the buttocks is a site that hairs (usually from the scalp) have burrowed deep to the skin and created a foreign body reaction. Once the hairs are beneath the skin in the midline they cause repeated eruptions of infection. Traditionally the surgery for this condition was to make an incision in the midline between the buttocks to remove the hairs, however this cut was an invitation for further hairs and the recurrence rates were high, in fact the surgery was often worse than the disease!
Fistula Plug for High Anal Fistulae
Fistula Plug Treatment for High (Complex) Anal Fistulae
An anal fistula is an abnormal tunnel with an internal (“primary”) opening in the rectum and an external (“secondary”) opening in the skin surface near the anus. Anal fistulae typically arise from an abscess developing in glands adjacent to the anus; these abscesses sometimes form a passage connecting the anal canal to the skin. Other conditions that predispose to fistulae include malignancy, Crohn’s disease, inflammatory bowel diseases, radiation therapy and also as a complication of surgery.
Book an Appointment
The Harbour Hospital
Bournemouth Nuffield
