Anal & Perianal Surgery
Relatively minor surgical procedures to treat hemorrhoids, anal fistula, and pilonidal sinus.
What Is the Procedure?
This category includes several procedures depending on the condition: hemorrhoidectomy, treatment or excision of the anal fistula tract, and pilonidal sinus excision — all aimed at removing affected tissue and relieving chronic symptoms.
Why Is It Performed?
- To treat cases that have not responded to conservative treatment
- To reduce recurring pain, discharge, and inflammation
Who May Be Considered?
- Patients with advanced hemorrhoids not responding to conservative treatment
- Confirmed anal fistula cases
- Recurring pilonidal sinus cases
How Is It Performed?
- These procedures are usually performed under local, spinal, or general anesthesia depending on the nature of the procedure and patient preference
- The affected tissue is removed, or the fistula tract is treated according to its complexity
Preparation
- Clinical examination and assessment of the fistula tract when needed
- MRI imaging in complex anal fistula cases
- Specific instructions regarding bowel preparation before the procedure
Anesthesia Overview
The type of anesthesia depends on the specific procedure and may be local, spinal, or general
Expected Hospital Stay
Often a same-day procedure or a single overnight stay
General Recovery Information
- Daily local wound care is advised
- A high-fiber diet to ease bowel movements after surgery
- Complete wound healing may take several weeks for certain procedures
Potential Risks & Complications
- Local pain or minor bleeding
- Delayed wound healing
- Recurrence in rare cases
- Rare changes in bowel continence in complex fistula cases
Follow-Up
- Regular follow-up to assess wound healing, especially in pilonidal sinus and anal fistula cases
Frequently Asked Questions
Do these conditions recur after surgery?
Recurrence rates vary by the type and complexity of the condition and post-operative wound care, and these possibilities are discussed in detail with the surgeon before the procedure.
Related Conditions
Related Procedures
The information provided on this page is for educational purposes and does not replace individual medical evaluation.