How to treat anal fistula? Four ways to relieve anal fistula

Anal fistula, also known as anorectal fistula, is a rectal and anorectal disease with a very high incidence rate. As for how to treat anal impotence, surgical treatment is generally the main treatment, such as thread hanging therapy to treat anal impotence. Generally speaking, drug treatment can only relieve anal impotence but cannot completely cure it.

1. Surgery

The main treatment for anal fistula is surgery, and drugs have almost no therapeutic effect. If it is a simple low-position anal fistula, direct incision is generally used; if it is a high-position or complex fistula, most of the time, hanging thread therapy is used, which is safer and more reliable.

2. Adjust your mentality

Strengthen the education of anal fissure hygiene knowledge, explain to patients in detail the pathogenesis, prognosis and recovery of the disease, so as to relieve patients' tension, enhance their confidence in fighting the disease, and thus keep their mood comfortable and peaceful.

3. Sitz bath

A warm water sitz bath before defecation can relax the anal sphincter and reduce the impact of feces on anal fissures; a sitz bath after defecation can wash away fecal residues, reduce foreign body stimulation, and relieve sphincter spasms and anal pain.

4. Fistulotomy

It is a method of completely cutting open the fistula and relying on the growth of granulation tissue to heal the wound. It is suitable for low-position anal fistula because the fistula is deep below the external sphincter. After the incision, only the subcutaneous and superficial parts of the external sphincter are damaged, and postoperative anal incontinence will not occur.

The operation is performed under caudal anesthesia or local anesthesia. The patient is in the lateral position or lithotomy position. First, methylene blue solution is injected from the external opening to determine the position of the internal opening. Then a probe is inserted from the external opening into the gall duct to understand the course of the fistula and its relationship with the sphincter. Under the guidance of the probe, cut the surface tissue on the probe until the inner opening. Scrape off the granulation tissue and necrotic tissue in the fistula, trim the skin edge, make the wound into a V-shaped wound that is small inside and large outside, and fill the wound with oil gauze to ensure that the wound grows from the bottom to the outside.