Common Conditions Treated

Anal Fistula and Anal Fissue

What is anal fistula?

A tunnel that develops between the anal canal and the skin near the bottom.

What treatments do we provide?

  • Diagnostic information
  • Drainage procedures with SETON
  • Laying open
  • Advancement Flaps and fistulectomy

What is an anal fissure?

A split or tear in the skin of the anal canal.

What treatments do we provide?

  • Application of creams and ointments
  • 0.4% GTN Cream (Rectogesic)
  • 2% Diltiazem Cream (Anoheal)
  • Chemical Sphincterotomy with Botox
  • Surgical Sphincterotomy (Subcutaneous Lateral Internal Sphincterotomy - SLIS)
    This is a procedure performed to treat anal fissures, which is a split in the lining of the rectum. The sphincter the anus is cut to relieve muscle spasm and promote healing.

What happens in the Surgical Admissions Unit?

On the day of your surgery, you will be asked to change into a gown. You need to bring in your own dressing gown, cotton underpants and slippers. Please remove all make-up, nail varnish and jewellery (wedding rings are permitted.) Leave valuables at home.

Your admission paperwork will be completed. The doctor will plan your procedure, then ensuring you fully understand the procedure you are about to undergo, he/she will ask you to sign consent form, giving the doctor/ Surgeon permission to perform the procedure.

An anesthetist may see you prior to your surgery. Following a general anaesthetic you may feel tired and this may affect your concentration. This is considered normal and may continue for a day or so.

If you are having a flexible sigmoidoscopy (an examination of the lining of the lower part of the bowel) with any of the above, then you will be given an enema in order to clear the bowel. This a small amount of fluid passed via a small tube into the rectum and stimulates the bowel to empty.

Discharge time may vary, depending on the individual and fulfillment of the surgery.

Discharge Advice

You may have a pack in place, which may fall out prior to discharge. If not please soak it out in the bath the next day. A supply of pain relieving tablets and laxatives will be given to you on discharge, take as instructed. You are advised to drink plenty of fluids. We recommend 2 litres of fluid a day. This will help your bowels to be regular. A high fibre diet leaflet may also be given to you on discharge. If required an outpatient appointment will be given to you prior to discharge.

A sick note can be issued on request.

You will not be able to: drive for 24 hours and then only if you can safely control your vehicle. (Ultimate responsibility for re-commencing driving lies with you the patient- if in any doubt please consult your G.P/M.O.) You must not operate machinery or make any 'important' legal decisions and must not look after any dependants, drink alcohol or take sleeping tablets.