Does anal fissure, anal fistula and rectocele have to be operated?

Anal fissure surgery is to enlarge the anus, draw a bite in the anus, and expand the small meridians around the anus to normal size.

Anal fistula is like a mouse hole. You can see a small eye at a certain distance from the anus. In fact, there is a fistula below, and the anus and rectum have an internal opening.

Anal fissure surgery generally does not form a real anal fistula, but in the process of healing, if it is false healing, it will form a shallow subcutaneous fistula.

If the diagnosis of anal fistula is clear, it should be treated surgically. But I don't recommend traditional thread-drawing surgery, let alone treating pain. The key is that a large proportion of patients will relapse after treatment. I'd better talk about our treatment. During our treatment, we found that simple external anal fistula is rarely as simple as internal anal fistula. Traditional surgery believes that an external orifice of anal fistula corresponds to an internal orifice of anal fistula (one-to-one correspondence). As long as an anal fistula is found, the treatment of anal fistula is OK, which means the treatment is successful. As for the cause of recurrence, the internal mouth is not accurate. As long as the internal orifice is found correctly, the anal fistula will not recur. This is also the knowledge of most anorectal experts so far! That's what the textbook says. We think this theory is completely wrong. Why? During the treatment, we found that one external anal fistula generally corresponds to 3-5 internal anal fistula. If only one fistula is treated, there will be 2-4 fistula untreated, which is very consistent with the current recurrence rate of anal fistula of 30-50%, and it is also the main reason for the recurrence of anal fistula. Our treatment is incision and drainage. In the process of treatment, all the internal orifices of anal fistula are found and cut at one time, usually 3-5 internal orifices are found and drained at one time, so that anal fistula will not recur after treatment. According to our statistics, among 332 cases of anal fistula, 327 cases were cured once, and 5 cases needed secondary treatment, all of which were complicated with multiple external fistulas. 1 The external fistula did not recur. The paper is being published. It can be said that we have found the cause of anal fistula recurrence, and the treatment of the cause is the fundamental method of anal fistula treatment, so we can bid farewell to anal fistula recurrence.