Laser Treatment Advantages


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No anaesthesia  and no side effects related to anaesthesia

Since there is no surgery, there is no need for pre-treatment tests or analysis, and hunger or satiety does not interfere with treatment.

No incisions and stitches.

Since tissues are not damaged, healing is rapid.

They are able to return to their daily activities on same day as treatment.

It does not require a hospital stay as it is as comfortable and quick as tooth fillings.

Less pain after non-surgical laser treatment.

Complications after the treatment are not normally observed. (stool or gas incontinence, severe pain…)

It can also be applied to patients with chronic diseases.

Why Should You Choose Avrupa Cerrahi?

We treat patients who have been scheduled for surgery with non-surgical laser techniques using our 17 years of experience and expertise.

We follow all relevant information and developments in the field of proctology from domestic and foreign sources, and also apply our unique special treatment technology with innovative developments in this area.

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    What is Anal Fissure?

    Anal fissure disease is popularly known as anal crack . It is one of the most common anal diseases after hemorrhoids. Anal fissure disease, which we can define as a wound in the breech, occurs in the breech ring due to a number of reasons.

    The skin covering outside the breech and the epithelial tissue in the inner covering of the intestine, called the mucosa, have a very delicate structure. For this reason, it is vulnerable and sensitive to any strain that may occur in the region. Since there are quite a lot of nerve endings in the breech area, this kind of sensitivity develops.

    Physical strain in the anus is the primary cause of anal fissure disease. Dry and hard stools can cause tears in the rectum during defecation. Straining due to straining, which is usually encountered in case of constipation, can also pave the way for the formation of anal fissures in the rectum. Due to the fissure, the person may feel severe pain during the toilet need.

    Due to tearing, a feeling as if glass particles are sinking during defecation or a slight cutting pain is revealed.

    After a few hours, even if the pain is relieved or gone, it shows a repetitive action in the next defecation. As long as the anal fissure is not treated, the person will continue to suffer the same complaints after each hard stool.

    It is known that painful cracks in patients with advanced anal fissure cause spasm in the muscles. In some patients, this may even lead to ischemia. Patients who do not even want to go to the toilet due to ongoing pain may encounter the same pain and new fissures over and over as a result of hardening of the stool due to this delay. In chronic fissure disease, it is also important for treatment whether there is any intestinal problem.

    During the time it is not treated, due to the destruction of the muscle tissue due to the fissure, rectal stenosis can be seen along with it over time. However, defecation also becomes more difficult. At the same time, delaying going to the toilet due to pain causes the tear to deepen. As a result of delaying the treatment, fistulized chronic anal fissure disease may also occur in the person.

    In acute that is in the initial period of fissure disease, a temporary treatment can be provided by applying drug support with the approval of the physician. However, if the symptoms of the disease are seen for more than 3 weeks, the disease that has turned into a chronic fissure must be treated with (surgical and non-surgical methods).

    What Are the Symptoms of Anal Fissure?

    • Anal fissure disease has symptoms that vary from person to person. However, the most common symptom among these is experiencing a pain similar to a glass cut or a knife sting in the area during or after defecation,
    • To encounter a blood stain on the napkin due to a tear during defecation,
    • Pain, burning and itching sensation in the breech area due to fissure,
    • Inability to defecate even with severe straining due to constipation.

    When any of the above-mentioned symptoms are encountered, a specialist proctology physician should be consulted and the disease should be brought under control before it becomes chronic.

    Acute Anal Fissure

    In the acute phase, which is accepted as the initial stage of the disease, the symptoms appear suddenly. Acute fissures cause complaints such as severe pain, throbbing sensation and tingling in the breech region. If intervention is made during this period, recovery can be seen in a period of 4 to 6 weeks. Of course, the treatment to be applied by the physician and the medicines to be recommended are also factors that affect this recovery period. At this stage, it is of great importance for patients with fissures to balance their diet and acquire healthy eating habits.

    Chronic Anal Fissure

    If the treatment of the advanced and deepened anal fissure is not performed, the complaints may increase day by day. In cracks that last longer than 8 weeks, the condition becomes chronic if the fissure condition recurs despite careful attention. Therefore, at this stage, help from a proctology specialist should be sought and fissure treatment should be started.

    If the fissure disease, which usually appears suddenly, is not taken under control at the beginning, it can be transferred to the chronic stage due to the difficulties seen in the breech region due to constipation that develops over time. Consulting a specialist doctor when the symptoms are first encountered is the most important precaution that can be taken to prevent the disease from becoming chronic. At the same time the complaints caused by the fissure in the initial stage are milder than those in the chronic stage. If treatment is started without allowing it to progress, the transition to normal life will be easier in a short time and it will be possible to get rid of the disease without experiencing severe pain.

    Chronic fissures are formed by the gradual progression of the rupture over time. The disease whose treatment is postponed, deepens every time the person needs to go to the toilet and causes complaints such as severe pain and pain. Most of the time the pain continues for several hours after using the toilet. Since the crack in the area come into contact with feces, chronic fissures may become abscessed in the future and cause other anal diseases such as anal fistula.

    If the acute fissure is not treated, it progresses to the chronic anal fissure stage and causes unbearable pain and suffering.

    Recommended Videos for Anal Fissure

    What should be considered in order for acute breech cracks not to become chronic?

    • The most important thing to do is to apply to a proctology specialist and start the treatment that is appropriate for the person’s condition.
    • At the same time, fibrous foods should be consumed in order to prevent difficulties in the anus during this process.
    • In addition to feeding, at least 2 liters of water should be consumed per day to avoid constipation.
    • Should pay attention to his diet and consume more greens, fresh vegetables, fruits and appropriate amount of olive oil.
    • Foods such as fast food and unhealthy diet should be avoided, as constipation can carry the acute fissure disease of the patient to the chronic stage.
    • Painkillers or creams deemed appropriate by the doctor can relieve the existing pain for a short time.
    • Again, as recommended by the treating doctor, warm water sitz baths should be made to ensure the hygiene of the sick area.
    • In order to eliminate the risk of infection that may occur in the area, showers should be taken frequently and the breech area should be kept clean.

    Anal Fissure (Anal Fissure) Causes

    • Anal fissure disease can be seen due to unhealthy eating habits.
    • Or that the person’s daily water needs are not adequately met may be among the reasons.
    • Experiencing chronic constipation or diarrhea attacks associated with these can also pave the way for our fissure formation.
    • Another reason is to strain while defecation due to constipation.
    • The pressure in the breech area during pregnancy and delivery can also cause fissure.
    • Experiencing excess weight problems such as obesity is also among the causes of fissure.
    • Having an inverse relationship,
    • Intestinal diseases such as Crohn’s, ulcerative colitis and
    • There are also reasons such as spending more than 5 minutes in the toilet in a defecation position.

    Does Anal Fissure Turn into Cancer?

    Anal fissure does not have a risk of turning into cancer. However, some of the complaints that occur due to anal fissure can also be seen as a symptom in some cancer diseases. Therefore, it can be confused with cancer diseases. Among these symptoms, rectal bleeding symptom can also occur in different rectal region cancers. For this reason, in order to make the differential diagnosis, a specialist in the field of proctology should be examined and, if necessary, examinations should be made.

    Fissure disease, which has similar symptoms not only with cancer diseases but also with hemorrhoids, can also be confused with hemorrhoids. In order to know the definitive diagnosis of the disease, help from a specialist doctor should be sought when symptoms are encountered.


    How is Anal Fissure Diagnosed?

    Anal fissure disease can be diagnosed by a specialist Proctology or General Surgery doctor after a detailed physical examination. If deemed necessary during this diagnosis, additional tests such as endoscopy may be requested in order to examine the rectum and colon region. At this point, the important thing is to make a detailed diagnosis by considering other rectal diseases with similar symptoms.
    Some patients, a small swelling formation can be observed in the breech. This formation, called the nipple on duty, can be mistaken for a hemorrhoid breast by the patient himself. Therefore, a specialist doctor should make a definitive diagnosis. Proctology specialists, who investigate whether they have problems such as constipation or diarrhea by asking the patients who apply for cracked rectum about their complaints, taking a detailed medical history, and if they have a different underlying intestinal or digestive disorder, apply a treatment plan for them.

    Non-Surgical Anal Fissure Treatment Methods

    • Muscle relaxant-injection therapy
    • Electrosurgical treatment
    • Radiofrequency therapy
    • Laser therapy

    Non-surgical techniques are used alone or in combination depending on the condition of your disease.

    Techniques Applied in the Treatment of Non-Surgical Anal Fissure (Anal Fissure)

    • Electrosurgical treatment
    • Radiofrequency therapy
    • Laser therapy

    These techniques are applied individually or in combination according to the condition of the patient.

    You can find detailed information about treatments by subscribing to our Avrupa Cerrahi social media channels.

    How is the Treatment Process is done in European Surgical?

    Making an Appointment

    If you want to start a quick treatment process you can make an appointment by calling on or via WhatsApp at the number
    +90 552 608 3921


    Examination Process

    When your examination day comes, after the diagnosis made by your doctor, the most appropriate form of treatment is determined for you.

    Treatment Process

    As soon as you decide on the treatment (may be on the same day),
    we can perform laser Fissure treatment.

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