Anal fringe removal
Anal fringes, or skin folds around the anus, are an aesthetic defect that often appears in men and women after 25–30 years of age. This condition is rarely diagnosed in children. This condition is not dangerous to health, but sometimes the skin areas can become inflamed. Treatment is surgical.
At the K+31 Clinic, we perform hemorrhoidal fringe removal in our surgical department. We will explain the indications and contraindications for surgery and the methods used.
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Causes of anal fringes
Let's list the factors predisposing to this defect:
- Chronic inflammatory processes in the intestines
- Frequent constipation
- Childbirth - during straining, the veins in the anus enlarge; after they return to normal size, the skin folds sag.
- Proctological diseases - hemorrhoids, anal fistula
- Complications after surgery, for example, after hemorrhoid removal
Don't forget the predisposing factors for diseases of the perianal area. An unhealthy diet with a lack of fiber and a sedentary lifestyle lead to constipation and hemorrhoids - with these conditions, the skin gradually stretches. When a hemorrhoid shrinks, folds of inelastic skin remain around the anus.
Symptoms of anal fissures
The main symptom is skin folds around the anus, which can be felt by palpation or during hygiene procedures. They are painless, but the patient may experience a sensation of a foreign object in the anal area.
If the folds become severely enlarged due to poor hygiene, bacteria and feces accumulate in them. This increases the risk of anal inflammation. As the inflammation progresses, symptoms such as:
- Itching and burning sensation
- Pain during bowel movements or at rest
- Bleeding
- Anal discharge
If you do not consult a proctologist, you may encounter complications such as ulcerations of the mucous membrane, necrotic changes, and sepsis.
Indications and contraindications for removal of anal fringes
The need for hemorrhoidal fringe removal is determined by a proctologist. If hygiene is difficult, the skin becomes inflamed, or pain and itching occur, the fringes should be removed. Another indication for surgery is the patient's desire to eliminate a cosmetic defect.
Surgery is contraindicated in the following cases:
- Pregnancy
- Oncological diseases
- Epilepsy
- An implanted pacemaker
- High intraocular pressure
- Decompensated diabetes mellitus
- Acute infections
Before the procedure, doctors conduct an examination, the patient undergoes laboratory tests, and instrumental diagnostics.
Methods for removing anal fringes
After the examination, the proctologist selects the appropriate surgical method—either traditional surgery or minimally invasive techniques. Let's take a closer look at each approach.
Surgical intervention
Scalpel excision of the anal fringe is performed under local anesthesia. This is an inexpensive and reliable method, but it is used less and less today due to its invasive nature and long recovery period.
Scalpel excision ensures complete removal of the skin growths. A scar may remain at the incision site. After surgery, the patient remains under observation in the hospital. Difficulty with bowel movements may occur during recovery.
Laser removal
This method uses a laser to excise skin growths without affecting surrounding tissue. During the incision, the vessels are immediately coagulated (cauterized), eliminating bleeding. After removal, a small, light-colored scar forms, which becomes less noticeable over time.
The surgeon administers local anesthesia before the incision. The procedure takes no more than 10 minutes. The patient then receives the doctor's instructions and can go home. Recovery takes 3-4 days.
Cryodestruction
The doctor treats the lesion with liquid nitrogen at temperatures down to -196 degrees Celsius. The low temperature destroys the problem area in 3 minutes. Liquid nitrogen affects not only the dermis but also the blood vessels. The procedure is painless, does not cause bleeding, and is performed without anesthesia.
The low temperature strengthens the local immune system and initiates the skin regeneration process. Cryodestruction is free of complications. The patient can go home immediately after the procedure. Cons: a scar remains on the anal area, and discomfort during bowel movements may occur for 2 weeks.
Radiowave method
A modern method for removing anal fringes involves the use of a radiosurgical knife. The frequency of the radiosurgical knife is 4 MHz. The instrument cuts tissue bloodlessly, sealing blood vessels. The radiosurgical knife operates precisely, leaving adjacent cells and surrounding skin undamaged. Radio waves destroy pathogenic bacteria and eliminate the risk of inflammation.
The procedure is performed on an outpatient basis; further hospital care is not required. There are no scars after the surgery, and healing takes up to 3 days.
General information
Preparing for surgery
Before the procedure, a specialist performs a proctological examination. Additionally, an anoscopy (an examination of the rectum) may be prescribed. If colon disease is suspected, a colonoscopy is recommended.
Preparing for minimally invasive procedures is simple. General blood and urine tests are required to detect possible inflammatory processes, blood type testing, and infection testing (HIV and hepatitis). For surgery, the patient undergoes blood clotting tests.
A consultation with an anesthesiologist determines the optimal anesthesia method, and the day of surgery is scheduled. Foods that cause gas in the intestines, such as carbonated drinks, alcohol, flour products, and legumes, should be avoided the day before. If general anesthesia is administered, the surgery is performed on an empty stomach. The surgeon may prescribe a bowel cleansing enema before the fimbriae excision.
FAQ
Is anal fringe removal painful?
The procedure is performed under anesthesia, so the patient feels no pain. When using a scalpel, pain may occur after the anesthesia wears off. The doctor will prescribe painkillers and anti-inflammatory medications. Minimally invasive procedures usually do not cause significant discomfort.
When can I exercise after anal fissure removal?
Complete healing occurs within 2-4 weeks, depending on the method. After a proctologist's examination, you can engage in cardio and strength training, subject to any health restrictions. Light physical activity, such as walking and gymnastics, is permitted during recovery. It is important to avoid swimming for two weeks, as there is a high risk of infection.
Is recurrence possible after anal fringe removal?
Complete excision is not associated with recurrence. Fringes are skin growths that cannot recur, unlike papillomas. However, if there are predisposing factors, the skin may stretch again.
What type of anesthesia is used before surgery?
The anesthesiologist injects the medication under the skin with a thin needle. The anesthesia is selected individually, taking into account the patient's health and possible allergic reactions. In most cases, lidocaine-based medications are used.
Is bowel movement painful after hymenectomy?
During the first 2-3 days, bowel movements may cause discomfort. The intensity of the sensation depends on your pain threshold, bowel frequency, and the type of stool—if you're constipated, the discomfort will be more severe.
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What are anal fringes?
Anal fringes are folds of skin that hang around the anus. The growths can reach 1.5 cm in size. This cosmetic defect can be a consequence of proctological conditions such as hemorrhoids, sphincter inflammation, or chronic constipation. Large folds interfere with proper hygiene, and friction against underwear can cause injury and inflammation.
In these cases, a doctor may recommend treatment for the growths and select the optimal removal method.