 Radio frequency removed of hypertrophied anal papillae and fibrous anal polyps

Yıl 2004, Cilt: 9 Sayı: 1, 30 - 33, 27.02.2013

Pravin J. Gupta

Öz

Objective: The presence of hypertrophied anal papillae
and fibrous anal polyps is mostly ignored while dealing
with chronic anal fissures. However, anal papilla tends
to produce a discharge resulting in a sodden perianal
skin with itching and discomfort. Similarly, polyps can
prolapse, bleed or traumatize. This study is aimed to
assay the impact and utility of attending to these two
conditions concurrently while dealing with cases of
fissure in ano.
Method: A prospective study was carried out in 100
patients of chronic anal fissure with concomitant
hypertrophied anal papillae or fibrous anal polyp. Radio
frequency surgical technique was employed to destroy
the papillae and polyps after a lateral sphincterotomy.
Associated complaints like pruritus, pricking
sensation, wetness, crawling in the anus etc. were
subjected to comparison before and after removal of
the papillae or polyps by an independent observer.
Results: At a follow up of one month, anoscopy
conducted on the patients showed total eradication of
the treated papillae. The associated symptoms were
reduced significantly and there was a marked decline
in the primary complaints of pain and bleeding. At 24-month follow-up, 2% patients had recurrence of fissure,
but none was found to have the papilla or polyp.
Conclusion: Hypertrophied anal papillae and fibrous
anal polyps encountered during surgical treatment of
chronic fissure in ano should be removed to improve
patient compliance. Radiofrequency procedure can
tackle these associated pathologies effectively.
Key words: Hypertrophied anal papilla, fibrous anal polyp,
radio frequency surgery, fissure in ano.

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