I had a sentinel skin tag removed surgically but my doctor didn't treat the anal fissure causing it. Now I'm worried the skin tag might come back or get worse. How do I handle this chronic fissure to prevent more issues?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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If a sentinel pile is present, it too may be removed to promote healing of the fissure. This may be combined with either injection with Botox or sphincterotomy.

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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Piles, or hemorrhoids, may require surgery (hemorrhoidectomy) if less invasive treatments fail or if severe symptoms are present, such as prolapsed hemorrhoids, persistent bleeding, or significant pain. Surgery is generally recommended for severe cases or when other treatments have not been successful.

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I just got a sonogram report showing two tracks in my anal fistula and I'm considering laser surgery how effective is this treatment and what should I expect during recovery

Laser surgery, specifically FiLAC (Fistula-Tract Laser Closure), offers a minimally invasive approach to treating anal fistulas and is generally considered effective, particularly for certain types of fistulas. Success rates vary, but generally range from 60% to 85%, depending on factors like fistula complexity and patient health. Recovery is typically quicker than with traditional surgery, with most patients returning to normal activities within a few weeks.

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What causes fistula in ano and how does it develop Can it be treated without needing surgery

conservative and fistulectomy is advised .

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.