Anal Fissures, Anal Abscess and Anal Fistulas

Anal fissures, Anal Abscesses and Anal fistulas are common anorectal conditions that can cause discomfort and affect daily life. Below is some detailed information about the conditions:


Anal Fissures

What are Anal Fissures?

An anal fissure is a tiny split or tear in the lower part of the anal canal. Imagine it like a small cut near the opening of your back passage. Unfortunately, these fissures don't heal easily and can become quite painful. They're often linked to muscle spasms in the anal sphincter (the muscle that controls bowel movements).

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If you ever experience discomfort or notice blood when passing stools, it's essential to seek medical advice. Early intervention can help manage anal fissures effectively. It is important, to note this is not an unsual condition and there are treatment options to find relief from pain.

Causes of an Anal Fissure

Most often, they occur due to trauma or injury. Often the reason is due to passing a hard, constipated stool. But they can also happen after bouts of diarrhea or during childbirth.

Symptoms of Anal Fissures

  • Pain: The primary symptom of an anal fissure is pain. It occurs during bowel movements and can last for varying durations afterward. The pain results from the tender fissure itself and intense spasms of the internal anal sphincter muscle.
  • Bleeding: When an anal fissure first develops, bleeding is common.
  • You might notice bright red blood during or after passing stools.
  • Skin Tags: Occasionally, a swollen skin tag or lump forms at the external end of the fissure.

Management of Anal Fissures

Please see your GP about the management of your Anal Fissure. A further referral to Dr Golani may be required to help with treatment of the fissure.

  • Spontaneous Healing: Most minor fissures heal on their own, and even deeper, long-standing fissures can improve with conservative measures.
  • Soft Stools: Ensure soft stools by:
    • High Dietary Fiber: Include plenty of fiber-rich foods in your diet.
    • Stay Hydrated: Drink enough fluids.
  • Anal Hygiene: Keep the area clean to promote healing.
  • Warm Baths: Soak in warm baths frequently.
  • Recurrence: Be aware that fissures may come back months or even years later if constipation persists.

Surgical Treatment for Anal Fissures

A consultation with Dr Golani will go into detail for your surgical treatment of Anal Fissures. Dependant on your circumstances, treatment options may include:

  • Day Procedure: Treating an anal fissure usually involves a simple day procedure with minimal hospital stay.
  • Gold Standard: The most common treatment is a procedure called sphincterotomy.
  • Botox: Injections of Botox into the anal muscle. Botox temporarily relaxes the sphincter, allowing the fissure to heal over 8-12 weeks.

For further information or to discuss treatment options, please contact our team for a consultation with Dr Golani. A GP referral will be required prior to your consultation.

What is an Anal Abscess?

An abscess is a pocket of pus that forms in a specific area of the body. Specifically, an anal abscess develops in the tissues around the anus.

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Causes of an Anal Abscess

Understanding the causes of an anal abscess :

  • Glands Around the Anus: There are small glands inside the anus.
  • Infection Risk: Bacteria can get trapped in these glands, leading to an infection.
  • Abscess Formation: An abscess forms due to this infection.
  • It can spread to different areas around the anal canal, involving the anal sphincter muscle and nearby structures.
  • Enlargement and Drainage: The abscess may grow and eventually break through the skin or require surgical drainage.

Symptoms of an Anal Abscess

As an abscess fills with pus, the pressure inside it rises. This leads to persistent throbbing pain until the pus eventually drains out. Additional symptoms may include fever and sweating. If you experience these signs, see your GP immediately.

Treatment of an Anal Abscess

Draining an Abscess
  • Process: Wider drainage of the abscess may be necessary. This typically requires general anaesthesia.
  • Hospital Admission: For all procedures, hospital admission is needed.
  • Antibiotics: While antibiotics help control infection, they alone won't cure an abscess.
  • Drainage Tubes: Some patients may need a drainage tube for a period of time.

For further information or to discuss treatment options, please contact our team for a consultation with Dr Golani. A GP referral will be required prior to your consultation.

What is an Anal Fistula?

An anal fistula is an abnormal tunnel connecting the inner lining of the anus to the skin outside the anus. This can develop in a number of ways:

  • Spontaneous Drainage: Sometimes, a fistula forms after an abscess spontaneously drains.
  • Identified During Abscess Surgery: It can also be discovered during surgical drainage of an abscess.
  • Post-Abscess Surgery: A fistula may occur after surgical drainage of an abscess.
  • Pus Discharge: The fistula may cause constant or intermittent pus discharge through an external opening on the skin.
  • Temporary Healing: Occasionally, the external opening may heal temporarily.
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Treatment of an Anal Fistula

To cure a fistula, surgery is usually necessary. Dr Golani would locate and exposes the path between the anus and the skin. There are various Treatment Options:
  1. Fistulotomy:
    • Opens the entire track to the skin's surface.
    • Allows the wound to heal gradually.
    • Involves dividing some sphincter muscle.
    • Commonly used treatment.
  2. Seton Placement:
    • A flexible loop material placed along the track.
    • Maintains drainage for a specific period.

Your Consultation

Dr. Golani will provide further discussion regarding the specifics of your diagnosis during your consultation. Additionally, you will have the opportunity to select the hospital for your procedure and potentially set the date for your procedure.

The best surgical hospitals in Sydney are available for your surgery:

To schedule a consultation with Dr. Golani, please contact our team for a consultation with Dr Golani. We have appointments available at three convenient locations across Sydney:

Please note that a GP referral will be required prior to your consultation.

Contact Us

To make an initial consultation booking, please contact our office on 02 8599 9819.

If you have a question, please Email us

Hornsby Clinic Address:

Madison Building
Suite 7, 25-29 Hunter St,
Hornsby NSW 2077
Phone: (02) 8599 9819
Fax:(02) 9012 0976

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Mater Clinic Address:

Suite 13, Level 1 Mater Clinic
Mater Hospital
25 Rocklands Rd, North Sydney NSW 2060
Phone: (02) 8599 9819
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Mater Clinic
Our Mater clinic is located within Mater Hospital. Parking and Entry (convenient Pickup and Drop Zone) is via 5 Gillies St, Wollstonecraft.
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Norwest Clinic Address:

Suite 301C, Level 3
Q Central Building
10 Norbrik Dr, Bella Vista NSW 2153
Phone: (02) 8599 9819
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Norwest Clinic - Q Central Building
Our Norwest - Bella Vista clinic is located within Q Central Building - opposite Norwest Private Hospital. Free Limited Parking is available within the Q Central Building. There is a drop off zone outside of the building. Paid parking is available opposite at Norwest Private Hospital. Additionally there is parking at Woolworths Norwest Circa (5 minutes walk from the Clinic)
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What do I bring to my appointment?

  • Referral letter
  • X-Rays/Scans
  • Test results relating to referral
  • Health fund card
  • Medicare card

Royal College of Surgeons     Colorectal Surgical Society of Australia and New Zealand     Royal College of Edinbirgh     Gastroenterological Society of Australia     Sydney Adventist Hospital (SAN)     The Mater Hospital     Norwest Private Hospital