Why there is recurrence in Piles Fistula Fissure after Surgery?
Concept of recurrence in Fistula, Hemorrhoids and Anal Fissure
BAMS, CCYP, ROTP, CRAV (Kshar sutra)
Consultant Ayurveda Proctologist
Fistula in ano – In general kshar sutra treatment cures Fistula in ano completely. The recurrence rates are practically nil (less than 10%) but any treatment including kshar sutra can not prevent Fistula formation at any other site. So, this thing must kept in mind that kshar sutra treatment is curative not preventive. Sometimes it is also seen that there are formation of Fistula track at different site even during the course of treatment. Kshara sutra treatment is not the cause of such Fistula formation. These are independent of the treatment.
However it is a proven fact by various researches and trials done by ICMR, PGI Chandigarh, AIIMS New Delhi that Kshara sutra treatment results are better than other methods of surgeries like Fistulectomy, Fistulotomy etc.
Piles/Hemorrhoids – In general once primary piles are removed by kshar sutra ligation procedure or by surgery there are very rare chances of recurrence at the same o’clock positions. But if digestion is not good and patient keeps on straining, secondary piles masses may arise after a few years which may present the similar symptoms like Bleeding, prolapsed of mass etc. So, avoiding constipation by diet management is the best prevention for Piles disease’s recurrence.
Fissure in ano – Kshar sutra or surgery only helps in curing the current Fissure wound but if digestion is not good or stool is hard, Fissure may reoccur at same or at different site at anal canal. If patient can avoid constipation by diet management, the chances of recurrence are almost nil.
**Author is a qualified Ayurveda Surgeon and is practicing Kshara sutra treatment since past 12 years. The above article is for patient education and not a substitute for a medical advice. Dr. Chauhan can be contacted through email firstname.lastname@example.org or by phone +91-9818069989