{"id":2329,"date":"2024-12-17T22:02:53","date_gmt":"2024-12-17T21:02:53","guid":{"rendered":"https:\/\/www.drfreitas.at\/intestinal-and-anorectal-diseases\/anal-fistulas-anal-abscesses-anal-fissures\/"},"modified":"2025-10-16T16:49:37","modified_gmt":"2025-10-16T14:49:37","slug":"anal-fistulas-anal-abscesses-anal-fissures","status":"publish","type":"page","link":"https:\/\/www.drfreitas.at\/en\/intestinal-and-anorectal-diseases\/anal-fistulas-anal-abscesses-anal-fissures\/","title":{"rendered":"Anal fistulas, anal abscesses, anal fissures"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5eymzl-bdad9988b3364fdd9217048a1ae659b6\">\n.avia-section.av-5eymzl-bdad9988b3364fdd9217048a1ae659b6{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.drfreitas.at\/wp-content\/uploads\/\u00a9-JohannesBrunnbauer_B2_0291-Bea.jpg);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n.avia-section.av-5eymzl-bdad9988b3364fdd9217048a1ae659b6 .av-section-color-overlay{\nopacity:0.5;\nbackground-color:#fcfcfc;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-5eymzl-bdad9988b3364fdd9217048a1ae659b6 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_one_full  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-section-color-overlay-active av-minimum-height av-minimum-height-50 av-height-50  container_wrap fullsize'  data-section-bg-repeat='stretch' data-av_minimum_height_pc='50' data-av_min_height_opt='50'><div class=\"av-section-color-overlay-wrap\"><div class=\"av-section-color-overlay\"><\/div><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-2329'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-49tssx-bf59d8aebf402721a08acc509e1892dc av_one_full  avia-builder-el-1  avia-builder-el-no-sibling  first flex_column_div  '     ><section  class='av_textblock_section av-m4sz77i9-cf9453b8650c6e6b63e1985d73e0e7b3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h1 style=\"text-align: center;\">Anal fistulas, anal abscesses, anal fissures<\/h1>\n<\/div><\/section><\/div>\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='after_section_1'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-2329'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-2fur9d-3cdeed3adf0c263cc4867aacd23ccf18 av_one_full  avia-builder-el-3  el_after_av_section  avia-builder-el-no-sibling  first flex_column_div  '     ><section  class='av_textblock_section av-m4sz7ccx-02b60a511effc16a35df23f3dfc905cf '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2>Anal Fistulas<\/h2>\n<p><strong>Anal Fistulas \u2013 Causes, Symptoms, and Treatment<\/strong><br \/>\nAnal fistulas are not only uncomfortable but can significantly impact quality of life. Those affected often suffer from anal pain, itching, discharge leading to soiled underwear, and bleeding. <\/p>\n<p><strong>Causes of Anal Fistulas<\/strong><br \/>\nThe causes of anal fistulas are diverse. They often develop due to inflammation of the so-called proctodeal glands \u2014 the former scent glands. These glands are located between the internal and external sphincter muscles. When inflammation occurs here, it seeks a path to the outside. In simple cases, this may appear superficially, but in more complex cases, it can penetrate deeper layers of the sphincter muscle and the pelvic floor muscles.<br \/>\nThe problem often starts with an anal abscess: a sudden, painful swelling in the anal area that is either surgically drained or later opens through a fistula tract.    <\/p>\n<p><strong>Treatment: the surgery for Anal Fistulas<\/strong><br \/>\nSurgical treatment of anal fistulas requires a delicate touch and surgical expertise. Often, the procedure includes reconstruction of the sphincter muscle. After surgery, physical rest is important for about 14 days. This means avoiding heavy lifting and straining during bowel movements. The external wound should be rinsed with water two to three times daily.    <\/p>\n<p>In fistula surgery, there is no 100% success rate. A good outcome is generally defined worldwide as a healing rate of about 80% without fistula recurrence. Thanks to my many years of experience and specialization in treating anal fistulas, I am able to achieve significantly higher healing rates.  <\/p>\n<p><strong>Preparation and Additional Examinations<\/strong><br \/>\nBefore surgery, and often also during the healing process after an abscess, a colonoscopy is usually necessary. This allows exclusion of possible causes such as chronic inflammatory bowel diseases or, depending on age, the detection and removal of polyps in the bowel.<br \/>With my expertise and individualized care, I ensure that you are in the best hands\u2014from diagnosis to successful treatment.  <\/p>\n<h2>Anal Abscess<\/h2>\n<p><strong>Anal Abscess \u2013 Causes, Treatment, and Aftercare<\/strong><br \/>\nAn anal abscess often begins with a sudden, painful swelling in the anal region. In some cases, the abscess may later drain externally through a fistula opening. <\/p>\n<p><strong>Why does an anal abscess require surgery?<\/strong><\/p>\n<p>Anal abscesses usually require surgical treatment. A spontaneous drainage through a small opening often is not sufficient to completely clear the infection. During surgery, the so-called abscess roof \u2014 the surface of the abscess \u2014 is opened. Careful examination is performed to check if a fistula tract leads into the anal canal or lower rectum. If such a fistula tract is present, it is treated during the procedure with a special drainage called a seton (ring drainage).<br \/>\nThis step is important to lay the foundation for complete healing. After the inflammation subsides, the fistula can be definitively treated in a second procedure. Without this follow-up treatment, there is an increased risk of recurrent abscesses or painful, draining areas in the anal region.      <\/p>\n<p><strong>The operation<\/strong> \u2013 quick and effective<br \/>\nTreatment of an anal abscess and placement of a seton is usually a short procedure. Generally, patients can go home the same day or the next day at the latest. <\/p>\n<p><strong>Aftercare and additional diagnostics<\/strong><br \/>\nOnce the inflammation has resolved, a colonoscopy is usually recommended. This helps to identify and potentially treat underlying causes such as chronic inflammatory bowel diseases or, depending on age, polyps in the bowel.<br \/>\nThanks to my experience and precise surgical technique, I ensure that you recover quickly and safely \u2014 from initial treatment to long-term healing. <\/p>\n<h2>Anal Fissure<\/h2>\n<p><strong>Anal Fissure \u2013 Causes, Symptoms, and Treatment<\/strong><\/p>\n<p>An anal fissure is a painful tear in the anal canal, often caused suddenly by hard stools or chemically irritating diarrhea. An anal fissure can be very painful and may also lead to severe bleeding and discharge. <\/p>\n<p><strong>Common causes include:<\/strong><br \/>\n\u2022 Hard stools<br \/>\n\u2022 Chronic diarrhea<br \/>\n\u2022 Chronic inflammatory bowel diseases<\/p>\n<p>If left untreated, the fissure can extend deeper into the anal canal or sphincter muscle. In the worst cases, a fistula can develop between the internal and external sphincter, often accompanied by a small abscess. In such cases, surgery is usually necessary.  <\/p>\n<p>If the anal fissure is detected early, surgery can often be avoided. With timely diagnosis and the correct use of conservative treatments, complete healing is possible within a few weeks. In my practice, I care for many patients who have suffered from anal fissures for a long time and can provide quick relief with simple, individually tailored measures \u2014 usually without surgery. Depending on the patient\u2019s age, a <a href=\"https:\/\/www.drfreitas.at\/en\/endoscopy\/colonoscopy\/\">colonoscopy<\/a> is also recommended to rule out other intestinal diseases.<\/p>\n<p><strong>Surgical treatment \u2013 targeted and gentle<\/strong><br \/>\nWhen surgery is necessary, it is usually an outpatient procedure, and patients can typically go home the same day or the next day. During the operation:<br \/>\n\u2022 The entire fissure is carefully removed<br \/>\n\u2022 The internal mucosa is sutured<br \/>\n\u2022 The external wound is left open to allow complete healing of the inflammation<br \/>\nIf a fistula or small abscess has already developed, it will be removed during the procedure. The sphincter muscle is always preserved as much as possible to avoid long-term complications.<br \/>\nWith early diagnosis and targeted treatment \u2014 whether conservative or surgical \u2014 anal fissures can be successfully treated so you can enjoy your daily life free of discomfort.<\/p>\n<\/div><\/section><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":2326,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2329","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anal fistulas, anal abscesses, anal fissures - Dr. Alexis Freitas<\/title>\n<meta name=\"description\" content=\"Causes, symptoms, and modern treatments for anal fistulas, anal abscesses and anal fissures \u2013 for effective relief and improved quality of life.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drfreitas.at\/en\/intestinal-and-anorectal-diseases\/anal-fistulas-anal-abscesses-anal-fissures\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anal fistulas, anal abscesses, anal fissures - 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