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Dr. Pravin Gore answered : 11 years ago
hello dear,
you seem to have an anal fissure with a sentinal pile. this is due to a tear in the anal area which heals by resulting in narrowing of anal canal and thus tears again. The narrowed anal opening needs to be brought back to normal size.
we offer 'BOTOX' treatement for anal fissures.
also there is 'Scarless Sphincterotomy' surgery.
you can go on youtube and type my name dr. pravin gore to see the videos.
for the sentinal pile, there is no need to remove unless it is complicated by infection, twisting, bleeding or poor hygiene issues.
Sentinal Pile can be removed with BUSE (bloodless ultrasonic scalpel excision.) this leaves a small scar and not even a single drop of bleeding during surgery. Though after the surgery there will be some pain for few days but we keep the pain in your bearable limits by various medicines, exercises and bowel routines.
please feel free to visit my web www.**url** or email me on *********@*****.com you can also call/sms/whatsapp on our piles helpline **********,
take care,
wish you good health