Alternatively, a nonsurgical cost efficient treatment with Ksharasutra cotton Seton coated with Ayurvedic medicines has minimal complications. In our study, we have tried to compare these two techniques. Among 50 patients, 26 were in Ksharasutra and 24 were in fistulotomy group.
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Removal of hypertrophied anal papillae and fibrous polyps improves outcome of anal fissure surgery. Anal papillae,  which are also called as anal fibroma, papillitis hypertrophicans, or "cat tooth", are the fine points of projections of the extreme upper end of anal canal skin at the mucocutaneous junction. Small Papillae remain usually asymptomatic.
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Jump to navigation. An anal fissure is a small split or tear in the thin moist tissue mucosa lining the lower rectum anus. Anal fissures are very common in young infants, but may occur at any age.
This caused me to strain in the toilet. Suddenly, and very alarmingly, I felt something pop out. I believe it was a pile.