Advancement Flap / Anoplasty
Reconstructive technique for resistant fissures or anal stenosis — healthy skin or mucosa is mobilised and advanced into the area to allow proper healing without cutting the sphincter.
What is Advancement Flap / Anoplasty?
Advancement Flap or Anoplasty is a reconstructive sphincter-sparing surgical technique for chronic, resistant anal fissures, recurrent fissures after previous treatment, or fissures associated with anal stenosis. A flap of healthy skin or mucosa is carefully mobilised and advanced into the fissure area, providing well-vascularised tissue to allow proper healing. The sphincter muscle is fully preserved. This is particularly valuable for patients in whom sphincterotomy is not preferred. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs advancement flap and anoplasty at Lux Hospitals, Hyderabad.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or general anaesthesia. The patient is positioned in lithotomy or prone position.
Fissure Preparation
The chronic fissure edges, sentinel skin tag, and any hypertrophied papilla are carefully excised to create a fresh, clean base.
Flap Design
A V-Y, house, rotation, or rhomboid flap is carefully designed in the perianal skin or anal canal mucosa, ensuring good blood supply.
Flap Mobilisation & Advancement
The flap is gently mobilised and advanced into the fissure area, providing healthy, well-vascularised tissue tension-free.
Suturing & Recovery
The flap is sutured into place with absorbable sutures. Patients are usually discharged the same day or next.
Outcomes
Who Needs This Treatment?
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Complete sphincter preservation — full continence maintained
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Effective for resistant or recurrent fissures
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Treats associated anal stenosis at the same time
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Provides healthy tissue for durable healing
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Particularly valuable for women
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Discreet, sensitive care by a female proctologist
Advancement flap is a beautiful operation in proctology — when the fissure has refused to heal or the canal has become stenotic, bringing healthy skin into the area gives the body what it needs to recover. Continence is protected, the result is durable, and the patient finally feels normal again.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Advancement Flap / Anoplasty Cost in Hyderabad
The cost of advancement flap / anoplasty in Hyderabad depends on the severity and chronicity of the anal fissure, extent of scarring, location of the affected area, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring advancement flap or anoplasty for suitable chronic or complex anal fissures, the approximate cost ranges between ₹60,000 and ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Advancement Flap / Anoplasty | ₹60,000 – ₹1,20,000 |
The final cost may vary depending on your individual condition, findings during evaluation, surgical technique used, and whether any additional procedures are required.
Factors That Influence Advancement Flap / Anoplasty Cost
The overall cost may depend on:
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Severity and chronicity of anal fissure: The extent of scarring, tissue damage, recurrence, and associated anorectal conditions may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, investigations, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as fissurectomy, sphincterotomy, removal of associated skin tags, or other anorectal interventions are required along with advancement flap / anoplasty, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, dietary guidance, and follow-up requirements may influence the final estimate.
Is Advancement Flap / Anoplasty Covered by Insurance
Advancement flap / anoplasty may be covered by health insurance when it is performed for a medically necessary anal condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether advancement flap / anoplasty is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.