✦ EMERGENCY FISSURE PROCEDURE

EUA + Drainage

Q: Why is EUA needed if I already had a clinic examination?

Some patients have such severe pain that clinic examination is not possible or is incomplete. EUA under anaesthesia allows a thorough assessment, accurate mapping of anatomy, and immediate drainage of any abscess.

Q: Will my fissure or fistula be cured in the same procedure?

EUA primarily focuses on accurate diagnosis and drainage of any abscess. Definitive treatment of the fissure or fistula is usually planned later, once inflammation has settled and the tract has matured.

Q: How quickly will I feel better after drainage?

Most patients feel dramatically better within 24–48 hours of abscess drainage. Pain, swelling, and fever typically improve quickly with combined drainage and appropriate antibiotics.

Q: When will the definitive surgery be done?

Definitive surgery — such as fistulotomy, LIFT, or fissure surgery — is usually planned 4–6 weeks later, once inflammation has settled and the tissues are calm and ready for treatment.

Examination Under Anaesthesia with drainage of any associated abscess — used for fissures complicated by abscess, severe pain, or unclear anatomy that cannot be assessed in the clinic.

15–30 min PROCEDURE

Day Care – 1 Day HOSPITAL STAY

>90% DIAGNOSTIC ACCURACY

1–2 Days RETURN TO WORK

What is EUA + Drainage?

EUA + Drainage (Examination Under Anaesthesia with Drainage) is a focused procedure used for fissures or anorectal conditions that are too painful for clinic assessment, or are complicated by an associated abscess. Under spinal or short general anaesthesia, a comprehensive examination accurately maps the fissure, any associated abscess or fistula, and surrounding anatomy. Any abscess is drained in the same sitting, providing immediate pain relief and allowing further treatment to be planned safely. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs EUA + drainage at Lux Hospitals, Hyderabad.

Suitable for severely painful anorectal conditions where clinic examination is not possible, fissures associated with abscess, suspected complex fistula, or unclear anatomy that needs detailed assessment under anaesthesia.

How the Procedure Works

Anaesthesia & Positioning

The procedure is performed under spinal or short general anaesthesia. The patient is positioned comfortably in lithotomy position.

Comprehensive Examination

A thorough examination is carried out — including digital examination, proctoscopy, and probing — to clearly define all anatomy.

Abscess Identification & Drainage

Any associated abscess is identified, opened, drained completely, and the cavity gently washed with saline.

Tract / Fissure Mapping

Any associated fistula tract or chronic fissure features are clearly mapped for definitive treatment planning.

Recovery & Planning

Patients are usually discharged the same day with detailed wound care advice and a clear plan for further definitive surgery if needed.

Outcomes

15–30 minDURATION

Day Care – 1 DayHOSPITAL STAY

>90%DIAGNOSTIC ACCURACY

1–2 WeeksWOUND HEALING

Who Needs This Treatment?

→Immediate relief from severe pain and abscess
→Accurate diagnosis under comfortable anaesthesia
→Drainage prevents spread of infection
→Allows safe planning of definitive treatment
→Day-care or short-stay procedure
→Discreet, sensitive care by a female proctologist

Sometimes the most important thing we can do for a patient in severe anorectal pain is simply to give them gentle anaesthesia, examine them properly, drain whatever needs draining, and then plan the rest calmly. Rushing into definitive surgery without a clear map rarely serves the patient well.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why is EUA needed if I already had a clinic examination?+

Will my fissure or fistula be cured in the same procedure?+

How quickly will I feel better after drainage?+

When will the definitive surgery be done?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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