When Should I go for Surgery?

Posted by: Dr Soham Patel Comments: 0

When Should I go for Surgery: Making the Right Decision for Your Well-being

Proctology conditions, though often uncomfortable and distressing, have seen remarkable advancements in medical treatments and interventions. While non-surgical options can effectively manage many proctology issues, there are instances where surgery becomes a crucial consideration. At Ashwinau Hospital, we understand that the decision to undergo surgery is a significant one, and impacts your health and quality of life. In this comprehensive guide, we’ll explore the factors that indicate the need for surgery in proctology conditions, ensuring that you’re empowered to make informed decisions about your health.

Unveiling the Role of Surgery in Proctology

When it comes to proctology conditions such as hemorrhoids, anal fissures, anal abscesses, and fistulas, surgery is not always the first course of action. In fact, many individuals find relief through conservative approaches like dietary changes, topical treatments, and lifestyle adjustments. However, surgery becomes a consideration when these measures fail to provide sufficient relief or when the condition escalates in severity.

Indications for Surgery in Proctology Conditions

Piles Surgery: 

Generally, 1st and 2nd-degree piles or hemorrhoids do not require surgery, they can be managed by conservative management like oral medicine, Local ointment application, and Stool softener. Whenever Piles convert into 3rd or 4th-degree hemorrhoids with repeated episodes of Bleeding per rectum with pain, Blood clotted with large Thrombosed piles, Strangulated piles, and Infected piles requires definitely surgical management.

Fissure surgery:

Acute Fissures in ano do not require surgery, They can be managed by a Hot sitz bath, Local ointment application, and stool softener. Chronic Fissure with sentinel tag, recurrent pain & burning sensation after defecation, and bleeding per rectum require surgery.

Fistula surgery:

If a Fistula in ano is diagnosed by a surgeon with clinical and radiological investigation definitely requires surgery. With oral medication, only pain and infection can be controlled. It can be converted high anal fistula or a complicated fistula if a long time persists.

Pilonidal sinus surgery:

If the Pilonidal sinus is diagnosed by a surgeon clinical and radiological investigation requires surgical management. With oral medication pain and infection can be controlled.

Making the Decision: Patient-Centered Approach

Ultimately, the decision to undergo surgery in proctology conditions is highly individualized and should be made in consultation with your proctologist. Our team at Ashwinau Hospital is dedicated to ensuring that every patient is fully informed about their options, risks, and expected outcomes, allowing you to make the best choice for your well-being.


Deciding to undergo surgery for proctological conditions is a significant step that requires careful consideration of various factors. At Ashwinau Hospital, we’re committed to providing you with the highest level of care. Our team of expert proctologists is here to guide you through the decision-making process and offer personalized solutions that prioritize your health and comfort.