Anal Papilla Treatment

An anal papilla is a small, benign (non-cancerous) skin tag or mucosal outgrowth located inside the anal canal. It is usually harmless but may become enlarged, inflamed, or irritated due to chronic constipation, straining, or underlying anal conditions like fissures or infections. When symptomatic, treatment may be necessary.

1. Diagnosis Services

Proper diagnosis is key to rule out more serious conditions:

• Clinical Examination: A physical and visual inspection of the anal area using gloves and a lubricated finger.

• Anoscopy: A small scope is used to inspect the anal canal and confirm the presence of anal papillae.

• Differential Diagnosis: To rule out other conditions like polyps, hemorrhoids, or warts.

2. Non-Surgical Management (For Small, Asymptomatic Papillae)

If the anal papilla is small and not causing symptoms, treatment is usually not required. Conservative management includes:

• High-Fiber Diet: To reduce straining during bowel movements.

• Hydration: To avoid constipation.

• Stool Softeners or Laxatives: If constipation is present.

• Warm Sitz Baths: To relieve discomfort if there’s irritation.

3. Surgical & Minimally Invasive Treatment (For Symptomatic or Enlarged Papillae)

If the papilla is causing pain, bleeding, itching, or discomfort, especially during defecation, removal may be necessary:

Excision Under Local Anesthesia

• The papilla is surgically removed in a quick outpatient procedure.

• Done under local or mild sedation.

• Minimal recovery time, usually same-day discharge.

Laser Excision

• Laser is used to precisely remove the enlarged papilla.

• Less bleeding, faster healing, and reduced post-op pain.

• Daycare procedure with very low recurrence.

Cauterization or Electrosurgery

• The papilla is burned off using electric current or cautery tools.

• May be used in combination with fissure treatment if both conditions exist.