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Anal Fissures

An anal fissure is a small but painful tear in the lining of the anal canal. It commonly causes severe pain during or after bowel movements and may be associated with bleeding. When an anal fissure becomes chronic or does not heal with medicines, surgical treatment offers a permanent and effective solution.

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Cause & Symptoms

Causes:
Passage of hard or constipated stools
Increased pressure or spasm of anal muscles
Chronic constipation or repeated straining
Poor blood supply to the anal area
Long-standing or recurrent fissures

Symptoms:
Sharp pain during or after passing stools
Burning sensation around the anus
Fresh blood on toilet paper or stool
Spasm or tightness of anal muscles
Fear of bowel movements due to pain

Procedure

Treatment:
Surgery is recommended for chronic anal fissures that do not heal with conservative treatment. The goal is to relieve muscle spasm, improve blood flow, and allow the fissure to heal permanently.

How the Surgery Is Done:
The procedure is performed under local, spinal, or short general anesthesia.
The most common procedure is Lateral Internal Sphincterotomy (LIS).
A small cut is made in the tight anal muscle to reduce spasm.
This improves blood flow to the fissure, allowing natural healing.
In selected cases, laser-assisted fissure surgery may be used.
No large wounds are created.
Duration: 15–30 minutes

Recovery

Pain reduces significantly within 24–48 hours
Mild discomfort may persist for a few days
Bowel movements become easier and less painful
Return to daily routine within 2–3 days
Complete healing usually occurs within 2–4 weeks
Regular follow-up ensures proper healing

Benefits

Immediate relief from severe pain
Permanent healing of chronic fissure
Reduced anal muscle spasm
Low recurrence rate
No stitches or large cuts
Improved bowel comfort and quality of life

Important Points

✔ Who Needs Fissure Surgery?
Patients with chronic anal fissures causing persistent pain, bleeding, or muscle spasm despite medical treatment.

✔ Why Is Surgery Effective?
The surgery relaxes the tight anal muscle, improves blood flow, and allows the fissure to heal naturally.

✔ What Type of Surgery Is Performed?
Lateral Internal Sphincterotomy is the gold-standard procedure, with laser options available in selected cases.

✔ Is the Procedure Safe?
Yes. It is a safe, well-established procedure with high success rates and minimal complications.

✔ How Fast Is Recovery?
Most patients experience pain relief within 1–2 days and resume normal activities quickly.

✔ Will the Fissure Come Back?
Recurrence is uncommon when surgery is combined with good bowel habits.

✔ How Will This Surgery Improve Life?
It removes pain, fear of bowel movements, and bleeding, allowing patients to live comfortably again.

Specialist Doctors for Anal Fissures

No doctors found for this treatment.