Fissure Treatment - Quick Relief with Laser Surgery

Anal fissure is a small tear in the skin lining the anus, causing pain and bleeding during bowel movements. Our advanced laser treatment ensures rapid healing, minimal discomfort, and faster recovery.

Minimally Invasive

Advanced techniques with minimal pain

Modern Technology

State-of-the-art equipment

Expert Doctors

Specialized in treatment

Quick Recovery

Return to normal activities fast

Also Known As:

शारीरिक दरार (एनल फिशर) (Hindi)फिशर (Marathi)

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What is an Anal Fissure?

An anal fissure is a small cut or tear in the skin of the anal canal, often caused by passing hard or large stools. It can cause sharp pain and bleeding during and after bowel movements. Fissures may be acute or chronic depending on their duration and severity.

Condition illustration

Trigger Foods to Avoid in a Diet

Low-Fiber Foods

Cause hard stools and constipation, worsening fissures

Spicy Foods

May irritate the anal lining and intensify pain

Caffeinated Drinks

Dehydrates the body and leads to hard stools

Processed Foods

Lack fiber and promote constipation

Dairy Products

Excess intake may cause constipation in some people

Alcohol

Can dehydrate and affect bowel movement consistency

Symptoms for Fissure

Sharp Pain

During and after bowel movements

Bright Red Blood

Seen on toilet paper or in the stool

Itching or Irritation

Around the anus

Visible Tear or Crack

Near the anal opening

Skin Tag

A small lump near the fissure in chronic cases

Spasms in Anal Sphincter

Tightening that increases pain and delays healing

Common Causes of Fissure

Constipation

Straining during bowel movements and passing hard stools can tear the anal lining

Diarrhea

Frequent loose stools can irritate and weaken anal tissues

Childbirth

Pressure during delivery may cause fissures in women

Anal Intercourse

Can lead to trauma in the anal region

Poor Toilet Habits

Delaying or rushing bowel movements can lead to strain

Underlying Conditions

Diseases like Crohn’s or tuberculosis may weaken anal skin

Risk Factors for Fissure

Low-Fiber Diet

Leads to constipation and hard stools

Sedentary Lifestyle

Poor bowel health and delayed digestion

Chronic Constipation or Diarrhea

Irritates the anal lining

Childbirth

Especially after prolonged labor

Anal Trauma

From improper wiping or inserting objects

Age

Common in both infants and elderly

Complications if Fissure Left Untreated

Chronic Fissure

Lasts longer than 6 weeks with repeated symptoms

Anal Spasms

Increased pain due to muscle tightness

Infection

Tear may become infected and form abscess

Fistula Formation

Untreated fissures can form abnormal tracts

Skin Tags

May remain even after fissure heals

Bleeding

Recurrent bleeding can lead to anemia in rare cases

Diagnosis

Anal fissure is diagnosed via physical examination and detailed history. The fissure is usually visible at the anal opening.

Diagnostic Methods

  • Visual inspection of anal region
  • Digital rectal examination (if tolerable)
  • Anoscopy to view the anal canal
  • Ruling out conditions like hemorrhoids or Crohn's disease
Diagnostic procedure

Surgical Treatment Options

Our advanced surgical procedures provide effective, long-term relief

Recommended

Laser Fissure Surgery

A painless procedure using laser energy to clean the fissure area and promote healing.

Quick and painless recovery
Minimally invasive with no stitches
Outpatient procedure
No risk of incontinence

Recovery Time

2-4 days

Anesthesia

Local with sedation

Lateral Internal Sphincterotomy (LIS)

A small cut is made in the anal sphincter muscle to reduce pressure and aid healing.

Highly effective for chronic fissures
Quick symptom relief

Recovery Time

1 week

Anesthesia

Spinal or general

Anal Advancement Flap Surgery

A procedure where healthy tissue is used to cover the fissure, promoting faster healing in chronic or non-healing cases.

Effective for non-healing fissures
Preserves anal function
Promotes rapid tissue regeneration

Recovery Time

1-2 weeks

Anesthesia

Spinal or general

Preventive Measures

Topical Ointments

Nitroglycerin, calcium channel blockers, or lidocaine help reduce pain and promote healing.

Sitz Baths

Warm water soaks relieve pain, improve blood flow, and relax the sphincter.

Stool Softeners

Ease bowel movements and prevent strain on the fissure site.

High-Fiber Diet

Ensures soft, regular stools and avoids further damage.

Fissure Types and Surgical Procedures

Acute Fissure

Description: Recent tear, usually heals within a few weeks.

Surgical Procedure: Managed with ointments, sitz baths, and dietary changes.

Chronic Fissure

Description: Lasts more than 6 weeks, may have scar tissue and skin tags.

Surgical Procedure: Laser treatment or LIS is recommended for long-term healing.

Posterior Fissure

Description: Located on the back side of the anal canal, most common type.

Surgical Procedure: Laser or LIS based on severity and duration.

Anterior Fissure

Description: Occurs on the front side, more common in women.

Surgical Procedure: Usually managed conservatively; chronic ones may need laser surgery.

Multiple Fissures

Description: May indicate underlying disease like IBD or TB.

Surgical Procedure: Requires full diagnostic workup and combined therapy.

At Total Surgicare, our specialist proctologists determine the best surgical approach based on the specific type and location of your fissure, ensuring optimal outcomes with minimal disruption to sphincter function.

Why choose Total Surgicare for Fissure Surgery?

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Advanced Laser Treatment with Fast Recovery

Our laser procedure offers precise, bloodless treatment for fissures with quick healing and minimal discomfort.

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Expert Surgeons with FREE Consultations

Get a personalized evaluation and treatment plan from our experienced team at no initial consultation cost.