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
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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.

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

Surgical Treatment Options
Our advanced surgical procedures provide effective, long-term relief
Laser Fissure Surgery
A painless procedure using laser energy to clean the fissure area and promote healing.
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.
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.
Recovery Time
1-2 weeks
Anesthesia
Spinal or general
Laser Fissure Surgery
A painless procedure using laser energy to clean the fissure area and promote healing.
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.
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.
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.
Why choose Total Surgicare for Fissure Surgery?
Advanced Laser Treatment with Fast Recovery
Our laser procedure offers precise, bloodless treatment for fissures with quick healing and minimal discomfort.
Expert Surgeons with FREE Consultations
Get a personalized evaluation and treatment plan from our experienced team at no initial consultation cost.