Piles Procedure Best Centre for Piles Treatment Recover in 1 day Request a Call-back Team of Qualified & Experienced Doctors All insurance accepted 24*7 Support World-Class Medical Facilities 60+ Best doctors in town 100+ Satisfied Customers 100+ Satisfied Customers 12+ Clinics Team of Qualified & Experienced Doctors All insurance accepted 24*7 Support World-Class Medical Facilities Anal Fissures: Everything You need to know Helping you gain the best possible treatment and walk the road of recovery. Request a FREE consultation Anal Fissure: everything you need to know Helping you gain the best possible treatment and walk the road of recovery. Request a FREE Consultation Our Experts With a proven record of experience and successful surgeries Dr. Harshwardhan Subhedar General Surgeon, Laparoscopic Surgeon ● 15 Years Experience Overall ●10000 + Surgeries Performed 4.9 Dr. Priyesh Naik General Surgeon, Laparoscopic Surgeon ● 20 Years Experience Overall ●17000 + Surgeries Performed 4.7 Dr. Jeetendra Jadhav MS- General Surgery ● 16 Years Experience Overall ●12000 + Surgeries Performed 4.5 Want to know more about our experts? Request a FREE Consultation Treatments we offer We provide the best care and plan the best treatment 1. Lateral Sphincterotomy Treatments we offer A lateral anal sphincterotomy is done to cut the internal anal sphincter (muscle) and release the tension in the muscle, which causes healing of the fissure. The internal anal sphincter is one of the two muscles that constitute the anal sphincter which controls the passage of faeces. LIS is usually performed under general or spinal anaesthesia. The procedure can be performed in two ways, which are open sphincterotomy or a closed sphincterotomy.Open Sphincterotomy: The surgeon will make a small cut or an incision through the skin to reach the underlying sphincter muscle. Once the muscle is visible, the surgeon cuts into it. The incision or the cut is left open to heal.Closed Sphincterotomy: Here a blade is passed under the skin to access the underlying sphincter muscle. The incision can be closed or left open to heal. This surgical procedure is preferred for treating chronic (long-term) anal fissures. 2. Anal Advancement Flaps Tretaments we offer Sometimes, chronic anal fissures do not heal with Lateral Internal Sphincterotomy (LIS) and an advancement flaps procedure need to be done. In this, healthy tissues are taken from any other site of the body and are stitched in place to repair damaged fissured skin. This prevents incontinence of stools after surgery. 3. Laser Surgeries Treaments we offer Laser-based surgeries (a method that uses focused light) are also used for fissures. A CO2 (carbon dioxide) laser is used for the treatment of fissures. It works by increasing the blood flow to the fissure, resulting in faster healing of the area. This method offers a fixed area of concentration and therefore, greater control over the surgery. 4. Non Surgical Procedures Treatments we offer NonSurgical Procedures Doctors often prescribe medicines for anal pain. These medications help treat cuts in the anus and provide treatment for tears.Laxatives help in passing stools easily.Painkillers, creams, and anesthetics to ease pain.Creams or ointments with steroids to speed up the healing process and reduce redness and swelling (inflammation) of the area.Botulinum toxin type A and blood pressure medications. These help in relaxing the sphincters and increasing blood flow.Doctors suggest fissure cure creams and treatment for bum fissure. These fissure treatment medicines are very helpful. Want to know more about our experts? Request a FREE Consultation What is Anal Fissure? An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. A chronic anal fissure likely has a deeper tear and may have internal or external fleshy growths. A fissure is considered chronic if it lasts more than eight weeks. 1. How is an Anal Fissure Caused? Any tear in the muscles (sphincters) can cause an anal fissure. This causes a spasm in the inner sphincter leading to gaping in the fissure. Due to this, the blood supply to the area is sealed off causing pain and delayed healing. This spasm causes further tear during defecation, hence, preventing complete healing of the fissure. Anal fissures mostly develop in people with constipation. Other causes include:Chronic diarrhoeaIrregular and poor bowel habitsPregnancy and childbirthIncreased pressure (tone) of the anal sphincter muscles Inserting objects into the anusMedical conditions like Crohn’s disease and ulcerative colitis (inflammatory bowel disease), tuberculosis (infectious disease), gonorrhoea and syphilis, (sexually transmitted diseases), etc.Infections and injury in the anus/anal canalAnal cancers 2. What Are The Symptoms of Anal Fissure? The symptoms of an anal fissure consists of:Pain while passing stools Burning and itching sensation while passing stoolsDifficulty in passing stoolsTear in the skin around your anus Blood present in the stools or on toilet paper while wiping (bright red in colour).In most cases, the fissure heals within a week to 10 days. If the symptoms persist, it is recommended to visit your doctor for correct diagnosis and early treatment. 3. How is an Anal Fissure Diagnosed? Your doctor will ask your medical history and perform a physical examination of your anal region to look for tears, swelling, ulcers (open sores) and bleeding. Few other tests may be advised to reach the diagnosis:Rectal examination with an anoscope: A thin tube called an anoscope is gently inserted into your rectum to check for tears in the anus or rectum. Sigmoidoscopy: A procedure to look at the rectum and the last part of the large intestine (colon) using an instrument called a sigmoidoscope.Colonoscopy: A procedure to examine the inside of the colon and rectum, using an instrument called a colonoscope. 4. How Are Anal Fissures Managed? An anal fissure can be managed through non-surgical and surgical methods but most anal fissures (acute fissures) do not require surgeries and can be managed at home by medical treatments.Non-surgical Management:Drink more fluids and increase your fibre intake to soften your stoolsTake a sitz bathClean and dry your anus gently after going to the toiletAvoid straining while passing stoolsMedical treatments. Your doctor may prescribe some medications to help in passing your stools easily, painkillers and antibiotics to ease your pain and inflammation and other medications to relax your sphincters.Surgical Management: Surgery is advised if your anal fissure is causing persistent pain and bleeding (chronic fissure) that does not heal or respond to home remedies or medications. The procedure is called fissurectomy in which the damaged skin around the anus is removed. 5. How do You Prepare For Fissure Surgery? Discuss your medical history with your doctor and inform them about any medications that you are currently taking and in case you have an allergy to any drugs. You may need to stop medications such as blood thinners (drugs taken to prevent the formation of blood clots) a few days before the surgery, as these can cause excess bleeding during and after the procedure. 6. What is The Post-operative Care After a Fissure Surgery? At the hospital:Sphincterotomy is an outpatient procedure and you can return home the same day of the procedure. You will be kept under observation for 1-2 hours after the procedure. On discharge, your doctor will give you the necessary instructions to follow during the recovery period.At home: Take ample rest.Bathe after 24 hours of the surgery. Have a bath every time you go to pass stools to prevent infection.You may experience bleeding or discharge in your stool or on the toilet paper for around 10 days after the procedure. There is no need to worry as it will resolve on its own after 10 days. Clean the area with water and keep it dry.Drink plenty of water and eat fruits and vegetables to make your stools soft which will prevent constipation.Do not eat fried foods, dairy products and aerated beverages too often as they may cause constipation.Avoid straining while passing stools.Avoid strenuous activities for a few days after the procedure. Take your medications regularly as advised by your doctor. Read More Fairfield Health Clinics Maximum safety followed Want to know more about our clinics? Request a Call-back Fairfield Derma Clinic Fairfield Derma Clinic Want to know more about our clinics? Request a FREE Consultation Relieve yourself from Anal fissure Get treatment with our brilliant surgeries Relieve yourself from Anal fissure Get treatment with our brilliant surgeries Hear it from our patients My anal fissure surgery took place smoothly and I did not face any difficulties with the insurance procedure. My medical insurance got me covered with the cost of the surgery.Rakesh PurohitAccountant The treatment was quite painless and I was able to recover immediately and could get back to my work soon after the anal fissure surgery. Nisha MalhotraMarketing Head I opted for my anal fissure treatment without surgery. The experience was hassle-free and I did not have to face any issues. The doctors were very supportive and took away all my worries and fears regarding the treatment.Vikram SethMarketing Manager I opted for laser anal fissure surgery and had a painless experience while my anal fissure surgery was being treated. Laser surgery is a convenient option for anal fissure treatment.Hema SharmaManaging Director Fairfield Healthcare to touch the lives of millions, providing the best care and world-class treatment for the community. Why FairField? Fairfield Healthcare to touch the lives of millions, providing the best care and world-class treatment for the community. 60+ Best doctors in town 100+ Satisfied Customers 12+ Clinics Why FairField? Fairfield Healthcare to touch the lives of millions, providing the best care and world-class treatment for the community. 60+ Best doctors in town 100+ Satisfied Customers 12+ Clinics Team of Best Piles Specialists All insurance accepted 24*7 Support World-Class Medical Facilities 4.5+ Avg rating 100+ Doctors 60+ Clinics 12+ locations 4.5+ Avg rating Frequently Asked Questions Who Performs a Fissure Surgery ? Fissure surgeries are generally performed by general or colorectal surgeons who are specialized in treating anal fissures.Colorectal surgeons are those surgeons who have completed advanced surgical training in the treatment of these diseases like anal fissure, as well as entire general surgical training.These doctors are skilled at the surgery of anal fissures and can carry out the procedure tactfully. What happens if i dont get treatment for anal fissure ? It is considered a long-term that is a chronic fissure. A chronic fissure may need medical treatment for the curing and healing process. Anal fissures are a common problem found in several people. They affect people of all ages, especially young and otherwise healthy people. What is the cost of Anal Fissure surgery ? The cost of anal fissure surgery ranges from INR 20,000 to INR 40,000. Laser fissure procedure can cost around INR 25,000 depending upon the type of surgery. The cost may vary on a case-to-case basis depending upon the procedure, complexities associated with the disease, institution, and geographical location. What care must be taken after the surgery? One must carefully take out the dressing the morning after the surgery and then take bath with warm water. Applying Silvadene cream to the anus after each hot bath for the first 7to 10 days can be helpful. After bathing, one must pat dry or use a hairdryer and after each bowel movement, gently cleansing the area with water or bathe/shower to keep the area clean can be helpful. What are the advantages of laser fissure surgery over other surgical options ? The recovery time of laser surgery is the fastest in comparison to the other procedures and this also allows better control to the surgeon on the entire surgery. It helps the surgeon in removing the fissure properly. Also, the patient experiences nearly no pain during the surgery.With the help of technology and improvements in medical science, an anal fissure can be treated easily through laser form and by using local anesthesia in a clinic with the least postoperative morbidity. The chance of recurrence of the fissure is relatively less as compared to the traditional surgery methods. Are fissure surgeries painful ? After surgery, one can expect to experience a little bit of discomfort. This can be a little painful for the first few days in the beginning however the pain is eased soon and one starts feeling comfortable again. When the patient leaves the hospital after treatment, they are given something to ease the discomfort and pain. What is the difference between Hemorrhoids (Piles) and Anal Fissure ? Hemorrhoids happen due to pressure applied in the anal and rectal veins a repeated number of times. However, anal fissures are caused due to trauma to the anal canal generally during the bowel movement. The major difference between the both is that they are a different kind of surgery altogether. The tear of tissue is called anal fissure whereas hemorrhoids take place by the weakening of cushions of tissue in the lower rectum of the body. This causes the skin to blow up and get filled with blood. How can Anal Fissure be prevented after treatment ? There are certain changes that need to be made in the lifestyle such as adding fiber to the diet and consuming adequate fluids is helpful. Also, one must avoid straining during bowel movements. These will help in relieving discomfort and will eventually promote healing of the anal fissure. Any chance of recurrence will also be prevented. What are the risk factors of Anal Fissures ? There are certain factors that can increase the risk of developing an anal fissure. Constipation, which is straining during bowel movements, is one factor that risks anal fissures as it increases the chances of tearing. Childbirth can also be another significant factor for women. Anal intercourse is also a reason that can lead to the risk of anal fissure. What are the lifestyle modifications to be made after Anal Fissure Treatment ? Adding fiber to your diet can prove to be very beneficial and consuming 25 to 30 grams of fiber a day is advisable. Thus, eating foods that have a significant amount of fiber can be helpful for the healing of the anal fissure. This results in softening the stools and eventually helps in healing the anal fissures. Having an intake of enough amount of fluids can be helpful and you should avoid straining in the bowel movements.