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 Everything you need to know about treating Anal Fissures We provide the best treatment options by connecting you with the best doctors. Request a FREE consultation Everything you need to know about treating Anal Fissures We provide the best treatment options by connecting you with the best doctors. Request a FREE Consultation Our Experts Surgical experts at Practo Care Surgeries come with 10+ years of experience in treating 50+ ailments. 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 Get access to the best treatment options and expert care for improved outcomes. 1. Lateral Internal Sphincterotomy (LIS) 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 flaps2. 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. Want to know more about the treatment options at Practo Care Surgeries? Request a FREE Consultation What is Anus And Anal Fissure? The anus is the opening of the last part of your digestive system through which the stools are passed out from your body. The rectum (last part of the large intestine, where the stools are stored) is connected to the anus through a narrow tube-like space, the anal canal. The anal canal has two constrictions made up of muscles called sphincters (internal and external) and any tear in the muscles can cause an anal fissure.An anal fissure is a small tear in the thin tissue (mucosa) that lines the anus. These are caused when you pass hard or large stools during a bowel movement. 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 Practo Care Surgeries Safe and advanced surgical treatment. Want to know more about our clinics? Request a FREE Consultation 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 Practo Care Surgeries? We bring expertise, care and technology together to give you end-to-end surgical solutions for 50+ ailments. 60+ Best doctors in town 100+ Satisfied Customers 12+ Clinics Why Practo Care Surgeries? We bring expertise, care and technology together to give you end-to-end surgical solutions for 50+ ailments. 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 should I consult for a fissure surgery? Fissure surgeries are usually performed by a General surgeon or a Colorectal surgeon. What happens if you don’t get treated for an anal fissure? It is important that you get treated for anal fissure as, if not treated, it may become chronic and you may develop a fever, have difficulty in passing stools, severe pain and bleeding while passing stools. Are there any complications after an anal fissure surgery? Fissure surgery is a safe procedure and complications are rare. However, like any other surgery, there are a few expected risks which include the following:Bleeding from the site of the surgeryInfection in the operated area Temporary difficulty in passing stoolsPain at the incision siteIncontinence of stools (inability to control bowel movements, causing involuntary leakage of stools from your rectum while passing gas) When should you follow up with your doctor? Your doctor will schedule a follow-up appointment almost 7 to 10 days after the procedure to check for proper recovery. Advantages of Laser Over Conventional Surgeries: Cosmetically acceptable Shorter time is taken for the procedureSutures that are used in laser procedures dissolve by themselves in a few daysReduces blood loss during surgery Painless procedureEarly recovery from surgery When should you seek help? In case you experience any of these signs, consult your doctor immediately:Severe pain and bleeding from the incisionHigh fever accompanied by chillsExcessive discharge or bleeding from the anus What is the difference between haemorrhoids (piles) and an anal fissure? Piles (haemorrhoids) are enlarged blood vessels that can be seen in and around the anus (the opening of your bottom). Piles occur as a result of increased pressure in your lower rectum, causing stretching of veins around your anus. An anal fissure is a small tear in the thin tissue (mucosa) that lines the anus. The fissure causes a spasm in the inner sphincter leading to gaping and sealing of blood supply to the fissure. When can I recover completely after the surgery? The postoperative recovery period varies from person to person and complete recovery may take 6 to 10 weeks. You will be able to resume your normal activities within one to two weeks after the surgery. What is the cost of an anal fissure surgery? The cost of anal fissure surgery ranges from INR 20,000 to INR 40,000. A 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 on the procedure, complexities associated with the disease, institution, and geographical location.