Advanced, minimally invasive treatments at affordable costs only at Medfin.

Advanced, minimally invasive treatments at affordable costs only at Medfin.

Generally, the doctor diagnoses an anal fissure by a simple examination of the area around the anus. He may also perform a rectal evaluation to confirm the diagnosis.

The doctor introduces an anoscope into the rectum, a thin tube that allows better examination of the anal passage.

Sometimes, depending on the inferences drawn in this examination, the doctor may advise an endoscopy for a thorough evaluation, if needed.

An anal fissure refers to a slight tear in the moist, thin tissue lining the anus. It occurs due to hard/large stools. It is painful and it bleeds with bowel movements. An anoscope is used for the diagnosis of a fissure.

Treatment options for fissures are:

  • Laser sphincterotomy: This procedure is applicable for chronic fissures. The surgeon uses laser to create an incision. This procedure heals the fissure and leaves a small scar. Laser sphincterotomy is minimally invasive and allows same-day discharge. It causes minimal post-surgical pain, quick recovery and low chances of blood loss.
  • Fissure dilation: It’s a procedure that involves stretching the anal muscle in a controlled manner under general anesthesia. A small incision/cut is made in the internal anal muscles and the pressure is taken off the fissure. This allows the fissure to subsequently heal. It does not cause any amount of damage to external anal muscle. With experienced surgeons, even the lack of control over defecation of stools is not usually seen.
  • Anal sphincterotomy (open): This procedure too is applicable for chronic fissures. The surgeon creates a small incision which reduces the spasms caused by an overly tight anal muscle. This helps in healing the fissure. Its benefits include adequate pain relief and reduction of high tension in the internal anal muscle.

Most anal fissures heal using simple home remedies or prescribed medications from the doctor. 

But, shall the symptoms not relieve in two weeks of treatment, one must reach out to their doctor for complete diagnoses and medical treatments available.

The doctor may recommend:

Ointment

To relax the sphincter muscles, a calcium channel blocker ointment, thus allowing the fissure to heal.

Botox Injection

Botox injection paralyzes the sphincter muscles temporarily. This prevents spasms in the anus and permits the fissure to heal.

Sphincterotomy

This is a surgical procedure, where the doctor makes a small cut in the anal sphincter. Thereby, relaxing the muscle and letting the fissure cure.

A chronic condition with the recurrent occurrence of anal fissure may need further evaluation for underlying conditions.

  • Formation of large or hard stools​
  • Laboured bowel movement and constipation
  • Chronic diarrhoea 
  • Childbirth
  • Reduced blood flow to the anorectal area
  • Anal intercourse
  • Tight sphincter muscles

Less common causes of anal fissures include:

  • Inflammatory Bowel Disease (IBD): E.g., Crohn's disease
  • HIV
  • Syphilis
  • Herpes
  • Tuberculosis
  • Anal cancer

A "Fissure" is a small cut or a tear. Now an "Anal Fissure" is essentially a cut or a tear seen in the lining of the anus.

1. Overview: The surgeon uses laser to create an incision to relax the tight anal muscles. This heals the fissure and leaves a small scar.

2. Snapshots:

  • Procedure Type: LASER Surgery
  • Anesthesia: General/Spinal
  • Hospitalization: 0-1 day
  • Procedure time: 30 minutes - 1 hour
  • Recovery Time: 3-4 days

3. Post-Surgical Care

  • Use stool softeners as suggested by doctor
  • Change diet to a high-fiber one
  • Take sitz bath, apply creams, take painkillers are prescribed and keep the anal area free
  • You can get back to normal activities very soon.

4. Advantages of this Procedure: The procedure is minimally invasive and allows same-day discharge.  It causes minimal post-surgical pain, allows quick recovery and causes low chances of blood loss.



    • Slight to sharp pain during bowel movements
    • Pain that lasts for numerous hours after bowel movements
    • Blood (fresh) stained stools or bright blood on toilet paper while cleaning
    • The skin around the anus bears a visible crack or tear
    • A small lump of skin, like a skin tag near the tear
    • Itchy skin or burning sensation near the anus

    1. Overview: A small incision/cut is made in the internal anal muscles. Once a tight muscle is stretched, the pressure is taken off the fissure. This allows the fissure to subsequently heal. The procedure is a simple one, and the patient is allowed to go home the same day with instruction for care at home.

    2. Snapshots:

    • Procedure Type: 
    • Anesthesia: General anesthesia
    • Hospitalization: 
    • Procedure time:
    • Recovery Time:

    3. Post-Surgical Care

    • Soak in a warm bath 3-4 times a day
    • Eat high-fiber diet, drinking lots of fluids
    • Use a stool softener and starting normal activities only when the doctor suggests
    • Follow all instructions given by the doctor

    4. Advantages of this Procedure: It does not cause any amount of damage to external anal muscle. With experienced surgeons, even the lack of control over defecation of stools is not usually seen.

    1. Overview: The surgeon creates a small incision which reduces the spasms caused by an overly tight anal muscle. This helps in healing the fissure.

    2. Snapshots:

    • Procedure Type: OPEN surgery
    • Anesthesia: Local anesthesia
    • Hospitalization: 
    • Procedure time: 30 minutes - 1 hour
    • Recovery Time: 1-2 weeks (6 weeks for full recovery)

    3. Post-Surgical Care

    • Do not to work or do strenuous activities for at least a week or two
    • Take the medicines prescribed by your doctor and follow all instructions given by him.
    • Take sitz bath
    • Consume high-fiber diet and plenty of fluids.

    4. Advantages of this Procedure: Adequate pain relief and reduction of high tension in the internal anal muscle.

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