What is Anal Fissure?

A small tear in the anal canal’s lining, that cause pain & bleeding while bowel movement is called an Anal Fissure. It occurred by a painful ulcer near the anal canal’s end. The anal canal is a tiny tube that runs from the end of the colon to the stomach that is surrounded by muscles (the rectum)

During defecation, anal fissures can cause considerable pain and bleed, which can last for several hours. An anal fissure should not be confused with hemorrhoids, as fissures occurred by an engorged vein in the anal canal. Let’s understand the reason behind the Anal fissure.

There is a variety of reasons that cause Anal fissures :

The passage of firm stools causes ripping of the anal canal’s lining.

An increase in anal canal muscle tone

Due to reduced nitric oxide generation – which allows the internal anal muscles to relax more easily.

Some of the vital factors for Anal Fissure are

  • An anal fissure is usually caused by passing hard and big stool.
  • Diarrhea regularly
  • Constipation that lasts a long time
  • Anal intercourse that isn’t good for you
  • Obesity and a poor diet

How can it be Treated?

It can be treated with Anal Fissure Therapy. Though, it can be treated medically as well as surgically. Under the effect of the right medication, it helps in decreasing pain and repairing the anal fissure. But in the event of acute anal fissure, which causes constipation or irregular bowel movements, which is the case of persistent fissures, such condition medicines are ineffective hence surgery is needed. If in case you are wondering what fissure surgery is then let’s understand in brief.

What is a fissure surgery (sphincterotomy)?

The surgical operation sphincterotomy is done to treat persistent anal fissures. Surgical and nonsurgical therapy options for anal fissures are available. Physicians prefer surgical treatments to treat anal fissures when nonsurgical methods fail to provide relief.

The following are surgical procedures for treating anal fissures:

  • Internal sphincterotomy on the side
  • V-Y advancement flap for fistulectomy

For surgical treatment of anal fissures, a lateral internal sphincterotomy is a preferable option. The reason lateral internal sphincterotomy is preferred is that more than 90% of patients recover immediately .

Though as compared to traditional open surgery, laser treatment for fissures is extremely popular.  Laser surgery for fissures helps in relieving pain from the fissure while also reducing strain during movement as it is usually done under general anesthesia.  Anyhow, if you are looking for the best laser surgery then go for Hexa Health as it offers the best and most reliable laser fissure surgery.

The following are some of the advantages of laser for fissures:

  • There will be no cuts or stitching since there will be no pain.
  • There will be no bruising
  • Quick healing (1 day)
  • No recurrence of a fissure on the same day
  • Infection risks are low.

What are the risks associated with anal fissure surgery?

A very low percentage of people who have Botox injected into the anus may have temporary sphincter muscle weakening and bowel incontinence. As previously mentioned, sphincterotomy can occasionally impair one’s capacity to control bowel motions. Patients who have undergone past anorectal surgery or women who have had anal sphincter damage after delivery may be more susceptible to these issues.

Fissure Surgery is typically considered to be quite safe. All surgical therapies, however, include additional risks, which your colorectal expert will discuss with you. Although discomfort usually goes away after a few days, complete recovery takes a few weeks.

Chronic Anal Fissure

Anal fissures normally heal within a few weeks, however, chronic fissures are those that have not healed after 4–6 weeks. If a persistent fissure does not heal, it is considered that the ring muscle (sphincter) that wraps around the anus (back passage) has grown so stiff that the blood supply to the lining of the anus has been diminished. This indicates that not enough oxygen (delivered by blood) reaches the fissure (or tear). The cells that make up the lining can’t develop or mend (heal) the fissure if there isn’t adequate oxygen (or tear). Many people have certain doubts related to fissures. The most asked question for fissures is does it cause colon cancer?

No! Persistent symptoms, on the other hand, should be evaluated carefully since symptoms might be caused by disorders other than a fissure. Even if your fissure has healed completely, your doctor may want more tests. To rule out other potential causes of bleeding, a colonoscopy may be performed.


HexaHealth help has the top surgeon from the best general surgery hospitals. Our innovative laser therapy for fissures is meant to help you heal faster and spend less time in the hospital. It assures that you can return home the same day and continue your normal routine the next day. Fissure laser therapy is painless, does not require sutures or incisions, and has a very minimal risk of infection.


Brian Santiago

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