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What is Anal Fissure?

Anal fissure or fissure-in-ano is a common anorectal condition that affects the area around the anus called the mucosa. While an acute anal fissure could be treated using medicines and other precautions, a chronic fissure almost always requires surgical intervention. At Pristyn Care, we provide specialized laser treatment for anal fissure to treat this condition safely and effectively. It is a USFDA-approved minimally invasive procedure that allows the patient to recover faster. In addition, Pristyn Care proctologists have over 8-10 years of experience treating anorectal diseases and performing laser surgeries. As a result, our proctologists have high surgery success rates and have established significant trust among our patients.

USFDA-Approved Procedure

USFDA-Approved Procedure

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Types of Anal Fissures and Their Treatment 

Types of Anal Fissures and Their Treatment 

Anal fissures can be caused by various reasons like chronic diarrhea, chronic constipation, injuries, and underlying conditions like Crohn’s disease, anal cancer, STDs, etc.

There are 2 main types of Anal Fissure:

  • Acute: In this type of anal fissure, the tear looks like a paper cut and is more surface-level and can be treated with topical ointments, medications, a high fiber diet, and home treatments like sitz bath.
  • Chronic: In chronic anal fissure, the fissure has a deeper tear accompanied by internal and external growths. If a fissure lasts more than 2 months, it is considered chronic. These types of fissures are better treated with surgery.

What Happens During an Anal Fissure Treatment?

What Happens During an Anal Fissure Treatment?

Anal Fissure Diagnosis

Pristyn Care proctologists are highly experienced and may diagnose an anal fissure with a physical examination. However, the doctor may prescribe additional tests to diagnose the condition correctly and rule out complications. The standard diagnostic tests for anal fissures include Sigmoidoscopy, Anoscopy, and Colonoscopy.

Anal Fissure Treatment

If your anal fissure doesn’t heal with medication and other treatments, it could indicate a chronic condition. Laser-assisted surgery is one of the most effective treatments for chronic anal fissures. During this procedure, the patient is first administered general or local anesthesia. Then, once he is asleep, the surgeon uses the laser probe that emits laser radiation to heal the tears in the mucosa. This treatment is a daycare procedure, and the patient can go home the same day unless the doctor advises otherwise.

How to Prepare For Laser Anal Fissure Surgery?

How to Prepare For Laser Anal Fissure Surgery?

While preparing for the surgery, it is essential to follow all instructions given by your doctor to ensure that your recovery process is on track. 

  • Let your doctor know in advance if you’re allergic to any medications.
  • Avoid heavy meals the night before the surgery.
  • Avoid drinking and smoking a week before the surgery.
  • Eat a light meal on the day of the surgery. Avoid heavy foods that are high in fats and carbs.

What is the Recovery Process After Anal Fissure Laser Surgery?

What is the Recovery Process After Anal Fissure Laser Surgery?

The recovery process after the anal fissure laser surgery varies for different individuals. It may take 30 to 45 days to recover from an anal fissure laser surgery completely. Therefore, in your first month of recovery, you must ensure the following:

  • Avoid lifting heavy weights as that adds additional strain to the surgical site.
  • Eat meals that are nutritious and high in fiber content. Avoid oily and fried foods.
  • To ensure you are hydrated, drink at least 8-10 glasses of water every day. 
  • Do not strain yourself during your bowel movement.
  • If your bowel movements are hard, consider taking stool softeners to alleviate the strain (only after consulting the doctor).
  • Be diligent about taking medications and applying ointments/creams prescribed by your doctor.

Benefits of Laser Surgery for Anal Fissure Treatment

Benefits of Laser Surgery for Anal Fissure Treatment

The following are the benefits of laser surgery for anal fissure treatment.

  • Minimal Bleeding & Pain: There is minimal blood loss during laser surgery and reduced pain post-surgery since the laser only targets a specific area.
  • Improved Precision: Laser surgery imparts precision by targeting smaller areas without damaging the surrounding tissues.
  • Day Care Surgery: Anal fissure laser surgery is a day care surgery, i.e., you will be discharged the same day unless the doctor deems otherwise.
  • Shorter Recovery Time: Since it is a minimally invasive procedure, the recovery time is much lesser.

What Happens if Anal Fissures are not Treated on Time?

What Happens if Anal Fissures are not Treated on Time?

A delay in treating anal fissures may cause further complications to your condition and reduce the quality of your life. Some risks that may occur are the following:

  • Chronic fissures: An acute fissure may become a chronic condition if it is not treated on time. Fissures that continue to present for more than 6-7 weeks are considered chronic. Over time, this can cause extensive scar tissue at the site of the fissure (sentinel pile).
  • Difficulty in passing stool: The fissure can make passing stool very painful due to the stretching of the anal mucosa.
  • Tear extending to the surrounding muscle: Continuous strain and spasms can lead to the extension of the anal fissure into the internal anal sphincter.
  • Incontinence: If the function of anal sphincter muscles is disturbed by a chronic fissure, it may lead to a certain level of incontinence.

Case Study

Case Study

Note: Patient details changed for privacy.

Rizwan, a 28-year-old male from Gurgaon, had been suffering from anal fissures for some time, making his daily life uncomfortable. He also suffered from constipation and didn’t get much relief from medication as his fissures would always return. Eventually,  his condition became chronic and resulted in severe pain daily. 

After in-depth research online, he came across Pristyn Care. He contacted Pristyn Care, and the medical care coordinator booked his appointment with Dr. Aman Priya Khanna after a detailed conversation. At his appointment, Dr. Aman took Rizwan through his condition and patiently answered all of his questions. He told Rizwan about his treatment options and suggested laser anal fissure surgery. Rizwan was very nervous about the idea of surgery as he had never had a surgical procedure done before. However, Dr. Aman and the medical care coordinator ensured Rizwan that the surgery would be the most efficient way to deal with his condition and reduce the recurrence risk. In addition, Dr. Aman informed Rizwan that the surgery would be painless and involve minimal blood loss. After this discussion, Rizwan felt at ease and decided to go for the surgery.

Pristyn Care provided free pick-up and drop cab services on the day of his surgery and took care of Rizwan’s documentation and insurance approval. As a result, he felt at ease and didn’t need to run around to get everything done. He had a smooth surgery with no complications and was discharged on the same day.

Rizwan fully recovered after his surgery, and his condition has not since recurred. Throughout his time with Pristyn Care, Rizwan felt supported and had a great experience overall.

FAQs around Anal Fissure

How can I treat anal fissures at home?

You can treat anal fissures to some extent with the help of the following:

  • Taking regular sitz bath to help relax the anal muscle and help irritation
  • Over-the-counter stool softeners
  • Drinking adequate amounts of water and improving digestion
  • Eating more fiber in your diet and taking fiber supplements.
Which is the best ointments/Cream For anal fissures?

You can treat acute fissures with ointments that contain nitroglycerin like Rectiv, which helps increase blood flow to the fissure and promote healing. Additionally, you can use topical anesthetics like lidocaine for pain relief.

When should I consult a doctor for anal fissure treatment?

If you notice an anal fissure, scheduling a doctor’s appointment is crucial as untreated fissures could become a chronic condition. Moreover, recurring anal fissures can point toward a more significant issue. 

What is the best treatment For anal fissures?

The treatment for anal fissures depends on their type. For example, medications can treat an acute anal fissure; however, chronic fissures are better treated with surgical intervention like laser fissure surgery.

What are the risks of anal fissure surgery?

For the most part, anal fissure surgeries are successful, and the patient is satisfied. However, like any other surgery, there could be potential complications during the surgical process. Some of the complications and contradictions that can occur can include: 

  • Bleeding: Although very rare to occur, there is a possibility of hemorrhage or bleeding during the surgery of an anal fissure. 
  • Incontinence: Several patients report suffering from temporary incontinence immediately after the surgery. The problem is not likely to remain for more than 2-3 weeks and can remain until the patient recovers completely. 
  • Perianal abscess: Though the complication is not very common, some people have suffered from an abscess and also developed an anal fistula after the surgery of an anal fissure. 
  • Tear extending to the surrounding muscle: Damage to the anal sphincter or surrounding muscle or nerves can be due to direct thermal or mechanical trauma, and some infections develop later.
Alternative treatment options for anal fissure?

There are some treatments outside of laser surgery that may provide relief from anal fissures. These include the following:

Lifestyle changes: Making lifestyle changes like exercising, consuming a high fiber diet, and drinking adequate water can be your first line of defense against anal fissures. 

Fiber supplements: Anal fissures can get worse due to hard and dry stools, but a high fiber intake can help with regular bowel movements. In addition to consuming foods like oat bran, beans, nuts, whole grains, fruits, and vegetables, you can consult your doctor for fiber supplements.

Non-surgical Options: Before recommending surgical treatments, the doctor will treat the anal fissure through non-surgical options. These are as follows:

  • Topical creams like nitroglycerine (to promote healing), local anesthetics like lidocaine (to prevent pain), and corticosteroids like hydrocortisone (to reduce inflammation and irritation)
  • Oral blood pressure medications like nifedipine and diltiazem can enhance blood pressure and give relief to the anal sphincter muscle.
  • Stool softeners can improve your hard stools leading to smoother bowel movement and lesser strain on the anal region.
  • Botox injections can help eliminate the spasm of the internal anal sphincter providing relief from the spasm.

Surgical Options:  Lateral Internal Sphinterectomy (LIS) is a type of surgical option for anal fissures which involves cutting a small portion of the anal sphincter muscle to help reduce spasms and pain and promote healing. This surgical route is taken when a fissure does not respond to medications and other treatments.

What is Cost of Anal Fissure Surgery in India?

What is Cost of Anal Fissure Surgery in India?

The anal fissure surgery cost in India generally ranges between Rs. 25,000 to Rs. 30,000. This is the estimated anal fissure surgery cost and it can vary from person to person. The final cost is subject to vary based on some factors. In general, the following factors lead to a variation in the cost of laser fissure surgery in India:

  • Consultation fees of the proctologist
  • Choice of city & hospital
  • Hospital admission charges
  • The cost of anesthesia
  • Fees of the anesthetist
  • The severity of the anal fissure
  • Cost of preoperative tests
  • Charges of follow-up sessions

Our Patient Love Us

  • Majesh

    Treatment: Anal Fissure

    5/5

    Extremely qualified doctors with a humane approach towards patients. Well maintained,friendly and efficient nursing and support staff. very advanced hospital with the technology and also doctors…. they take care of patients very good…the entire staff receiving and treating of the patients is very excellent…

    City: Kochi 3 days ago
  • Siddharth Seth

    Treatment: Anal Fissure

    4/5

    Then I came across Pristyn care and got the treated with laser treatment.It was absolutely painless and I even recovered within 2 days. I never imagined such a treatment is even possible in Lucknow.

    City: Lucknow 1 month ago
  • Anurag hussain

    Treatment: Anal Fissure

    4.5/5

    It was well informed and doctor Ajay Kumar agarwal was very kind and give good advice and I would like to continue on what he had recommended to me , so I want to know the procedure of the laser operation of fissure Thank you

    City: Jaipur 1 month ago
  • Rishi Srivastav

    Treatment: Anal Fissure

    4.5/5

    Very friendly and easy to approach

    City: Chennai 1 month ago
  • Akshay Yadav

    Treatment: Anal Fissure

    4.5/5

    He was the first awesome doctor I met. He has good behaviour.

    City: Pune 2 months ago
  • Radhika Kapoor

    Treatment: Anal Fissure

    5/5

    My experience with Pristyn Care in Ghaziabad was simply amazing. They provided me with a care coordinator who helped me every step of the way regarding my Anal fissure and even helped me with all the insurance paperwork and hospital formalities. The service I received was more than what I had expected and I am very grateful to Dr. Bhupendraa Prasad for all the help and support I received. Thank you Pristyn Care team in Ghaziabad.

    City: Ghaziabad 2 months ago
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