Well Experienced Doctor
Most Advance Treatment
Patient Friendly Environment
LASER SURGERY FOR ANAL FISSURE
Minimal Pain
No Stitch
No Scar
30 Min Procedure
LASER SURGERY FOR ANAL FISSURE
Minimal Pain
No Stitch
No Scar
30 Min Procedure
What is Anal Fissure
An anal fissure, also known as a fissure in the anus, refers to a minor cut or tear in the skin or the mucosal lining of the anal passage, typically occurring at the anus opening. This condition often leads to intense pain and, on occasion, bleeding during bowel movements. Anal fissures can affect individuals of all ages.
The vicious cycle of formation of Anal Fissure
Chronic long-standing constipation or chronic diarrhea → frequent rubbing, friction, or trauma in the inner lining of anal mucosa→ cut or tear in the inner lining of anal mucosa (painful Fissure-in-ano) → fear or anxiety due to pain leads to avoidance or postponing or holding back of stools → chronic constipation→ long, hard stools cause straining during defecation→ Fissure-in-ano increases→ more fear and avoidance during defecation (habitual constipation)→ anal sphincter spasm→ sluggish (slow) or less blood circulation around the anal canal→ delayed wound healing
What Are The Causes Of Anal Fissure?
| What Are The Causes Of Anal Fissure? |
|---|
Passing large, hard stools irregularly during bowel movements. |
Straining during bowel movements. |
Chronic and severe constipation. |
Chronic diarrhea. |
Pregnancy. |
Anal intercourse, among others. |
What are the Symptoms & Signs of Anal Fissure?
The symptoms of an anal fissure may include:
- Severe Pain while passing stool.
- cut or tear in the skin near the anal passage.
- Stool with bloodstains or blood on the toilet paper after a bowel movement.
- The presence of a small lump or skin growth near the fissure.
How Is The Condition Diagnosed?
A fissure is typically diagnosed through a medical examination performed by a doctor. It is often visible during an examination of the anal region. However, for a precise diagnosis, a rectal examination is conducted. This involves the careful insertion of a lubricated anoscope into the anal canal to minimize discomfort. The anoscope helps the doctor rule out other conditions such as polyps, ulcers, or cancer.
At Surgi Gyno Care Clinic, we have state-of-the-art equipment to provide the most effective laser treatment for fissures.
Prevention
- Having high dietary fibers to keep away constipation . A person becomes more prone to develop an anal fissure when constipation and diarrhea keep recurring.
- Drinking plenty of water (7-8 glasses)in a day is the simplest preventive measure for fissures.
- Exercising on a regular basis to keep from having to strain during bowel movements.
Treatment options for Anal Fissure
In most cases, anal fissures take about a few weeks to get healed. Patients should make sure that they keep themselves hydrated with water and natural juices. Dr (proctologist) will first recommend conservative treatments followed by medications. If these treatments do not work, the proctologist will suggest you undergo surgery
1. Home remedies
It is important to have a fiber-rich diet. Aim to eat at least 30 grams of fiber in a day.Drink a minimum of eight glasses of water to remain hydrated. Avoid caffeine as it can cause dehydration.Exercise regularly.Do not hold your stools when you want to go to the toilet.
2.Sitz Bath
Soaking your anal region in a warm tub of water for 15 to 20 min at least twice a day with or without potassium permanganate (KMO4) or Epsom salts helps increase the blood supply to your anal region and relax your anal muscles. This provides pain relief to a great extent, and you must do this regularly to seek pain relief
3.Creams or Ointments
Nitroglycerine and calcium channel blockers (e.g., diltiazem). These ointments help relax the anal sphincter muscles and increase the blood flow to the fissure region ultimately treating the fissures
4.Chemical Sphincterotomy
It is a relatively painless, non-operative procedure that uses medicinal doses to cure fissures
5.Internal Sphincterotomy
This procedure is required for treating chronic anal fissures, when other options fail. As the name suggests, a portion of the anal sphincter muscle is surgically removed, resulting in fewer and less severe spasms.
6.Laser Fissure Surgery
Laser fissure surgery is an advanced surgical procedure to treat anal fissures. This treatment method has several benefits which help improve the quality of life of an individual.
Advantages of Laser Treatment For Fissure
| Laser Treatment | Normal Surgery |
|---|---|
No pain / No cut /No Stitches |
Painfull Procedure |
Minimum Zero Bleeding |
Heavy Bleeding |
Day care procedure |
1-2 Day care procedure |
Quick recovery |
Takes time to recover |
Minimum chance of recurrence |
Chances of recurrence + |
Near to zero chance of infection |
Chances of infection + |
Post operative recovery is very excellent |
Post operation pain ++ |
What are the Benefits of Laser Anal Fissure Surgery?
Here are some benefits of laser anal fissure surgery –
- Minimally invasive: Laser anal fissure surgery is a minimally invasive procedure that results in less pain and discomfort compared to traditional surgery.
- Outpatient procedure: The procedure is performed on an outpatient basis, allowing patients to return home the same day.
- Fewer complications: Anal fissure laser surgery has a lower risk of complications such as bleeding and infection compared to traditional surgery.
- Short recovery period: The recovery time for anal fissure laser surgery is typically shorter, with patients able to resume normal activities faster.
- Most Effective: Fissure laser surgery is the most effective option for chronic anal fissure treatment that has not responded to other conservative methods.
- High success rate: Fissure laser surgery offers a higher success rate than traditional surgery in preventing fissure recurrence.
- Less pain: The laser seals the nerve endings, resulting in less post-operative pain and discomfort.
- Low risk of anesthesia: The procedure can be performed under local anesthesia, reducing the risks associated with general anesthesia.
- Less scarring: Fissure laser surgery results in minimal scarring, with the incision made by the laser being smaller and more precise.
- Fewer side effects: The procedure is safe, with minimal side effects and a low risk of complications.
What to Do After Anal Fissure?
There are several lifestyle changes help relieve discomfort and promote safe recovery, as well as minimize the chances of recurrence after anal fissure surgery.
- Maintain a high-fiber diet to avoid constipation and straining during bowel movements.
- Drink plenty of water to keep the stool soft and prevent further injury to the anal area.
- Avoid sitting for prolonged periods, as it can increase pressure on the rectal area.
- Take regular breaks and walk around to improve blood circulation in the rectal area.
- Avoid heavy lifting or strenuous exercise for at least 4-6 weeks after surgery.
- Use sitz baths or warm compresses to reduce pain and swelling in the anal area.
- Keep the anal area clean and dry to prevent infection and promote healing.
- Avoid spicy and acidic foods that irritate the anal area and cause discomfort.
- Take pain medication as prescribed by your doctor to manage post-surgical discomfort.
- Attend follow-up appointments with your doctor to monitor healing progress and address any concerns.
What is the Cost of Anal Fissure Surgery?
Thecost of anal fissure typically ranges between INR 25,000. The final cost of anal fissure surgery can be different for each individual depending on various factors such as hospitalization charges, consultation charges of proctologists, choice of hospital, insurance coverage, cost of anesthesia, charges of an anesthesiologist, severity of the condition, cost of diagnostic tests, etc.
What Happens if Anal Fissure is Left Untreated?
If left untreated, anal fissures can lead to chronic pain and discomfort and various serious complications.
- Over time, untreated anal fissures can cause scar tissue to form, which can make bowel movements even more painful.
- In severe cases, untreated anal fissures can lead to infections and abscesses in the anorectal path.
- If left untreated, anal fissures can cause persistent pain and discomfort.
- The pain may worsen during bowel movements and can last for hours afterward.
- In some cases, anal fissures can cause bleeding during bowel movements.
- The bleeding may be bright red or dark red and can be accompanied by pain.
- If anal fissures are left untreated, they can lead to the formation of a fissure.
To avoid complications, it is important to seek medical treatment for anal fissures as soon as possible.
What Foods You Should Eat If You Have An Anal Fissure?
- Take high-fiber foods
- Whole grains
- Lean protein
- Low-fat dairy products
- Drink plenty of water
- Herbal teas
- Olive oil
- Sweet potatoes
FAQs Around Anal Fissure Treatment
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.
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.
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.
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.
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.
