Fissure Surgery
An anal fissure is a small tear in the lining of the anus that can cause sharp pain, burning, and bright-red bleeding during or after bowel movements. While many fissures improve with dietary changes, medicines, and other non-surgical treatments, persistent or chronic fissures may require fissure surgery after evaluation by a qualified specialist.
When Is Fissure Surgery Recommended?
Anal fissure surgery may be considered when symptoms continue despite appropriate medical treatment or when the fissure becomes chronic and repeatedly returns. The most commonly used surgical approach is lateral internal sphincterotomy, which involves carefully dividing a portion of the internal anal sphincter to reduce muscle spasm and pressure, allowing the fissure to heal.
What Does the Procedure Involve?
The surgeon evaluates your symptoms and overall health before recommending treatment. Depending on your condition, treatment options may include Botulinum toxin injection or lateral internal sphincterotomy. These procedures are commonly performed as outpatient or day-care procedures, although the exact approach depends on individual circumstances.
Recovery After Fissure Surgery
Mild discomfort and some bleeding may occur during the initial recovery period. Keeping stools soft through adequate fluids, dietary fibre, and prescribed medicines can support healing and reduce straining. Many patients return to normal activities within a few days, while complete healing can take several weeks.