Anal fissures lead to pain and bleeding during bowel movements. It could also lead to spasms in the muscle ring at the end of the anus, known as an anal sphincter.
An anal fissure is commonly seen in young infants but could occur at any age. Most anal fissures can be treated by medications and self-care. However, some anal fissures may need surgical treatment.
Types: Anal fissures are of the following two types:
The different symptoms associated with anal fissure include:
Anal fissures can be treated in the following ways:
It can be performed in the following ways:
Surgery may be recommended to treat anal fissures when the conservative, non-medical approach has failed. The surgeries are usually performed under general anesthesia, that is, the patient is made unconscious during the procedure. The different types of surgeries that can be performed include:
1. Lateral internal sphincterotomy:
It involves cutting the sphincter muscles from the outermost anal edge and allowing the anal fissure to heal.
This procedure can be performed in the following two ways:
a) Open sphincterotomy: The surgeon will make a small incision or cut in the skin to view the sphincter muscles. This cut is normally left open for healing.
b) Closed sphincterotomy: The surgeon will pass a blade under the skin and reaches the sphincter muscles to cut them.
This procedure may lead to incontinence (lack of control over urination).
2. Fissurectomy:
The anal fissure edges are surgically excised along with any skin tags that may be present due to anal tears.
The sphincter muscle will not be cut in this procedure.
A cauterization tool is then used for sealing the entire wound area.
Lateral internal sphincterotomy gives immediate pain relief, compared to gradual pain relief achieved by fissurectomy.
The chances of anal fissure recurrence are higher following a fissurectomy.
3. Anal advancement flaps:
A small portion of healthy skin is grafted in the place of the damaged skin in the anal fissure in this procedure.
This procedure is less likely to cause incontinence.
4. Laser surgery for anal fissure treatment:
This surgery is usually under local anesthesia, that is, the area of treatment is numbed during the procedure.
A carbon dioxide (CO2) laser is usually used in this procedure. It is used to concentrate on a fixed surgical area and offers more control over the surgery.
The infrared radiation from the laser is used to increase the blood flow to the anal fissure area. This helps in the proper healing of the anal fissure.
The healing is quicker and the chances of anal fissure recurrence are less in this procedure.
Anal fissure surgery may have the following complications:
The cost of anal fissure surgery in Mumbai is between INR 25,000 to INR 1,00,000.
The cost of anal fissure surgery in Delhi is between INR 20,000 to INR 90,000.
The cost of anal fissure surgery in Bangalore is between INR 20,000 to INR 90,000.
The cost of anal fissure surgery in Chennai is between INR 18,000 to INR 85,000.
{{x.qualifications}}
{{y.day}}: {{y.slot}}
Anal fissures lead to pain and bleeding during bowel movements. It could also lead to spasms in the muscle ring at the end of the anus, known as an anal sphincter.
An anal fissure is commonly seen in young infants but could occur at any age. Most anal fissures can be treated by medications and self-care. However, some anal fissures may need surgical treatment.
Types: Anal fissures are of the following two types:
Causes: The different causes of anal fissure include:
The different symptoms associated with anal fissure include:
Anal fissures can be treated in the following ways:
It can be performed in the following ways:
Surgery may be recommended to treat anal fissures when the conservative, non-medical approach has failed. The surgeries are usually performed under general anesthesia, that is, the patient is made unconscious during the procedure. The different types of surgeries that can be performed include:
1. Lateral internal sphincterotomy:
It involves cutting the sphincter muscles from the outermost anal edge and allowing the anal fissure to heal.
This procedure can be performed in the following two ways:
a) Open sphincterotomy: The surgeon will make a small incision or cut in the skin to view the sphincter muscles. This cut is normally left open for healing.
b) Closed sphincterotomy: The surgeon will pass a blade under the skin and reaches the sphincter muscles to cut them.
This procedure may lead to incontinence (lack of control over urination).
2. Fissurectomy:
The anal fissure edges are surgically excised along with any skin tags that may be present due to anal tears.
The sphincter muscle will not be cut in this procedure.
A cauterization tool is then used for sealing the entire wound area.
Lateral internal sphincterotomy gives immediate pain relief, compared to gradual pain relief achieved by fissurectomy.
The chances of anal fissure recurrence are higher following a fissurectomy.
3. Anal advancement flaps:
A small portion of healthy skin is grafted in the place of the damaged skin in the anal fissure in this procedure.
This procedure is less likely to cause incontinence.
4. Laser surgery for anal fissure treatment:
This surgery is usually under local anesthesia, that is, the area of treatment is numbed during the procedure.
A carbon dioxide (CO2) laser is usually used in this procedure. It is used to concentrate on a fixed surgical area and offers more control over the surgery.
The infrared radiation from the laser is used to increase the blood flow to the anal fissure area. This helps in the proper healing of the anal fissure.
The healing is quicker and the chances of anal fissure recurrence are less in this procedure.
Anal fissure surgery may have the following complications:
The cost of anal fissure surgery in Mumbai is between INR 25,000 to INR 1,00,000.
The cost of anal fissure surgery in Delhi is between INR 20,000 to INR 90,000.
The cost of anal fissure surgery in Bangalore is between INR 20,000 to INR 90,000.
The cost of anal fissure surgery in Chennai is between INR 18,000 to INR 85,000.
A. A small tear in the anal canal (from where stools are excreted out of the body) lining at the end of the rectum (where stools are stored before being excreted out) is known as an anal fissure.
A. Yes, if you live a sedentary and unhealthy lifestyle, an anal fissure can develop at any age.
A. You should avoid eating food that is low in fiber and could increase the risk of developing constipation, which is one of the main causes of anal fissure development. Other food items that you need to avoid eating if you have an anal fissure include:
A. An anal fissure may occur due to the following reasons:
A. An anal fissure is a tear seen in the lining of the anus, whereas, piles are inflamed and swollen veins present within and outside the anal tract. Anal fissures usually cause severe pain even in the early stages, whereas, piles are usually painless and become noticeable only in the later stages.
A. Yes, although it is rare, there is a possibility that you may develop fistula, piles, and fissures together. If you have any one of the above anorectal diseases, and you leave it untreated for a very long time, you may become susceptible to the other diseases as well. It is therefore advisable to get treated as soon as possible.
A. You may have the following symptoms if you develop an anal fissure:
A. The cost of anal fissure surgery varies depending on the type of surgery performed and the condition of the patient.
The cost of anal fissure surgery also varies among different doctors in different hospitals. On average, the cost of anal fissure surgery in India varies between INR 20,000 to INR 1,00,000.
CITY | COST |
Mumbai | INR 25000- INR 120000 |
Bangalore | INR 20000- INR 100000 |
Delhi | INR 20000- INR 100000 |
Chennai | INR 20000- INR 100000 |
A. You may use the following tips to prevent anal fissure development:
A. Anal fissure surgery could lead to the following complications: