About Anal Fissure
Key Highlights
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Highly effective for chronic anal fissures with a success rate over 90%.Performed as an outpatient procedure, often with no overnight hospital stay required.Provides rapid and significant relief from severe anal pain and discomfort.Minimally invasive technique with small incisions.Aims to correct the underlying muscle spasm that prevents healing.Can often be performed under local anesthesia./ul
Who is this surgery for?
- Chronic anal fissure persisting for more than 6-8 weeks despite conservative medical therapy.
- Severe pain during or after bowel movements that significantly impacts quality of life.
- Recurrent anal fissures that heal and then reopen.
- Presence of a sentinel pile (skin tag) or hypertrophied anal papilla associated with the fissure.
- Fissure caused by underlying anal sphincter spasm or high resting anal pressure.
- Failure of treatments like topical nitroglycerin, nifedipine, or diltiazem ointments.
How to prepare
- Consultation with the gastroenterologist to review medical history and current medications.
- You may be asked to stop certain blood-thinning medications (like aspirin or warfarin) a few days before, as advised by your doctor.
- Bowel preparation is usually minimal; you may be asked to use an enema or laxative the night before to empty the rectum.
- Fasting for a few hours before the procedure if sedation or anesthesia is planned.
- Arrange for someone to drive you home after the procedure, especially if sedation is used.
- Inform your doctor of any allergies, especially to local anesthetics or latex.
Risks & possible complications
- Temporary incontinence (leakage) of gas or stool, which usually improves within weeks.
- Bleeding or hematoma (bruising) at the surgical site.
- Infection, though rare due to the area's natural bacteria.
- Urinary retention (difficulty passing urine) immediately after the procedure.
- Recurrence of the fissure or failure to heal completely.
- Rare risk of permanent fecal incontinence, particularly if too much muscle is cut.
- Pain or discomfort during the healing process.
Recovery & hospital stay
- Mild to moderate pain is common for a few days, managed with prescribed pain medication and sitz baths (warm water soaks).
- Keep the area clean and dry; gentle cleansing after bowel movements is recommended.
- Use stool softeners or a high-fiber diet to prevent constipation and straining.
- Avoid strenuous activities, heavy lifting, and prolonged sitting for 1-2 weeks.
- Most people can return to desk work within a few days and resume normal activities within 1-2 weeks.
- Follow-up appointment with the gastroenterologist is typically scheduled to ensure proper healing.
- Report any signs of infection (increased pain, fever, pus) or heavy bleeding to your doctor immediately.
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Typical hospital stay: 0-1 days (typically outpatient)
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Expected recovery time: 1-2 weeks for normal activities, 4-6 weeks for complete healing
Frequently Asked Questions
If you are considering anal fissure in India, these questions and answers can help you make a confident, informed decision.
Popular choices for anal fissure in India include Kamineni Hospital, Tadigadapa, SIMS Hospital Vadapalani, KMC Hospital Mangalore, Manipal Hospital Baner, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform anal fissure. MediFyr helps you compare gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for anal fissure compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 25 Thousand – 70 Thousand | 0-1 days (typically outpatient) | ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing | Know More |
| Turkey | TRY 87.5 Thousand – 245 Thousand | 0-1 days (typically outpatient) | ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing | Know More |
Top hospitals for Anal Fissure in India
These partner hospitals in India have dedicated gastroenterology teams and experience managing patients undergoing anal fissure.
Krishna Shah, a 42-year-old software engineer...
Krishna Shah, a 42-year-old software engineer and father of two young children, had been suffering for nearly six months. His days were dominated by a sharp, tearing pain during bowel movements, followed by hours of a persistent burning ache. He noticed bright red blood on the toilet paper. Initially, he blamed his sedentary job and occasional constipation, trying over-the-counter creams and fiber supplements with little relief. The pain made him dread using the bathroom, and he became irritable and withdrawn at home, avoiding family outings for fear of an attack. His gastroenterologist, after a gentle examination, diagnosed a chronic anal fissure. The doctor explained that the muscle spasm was preventing healing and recommended a lateral internal sphincterotomy (LIS), a minor surgical procedure to relax the muscle. Krishna was terrified of surgery but desperate for relief. The procedure itself, under light sedation, was quick. The first few days of recovery involved manageable soreness and careful hygiene. Within two weeks, the sharp pain was completely gone. The relief was profound. Krishna felt like he had his life back, no longer planning his day around pain, able to be fully present with his family. The emotional burden lifted, replaced by immense gratitude and a commitment to maintaining a high-fiber diet.
Gastroenterologists for Anal Fissure
Explore experienced gastroenterologists who regularly perform anal fissure and provide pre- and post-operative care in India.
- 25 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 34 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 14 Years Experience
- Gastroenterologist
Manipal Hospital Gurgaon, Gurgaon
- 18 Years Experience
- Gastroenterologist
- 49 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 35 Years Experience
- Gastroenterologist
- 32 Years Experience
- Gastroenterologist
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 21 Years Experience
- Gastroenterologist
- 21 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 10 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 9 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai