Chronic Anal Fissure Treatment in India – Best Hospitals & Doctors

Learn about Chronic Anal Fissure Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Chronic Anal Fissure and request assistance for cost estimates or appointments.

Partner Hospitals

0 partner in India for this surgery

Specialist Doctors

7 Surgeons linked to this surgery

Treatment Cost

Approx INR 80 Thousand – 200 Thousand

About Chronic Anal Fissure

Laparoscopic surgery for chronic anal fissure is a minimally invasive procedure used when conservative treatments fail. An anal fissure is a small tear in the thin, moist tissue (mucosa) lining the anus, which becomes chronic when it persists for more than 6-8 weeks. The laparoscopic approach, specifically a lateral internal sphincterotomy (LIS), involves making tiny incisions in the abdomen. Through these, a laparoscope (a thin tube with a camera) and specialized instruments are inserted. The surgeon then carefully cuts a small portion of the internal anal sphincter muscle to reduce spasm and pressure, allowing the fissure to heal. This technique offers significant advantages over open surgery, including less post-operative pain, minimal scarring, and a faster recovery, making it a preferred option for persistent, painful fissures.

Key Highlights

Minimally Invasive: Involves only small keyhole incisions, leading to less tissue trauma.Reduced Pain: Typically results in significantly less post-operative pain compared to open surgery.Faster Recovery: Patients often return to normal activities and work more quickly.listrongMinimal Scarring:/strong Small incisions result in barely noticeable scars./lilistrongLower Risk of Infection:/strong Reduced wound size decreases the chance of surgical site infections./lilistrongHigh Success Rate:/strong Highly effective in relieving pain and promoting healing of the chronic fissure./li/ul

Who is this surgery for?

Anal fissure that has persisted for more than 6-8 weeks despite conservative medical therapy (e.g., topical nitrates, calcium channel blockers, fiber supplements).
Severe, debilitating pain associated with bowel movements that significantly impacts quality of life.
Presence of a sentinel pile (skin tag) or hypertrophied anal papilla associated with the fissure.
Recurrent anal fissures that heal and then re-tear.
Fissures complicated by minor bleeding or superficial infection.
Patient preference for a definitive surgical solution after failed non-surgical management.

How to prepare

Medical Evaluation: Complete pre-operative assessment including medical history, physical exam, and possibly an anoscopy.
Bowel Preparation: You may be instructed to use an enema or laxative the night before to empty the rectum.
Fasting: No food or drink (including water) typically for 6-8 hours before the surgery.
Medication Review: Inform your surgeon about all medications, especially blood thinners (e.g., aspirin, warfarin), which may need to be temporarily stopped.
Arrangements: Plan for someone to drive you home after discharge and assist you for the first 24-48 hours.
Consent: A detailed discussion with your surgeon about the procedure, risks, and benefits, followed by signing an informed consent form.

Risks & possible complications

Bleeding: Minor bleeding from the incision or surgical site, which is usually self-limiting.
Infection: Risk of infection at the incision sites or in the anal area, though minimized by the laparoscopic approach.
Temporary Incontinence: A small risk of temporary minor flatus (gas) or liquid stool incontinence, which usually resolves.
Urinary Retention: Difficulty passing urine immediately after surgery, sometimes requiring a temporary catheter.
Fissure Recurrence: Although rare, the fissure may recur in a small percentage of cases.
Anesthesia Risks: General anesthesia carries standard risks such as allergic reactions or breathing problems.
Pain or Discomfort: Some pain during bowel movements is expected initially but should improve.

Recovery & hospital stay

Immediate Post-Op: You will be monitored in a recovery area. Pain medication will be provided. Most patients go home the same day.
Pain Management: Use prescribed pain relievers and sitz baths (sitting in warm water) 2-3 times a day to ease discomfort and keep the area clean.
Diet: Start with clear liquids and advance to a high-fiber diet with plenty of fluids to prevent constipation and straining.
Activity: Avoid heavy lifting, strenuous exercise, and prolonged sitting for 1-2 weeks. Light walking is encouraged.
Wound Care: Keep the small abdominal incisions clean and dry. Showering is usually permitted within 24-48 hours.
Follow-up: Attend a post-operative check-up (usually within 1-2 weeks) to monitor healing.
Return to Work: Most patients can return to desk jobs within 3-7 days; jobs requiring physical labor may need 2-3 weeks.

Typical hospital stay: Same day discharge or 1 day
Expected recovery time: 1-2 weeks for normal activities, 2-3 weeks for full recovery

Frequently Asked Questions

If you are considering chronic anal fissure in India, these questions and answers can help you make a confident, informed decision.

＋ − Which hospitals are best for chronic anal fissure in India?

Top-rated hospitals in India with laparoscopic surgery departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.

＋ − How do I choose the right doctor for chronic anal fissure?

Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform chronic anal fissure. MediFyr helps you compare laparoscopic surgeons and book consultations online.

＋ − What factors affect the cost of chronic anal fissure?

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.

Get assistance for Chronic Anal Fissure

Share a few details and our team will help you compare hospitals, understand costs, and schedule a consultation with the right specialist.

Real People Helping Real Patients!
Get Assistance.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for chronic anal fissure compare across other countries where we have data.

Country	Estimated cost range	Typical stay	Recovery time	View details
India	INR 80 Thousand – 200 Thousand	Same day discharge or 1 day	~ 1-2 weeks for normal activities, 2-3 weeks for full recovery	Know More
Turkey	TRY 280 Thousand – 700 Thousand	Same day discharge or 1 day	~ 1-2 weeks for normal activities, 2-3 weeks for full recovery	Know More

PATIENT REVIEW

Rohan Saxena, a 32-year-old software engineer...

Rohan Saxena, a 32-year-old software engineer and father of two young children, had been suffering for over a year. His initial constipation, likely from long hours at his desk, led to a sharp, tearing pain during bowel movements that felt 'like passing glass.' The pain would linger for hours, making him dread going to the bathroom. He tried every over-the-counter cream, sitz bath, and high-fiber diet, but the cycle of pain and re-injury continued. It began to affect his work focus and made playing with his kids physically uncomfortable. His gastroenterologist, after several failed attempts with topical nitroglycerin, recommended a laparoscopic lateral internal sphincterotomy (LIS). The minimally invasive nature appealed to Rohan, who was terrified of a long, painful recovery. The surgery itself was quick, with three tiny incisions. The immediate post-op pain was manageable, a dull ache compared to the sharp fissure pain. Within a week, the dreaded bowel movement pain was gone. By three weeks, he was back to his normal routine. Emotionally, he went from feeling trapped in a cycle of pain and anxiety to immense relief and gratitude. He could finally be fully present for his family without the constant, hidden burden.