Chronic Anal Fissure Treatment in Turkey
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
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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.
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Typical hospital stay:
Same day discharge or 1 day
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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 Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with laparoscopic surgery departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
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.
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 chronic anal fissure compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 870 – USD 2,175 | Same day discharge or 1 day | ~ 1-2 weeks for normal activities, 2-3 weeks for full recovery | Know More |
| Turkey | USD 6,442 – USD 16,105 | Same day discharge or 1 day | ~ 1-2 weeks for normal activities, 2-3 weeks for full recovery | Know More |
PATIENT REVIEW
At 72, I was terrified of...
At 72, I was terrified of surgery for my gallbladder stones, but Dr. T Perungo's single-incision laparoscopic procedure left only a tiny hidden scar near my navel. I was back to my morning walks in 3 days, feeling decades younger.