Fissure

Anal Fissure is a tear, cut or crack in the lining of anal canal.

Visible tear in skin around anus
Painful defecation while passing stools and post defecation. Pain is pricking or searing type and can last upto hours
Bleeding (streak of blood) on stools or blood on the tissue paper
A skin tag like growth can be felt at the edge of the fissure called as Sentinel pile
Need to strain while passing stools due to anal sphincter spasm
Pruritus ani – Itching in the anal region.
Malodorous discharge
Passing large or hard stools due to constipation
Diarrhoea – repeated bowel movement causes tearing of the anal skin.
Childbirth
Crohn’s disease, leukaemia, tuberculosis
Sexually transmitted diseases like Syphilis
Viral infections like Herpes
Decreased blood flow to anorectal area
Overly tight or spastic anal sphincter muscles
Anal Cancer
Anal sex
Latrogenic – A tear during insertion of a rectal thermometer, USG probe, endoscope, enema tube.

Fissure can be present in men, women or even infants.

Acute Fissure : Fissure that is less than 6 weeks old
Chronic Fissure: Fissure that is more than 6 weeks old
Sentinel pile: Chronic fissure that is hard to feel and has a skin tag like growth near the fissure.
History of symptoms
External examination

Treatment of Fissure

Fissure Surgery (Conventional Method)

This is the conventional surgical method to perform anal fissure surgery. Surgery is needed when medicine fails to heal a tear (fissure) in the anus. The preferred procedure is an internal anal sphincterotomy where there is a cut to access the sphincter.

Laser Fissure Treatment

Laser Anal fissure surgery is an advanced technique to treat anal fissures with minimal pain, bleeding and quick recovery as these are minimally invasive surgeries. Laser surgery for fissure is performed by experienced laser surgeons at MIRA . It is a simple, safe and effective day-care procedure without any cuts or stitches to treat the anal fissure that can be performed with local anesthesia in an outpatient clinic with minimal postoperative morbidity.

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