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Understanding Anal Fissures Symptoms of Anal Fissures Impact on Daily Life Non-Surgical Treatments Surgical Treatments for Anal Fissures Diet and Lifestyle After Fissure Surgery What to Expect Why Choose Us for Stapler Piles Surgery? Gujarati-Friendly Meal Plan Risks & Complications Cost of Anal Fissure Surgery in Vadodara FAQs About Anal Fissures Surgery People also like to read about

Advanced Anal Fissure Surgery

Anal fissure diagram showing tear in anal canal lining. chronic anal fissure treatment

Laser Surgery for Anal Fissure

Consult Dr. Samir Contractor for Anal Fissure Surgery.

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Anal fissures may sound minor, but anyone who has suffered from one knows how painful and disruptive they can be. Even the simple act of passing stools can feel like “passing glass,” leaving patients anxious, fearful, and avoiding bowel movements altogether. Many people silently struggle with anal fissures, often misdiagnosing them as piles (hemorrhoids). While early fissures sometimes heal with home remedies and lifestyle changes, chronic fissures (lasting beyond 6–8 weeks) often need surgical treatment for permanent relief.

The good news is that with modern techniques like Laser Fissure Surgery and Lateral Internal Sphincterotomy (LIS), treatment today is safe, quick, minimally invasive, and highly effective.

At our surgical practice, we combine:

  • Over 25 years of specialized surgical experience
  • More than 8,000 successful laparoscopic and anorectal surgeries
  • Advanced laser and minimally invasive technology
  • A patient-first philosophy, treating every patient with dignity and compassion

Understanding Anal Fissures

Grading of anal fissures from Grade 1 to chronic fissure

What is an Anal Fissure?

An anal fissure is a small tear in the thin, moist lining (mucosa) of the anus. Though tiny, the tear exposes sensitive tissue and nerves, leading to severe pain, bleeding, and muscle spasms. Many patients describe the pain as sharp, burning, or cutting, which can last for hours after a bowel movement.

causes and symptoms of anal-fissure

Causes of Anal Fissures

  • Constipation – Passing hard, dry stools
  • Chronic diarrhea – Frequent irritation of the anal canal
  • Straining during bowel movements – Due to irregular toilet habits or prolonged sitting
  • Childbirth trauma – Common in new mothers
  • Underlying conditions – Crohn’s disease, tuberculosis, chronic inflammatory bowel disorders
  • Poor blood flow – Reduced circulation may prevent healing

Symptoms of Anal Fissures

  • Sharp pain during and after passing stools
  • Bleeding (bright red blood on toilet paper or stool surface)
  • Burning or itching around the anus
  • Visible tear or crack in the anal skin
  • Skin tag (sentinel pile) at the edge of chronic fissures
  • Fear of using the toilet due to pain
Impact on Daily Life

Impact on Daily Life

  • Fear of eating to avoid painful stools
  • Constipation-worsening cycle due to stool retention
  • Inability to sit comfortably at work or while traveling
  • Disturbed sleep due to lingering pain
  • Emotional stress and embarrassment discussing the condition

Early treatment is crucial to prevent the fissure from becoming chronic and harder to treat.

Diet and Lifestyle

Non-Surgical Treatments

Most acute fissures (less than 6 weeks old) respond well to conservative care.

  • Dietary fiber: Whole grains, vegetables, fruits to soften stools
  • Hydration: At least 2–3 liters of water daily
  • Stool softeners: Lactulose, isabgol husk
  • Topical creams: Nitroglycerin or diltiazem to relax anal sphincter muscle
  • Pain-relieving ointments: lidocaine gel, for local pain reduction
  • Sitz baths: Sitting in warm water 2–3 times daily
  • Lifestyle changes: Avoid straining, maintain regular toilet routine, stay active

If these methods fail after 6–8 weeks, or if fissures keep recurring, surgery is recommended.

Surgical Treatments for Anal Fissures

Modern surgical advancements have transformed fissure treatment — moving away from painful open procedures to safer, day-care, minimally invasive options. Below is the difference between laser and LIS for fissure, helping patients understand which procedure may be more suitable for their condition.

Lateral Internal Sphincterotomy (LIS)

  • How it works: A tiny cut is made in the internal anal sphincter muscle to relieve spasm and allow healing.
  • Duration: 20–30 minutes
  • Anesthesia: Local, spinal, or general
  • Hospital stay: Same-day or overnight discharge
  • Recovery: Back to normal activities within 1–2 weeks
Advantages:
  • Permanent relief from fissure pain
  • Minimal recurrence rate
  • Simple, proven, and effective

Laser Surgery

  • How it works: High-precision laser reduces sphincter spasm, improves blood supply, and promotes healing.
  • Duration: 15–20 minutes
  • Anesthesia: Usually spinal or local
  • Hospital stay: Day-care procedure (discharge within hours)
  • Recovery: Resume routine within 2–3 days
Advantages:
  • Bloodless, painless procedure
  • No stitches required
  • Faster healing and recovery
  • Minimal post-operative discomfort
  • Very low recurrence rate

Botox Injection (for select cases)

  • How it works: Botox is injected into the anal sphincter to temporarily relax it.
  • Use: Useful for patients unfit for surgery.
  • Limitation: Relief lasts only 3–6 months; fissure may recur.
Non-Surgical Treatments for anal fissure Vadodara Dr. Samir Contractor

Diet and Lifestyle After Fissure Surgery

General Guidelines:

  • High-fiber diet to keep stools soft
  • Adequate hydration – 8–10 glasses of water daily
  • Avoid straining during bowel movements
  • Regular physical activity – walking, yoga, light stretching
  • Sitz baths for comfort and healing

What to Expect

01

Pre-Surgery Preparation

  • Clinical examination by expert surgeon
  • Blood tests and anesthetic fitness clearance
  • Counseling about diet, bowel habits, and post-op care
02

The Procedure

  • Takes 20–30 minutes
  • Painless under anesthesia
  • Laser or LIS technique chosen based on case
03

Immediately After Surgery

  • Observation for a few hours
  • Oral fluids resumed same day
  • Discharge on the same day or next morning
04

Recovery Timeline

  • Day 1–2: Mild discomfort, managed with painkillers
  • Day 3–5: Light activities, work-from-home possible
  • Week 2: Resume normal routine and walking
  • Week 3–4: Light exercise
  • 1 month: Near complete healing

Why Choose Us for Stapler Piles Surgery?

  • 25+ Years of Surgical Excellence
  • 8,000+ Laparoscopic Surgeries Performed
  • 400+ Advanced Anorectal Procedures
  • 98% Success Rate
  • State-of-the-art Facility at Sterling Hospitals
  • Minimal Pain, Faster Recovery
  • Same-day Consultation Available
  • Insurance Accepted (List major providers)

Gujarati-Friendly Meal Plan

Morning & Lunch

  • Breakfast:
    • Vegetable upma or poha with sprouts
    • A glass of warm water or buttermilk
  • Mid-Morning Snack:
    • Seasonal fruit (papaya, guava, orange)
    • Coconut water
  • Lunch:
    • 2 whole wheat rotis / phulkas
    • Dal (moong / toor)
    • Green leafy sabzi (methi, spinach, dudhi)
    • Small bowl of curd / chaas
    • Salad

Evening & Night

  • Evening Snack:
    • Handful of roasted chana / khakra
    • Green tea / lemon water
  • Dinner:
    • Khichdi with moong dal and vegetables
    • Light soup (tomato, carrot, spinach)
    • Salad
  • Before Bed:
    • Warm water with isabgol husk if constipated
Dr Samir Contractor performing laser fissure surgery at Sterling Hospitals Vadodara

Risks & Complications

Fissure surgery is very safe, but like any procedure, risks may include:

Why it is ideal for anorectal conditions:

  • Minor bleeding or infection (rare)
  • Temporary gas incontinence (usually resolves within weeks)
  • Recurrence (very rare with LIS/laser)

With an experienced surgeon, these risks are minimized.

Cost of Anal Fissure Surgery in Vadodara

The cost of anal fissure surgery varies based on:

  • 01Room selected
  • 02Type of procedure
  • 03Acute vs chronic fissure
  • 04Insurance coverage
  • 05Hospital stay duration
  • Laser Fissure Surgery - Lateral Internal Sphincterotomy: ₹60000 - ₹100000
  • Insurance: Most major policies cover fissure surgery
  • For exact cost estimate: Call or whatsapp:- 98245 93464

FAQs About Anal Fissures Surgery

Modern LIS and laser surgery are virtually painless and cause minimal discomfort during recovery.

Most patients feel better within days and fully recover in 2–3 weeks.

Recurrence is very rare with LIS and laser treatment.

Yes, both laser and LIS are safe and effective for post-partum patients.

Most patients are discharged the same day.

Fiber-rich foods like khichdi, dal, vegetables, fruits, and buttermilk. Avoid spicy, oily food initially.

In expert hands, the risk of incontinence is extremely low.

Usually within 2–5 days depending on your job.

Acute fissures often heal with medicines and diet, but chronic fissures usually need surgery.

Both are effective. Laser has faster recovery and less discomfort; LIS is the gold standard for chronic fissures.

Yes, most health insurance policies cover fissure surgery.

Yes. That’s why proper examination by a colorectal surgeon is important.

High-fiber diet, hydration, avoiding straining, and regular exercise.

Yes, often due to constipation. Early treatment is crucial.

Yes, our practice offers advanced laser fissure surgery locally.


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