Anal Fissure Treatment: Dilatation, Laser, Fissurectomy and LIS

An anal fissure is a small tear in the anal canal that commonly causes sharp pain during or after stool, burning and a streak of bright red blood. Hard stool, repeated constipation and sphincter spasm can prevent healing. Examination confirms the diagnosis and helps rule out other causes of pain or bleeding.

Recent fissures often improve with stool softening, fluids, fibre, warm sitz baths and prescribed medicines that relax the anal sphincter. Chronic or non-healing fissures may require a procedure such as fissurectomy, carefully selected dilatation, laser-assisted treatment or lateral internal sphincterotomy (LIS).

The choice is individual and balances reliable healing with preservation of continence. UpadhyayÔÇÖs Procto Surgical Hospital explains the proposed technique, recovery and bowel-care plan before treatment. Follow-up focuses on pain control, smooth bowel movements and prevention of recurrent hard stool.