An anal fissure is a small, oval-shaped tear or cut in the thin, moist tissue that lines the anus. This tear is often caused by passing a hard or large stool, which can overstretch the anal canal. The constant pain and muscle spasms in the area can prevent the fissure from healing, leading to a cycle of pain and further injury.
Anal fissures can be caused by various factors, including:
It is crucial to consult a colorectal surgeon if you experience symptoms that do not resolve with conservative treatment:
Diagnosis of an anal fissure is usually straightforward and can be done during a clinical examination.
During the examination, Dr. Sonal Bharat Chavan will carefully inspect the anal area to identify the tear. In most cases, a visual inspection is sufficient, and an internal examination may not be necessary due to the pain associated with fissures.
When conservative treatments fail, fissurectomy is considered the most effective surgical option. The procedure involves the removal of the chronic, non-healing tissue of the fissure and any associated skin tags. This promotes a clean, healthy wound that can heal properly.
Fissurectomy provides a permanent solution to chronic anal fissures by removing the scarred tissue that prevents healing. This procedure is often combined with a lateral sphincterotomy, a small cut in the anal sphincter muscle, to relieve muscle tension and promote blood flow, which is crucial for healing.
After the procedure, patients can expect to feel immediate pain relief. Recovery typically involves a few days of rest. Dr. Chavan provides detailed instructions for wound care, a high-fiber diet to prevent constipation, and pain management.
The wound from a fissurectomy can take a few weeks to fully heal. Following the post-operative care instructions is vital for a smooth and quick recovery. Most patients can return to their normal activities within a week.
The chance of recurrence after a successful fissurectomy is very low. Proper bowel management and a high-fiber diet are key to preventing new fissures from forming.
Eating a diet rich in fiber, drinking plenty of water, and regular exercise are crucial for maintaining soft, easy-to-pass stools.
Practicing good anal hygiene and avoiding straining during bowel movements can significantly reduce the risk of fissures.
Dr. Sonal Bharat Chavan is a highly experienced female colorectal and general surgeon in Thane, offering a patient-centered approach. She uses advanced surgical techniques to provide lasting relief from painful chronic fissures, ensuring comfort and care at every step of your treatment journey.
If you are suffering from a chronic or painful anal fissure, do not delay seeking professional help. Early intervention can prevent further complications. Book a consultation with Dr. Sonal Bharat Chavan today for expert and compassionate care.
The recurrence rate after fissurectomy is very low, especially when combined with a lateral sphincterotomy and proper post-operative care.
The procedure is typically performed under general or spinal anesthesia, ensuring you are comfortable and pain-free during the surgery.
