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What is Fissure? & Want to Get Rid Of Fissure?

Fissure, or fissure-in-ano, is a common anorectal condition that affects the area around the anus called the mucosa. It is a small tear in the thin, moist tissue lining the anus. The most common causes of an anal fissure are constipation and straining or passing hard or large stools. In most cases, anal fissures will cause pain and bleeding when bowel movements are performed. In addition, you may experience spasms in the anal sphincter, the ring of muscle at the end of your anus. The Vithai Piles Hospital in PCMC, Pune, offers specialized laser treatment for anal fissures, piles, and fistulas to treat this condition safely and effectively. People of all ages can experience anal fissures, piles, and fistulas, even newborns. It's crucial to remember that piles in infants are comparatively uncommon. For the best piles treatment, speak with our doctor if you think your child may be in pain or if you see any signs of piles.

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Symptoms Of Fissure

  • Constipation pain.
  • Up to several hours of pain after bowel movements.
  • A bright red blood stain on the toilet paper or stool after a bowel movement.
  • A visible crack in the skin around the anus.
  • Burning and itching around the tear
  • A small lump or skin tag on the skin near the anal fissure.

Our Doctors

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Dr. Atul Patil (M.S. (Shalyatantra))

Consultant and associate professor At Dr. D Y Patil Ayurveda College, Pimpri, Pune.

Dr. Atul Patil is working in the field of anorectal since last 8 years. He is post graduate of this subject from reknown Govt. College of ayurveda from Ernakulam, Kerala. He has develop his own treatment of anorectal diseses, with the great combination of kerala Ayurvedic treatment along with allopathic treatment, which assures the 100% cure.

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Dr. Sarita Patil (Dip. G.O.)

Proctologist and Gynaecologist

Director- Vithai Piles hospital, Kasarwadi, Pune.

Dr. Sarita Patil lady piles doctor in pune is Young and dynamic personality. Her eagerness to surpass the limits of the ordinary, led her to pursue a relatively unknown specialty – Proctology. She is master in anorectal disease associated with femanity.

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What Happens During Fissure Laser Treatment?

Anal Fissure Diagnosis

Vithai Piles Hospital in PCMC, Pune, is highly experienced and can diagnose an anal fissure treatment with a physical examination. To diagnose the condition correctly and rule out complications, the doctor may prescribe additional tests. Anal fissures are diagnosed with sigmoidoscopy, annoscopy, and colonoscopy.

Anal Fissure Treatment

If you're looking for dependable and thorough fissure treatment in PCMC, Pune, you can rely on Vithai Piles Clinic to give you the attention and assistance you need. Our journey to your wellness begins here for a fissure-related issue. Before suggesting an individualized strategy for fissure treatment, our skilled medical professionals precisely examine your illness using special diagnostic techniques. We strive to deliver you the best and least invasive treatments possible for fissure-related problems, whether that means non-surgical methods, lifestyle changes, or minimally invasive procedures.

Anal fissures that don't heal with medication and other treatments may indicate a chronic condition. Among the most effective treatments for chronic anal fissures is laser-assisted surgery. First, the patient is administered general or local anesthesia. As the patient falls asleep, the surgeon uses a laser probe that emits laser radiation to heal the mucosa tears. It is a daycare procedure, so unless the doctor advises otherwise, the patient can go home the same day.

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Different Types of Fissure and Their Treatment

Anal Fissures can be caused by many factors, including chronic diarrhea, chronic constipation, injuries, and diseases such as Crohn's disease, anal cancer, STDs, etc.

  • Acute: In this type of anal fissure, the tear looks like a paper cut and is more surface-level and can be treated with topical ointments, medications, a high fiber diet, and home treatments like sitz bath.
  • Chronic: Fissures are larger in size and have a deeper tear, accompanied by internal and external growths. The fissure is considered chronic if it lasts at least 2 months. Surgical treatment is more effective for these types of fissures.

Benefits Of Laser Surgery

  • Minimal Bleeding & Pain: Laser surgery reduces blood loss and post-surgery pain because the laser targets a specific area.
  • Improved Precision: The precision of laser surgery is gained by focusing on a smaller area without damaging the surrounding tissues.
  • Day Care Surgery: In most cases, anal fissure laser surgery treatment will be performed as a day surgery, so you will be released the day after the surgery unless your doctor recommends something else.
  • Shorter Recovery Time: In addition, it is a minimally invasive procedure, so recovery time is much shorter.
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Experienced Piles Surgeons Near you!


Anal fissures are treated differently depending on their type.The treatment of acute anal fissures is usually medicated, whereas chronic fissures require surgical intervention, such as laser surgery.

An ointment containing nitroglycerin, like Rectiv, is effective in treating acute fissures because it increases blood flow and promotes healing.For pain relief, you can also use topical anaesthetics like lidocaine.

You can treat anal fissures to some extent with the help of the following
  • Taking regular sitz bath to help relax the anal muscle and help irritation
  • Over-the-counter stool softeners
  • Drinking adequate amounts of water and improving digestion
  • Eating more fiber in your diet and taking fiber supplements.

Untreated anal fissures can become chronic if left untreated. Schedule a doctor's appointment if you notice an anal fissure.Anal fissures that recur can indicate a more serious problem.

For the most part, anal fissure surgeries are successful, and the patient is satisfied. However, like any other surgery, there could be potential complications during the surgical process. Some of the complications and contradictions that can occur can include:
  • Bleeding: Although very rare to occur, there is a possibility of haemorrhage or bleeding during the surgery of an anal fissure
  • Incontinence: Several patients report suffering from temporary incontinence immediately after the surgery. The problem is not likely to remain for more than 2-3 weeks and can remain until the patient recovers completely.
  • Perianal abscess: Though the complication is not very common, some people have suffered from an abscess and also developed an anal fistula after the surgery of an anal fissure.
  • Tear extending to the surrounding muscle: Damage to the anal sphincter or surrounding muscle or nerves can be due to direct thermal or mechanical trauma, and some infections develop later.

There are some treatments outside of laser surgery that may provide relief from anal fissures. Lifestyle changes: Making lifestyle changes like exercising, consuming a high fiber diet, and drinking adequate water can be your first line of defense against anal fissures.
  • Fiber supplements: Anal fissures can get worse due to hard and dry stools, but a high fiber intake can help with regular bowel movements. In addition to consuming foods like oat bran, beans, nuts, whole grains, fruits, and vegetables, you can consult your doctor for fiber supplements.Non-surgical Options: Before recommending surgical treatments, the doctor will treat the anal fissure through non-surgical options. Topical creams like nitroglycerine (to promote healing), local anaesthetics like lidocaine (to prevent pain), and corticosteroids like hydrocortisone (to reduce inflammation and irritation)
  • Oral blood pressure medications like nifedipine and diltiazem can enhance blood pressure and give relief to the anal sphincter muscle.
  • Stool softeners can improve your hard stools leading to smoother bowel movement and lesser strain on the anal region.
  • Botox injections can help eliminate the spasm of the internal anal sphincter providing relief from the spasm.

Surgical Options: Lateral Internal Sphinterectomy (LIS) is a type of surgical option for anal fissures which involves cutting a small portion of the anal sphincter muscle to help reduce spasms and pain and promote healing. This surgical route is taken when a fissure does not respond to medications and other treatments.

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