What You Need to Know about Anal Fissure Surgery

Acute anal fissures appear as a simple cut or tear in the anus and can be usually managed with non-surgical options. Anal fissure surgery is required in some cases when conservative treatment fails.

When do you need Anal Fissure Surgery?

“Anal fissure surgery is carried out if fissure persists for more than 8 weeks,” says Dr. Amarchand Bajaj, Consultant Surgeon at Sitaram Bhartia. It is commonly suggested for chronic and some acute anal fissure cases.

Anal fissures are accompanied by excruciating pain and bleeding. If non-surgical treatment fails and you develop skin tags as well, you might require anal fissure surgery.

Make sure you get your checkup done before your anal fissure gets harder to treat.

Anal Fissure Surgery Side Effects

The main complication associated with anal fissure surgery is anal incontinence, where the patient has no control over their bowels.

Dr. Amarchand reassures, “Chances of anal incontinence are almost negligible when you are in the hands of experienced surgeons”.

How long does it take to recover from a fissure surgery?

“Since it is a day-care procedure, anal fissure surgery recovery time is short” says Dr Amarchand.

“Patients can be discharged the same day and resume routine duties the next day.”

Here are some general practices for anal fissure surgery aftercare

fissure surgery aftercare
  • Sitz bath – Warm tub baths will be advised after surgery for 5-10 minutes several times a day.
    They help in soothing anal muscles, especially after bowel movements.
  • Stool softener – For a few weeks after surgery, use stool softeners to aid the healing process.
  • Change in diet – You can start eating normally from the same day post-surgery. You will be advised to adopt a fibre-rich vegetarian diet and increase fluid intakes to stop anal fissure from recurring.
  • Alcohol & Tobacco slow recovery – Lessen your drinking and smoking habits. Smoking and alcohol intake post-surgery increase risk of infection and lead to complications.

“Anal fissure surgery is a small procedure that can greatly improve your condition” emphasizes Dr. Amarchand.

“Get in touch with a surgeon early to make sure you get the right treatment at the right time.”

With his area of expertise in Advanced Laparoscopic, Bariatric & General Surgery, Dr. Amarchand S. Bajaj provided his editorial inputs for this blog post.