Acute fissures appear as a simple cut or tear in the anus and can be usually managed with non-surgical options. Fissure surgery is required in some cases when conservative treatment fails.
When do you need Fissure Surgery?
“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 fissure cases.
Fissures are accompanied by excruciating pain and bleeding. If non-surgical treatment fails and you develop skin tags as well, you might require fissure surgery.
Make sure you get your checkup done before your fissure gets harder to treat.
Fissure Surgery Side Effects
The main complication associated with 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, 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 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 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.
“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.”