Precise laser treatment for chronic anal fissures — minimal pain, rapid healing, and lower recurrence than conventional surgery.
An anal fissure is a small tear in the lining of the anus. It causes sharp, burning pain during and after bowel movements — often described as passing glass — along with bright red bleeding on toilet paper. The pain can last for hours after each visit to the toilet, making daily life miserable.
Fissures are classified as acute (less than 6 weeks) or chronic (more than 6 weeks). Acute fissures often respond to simple measures: stool softeners, a high-fibre diet, adequate hydration and topical creams (nitroglycerin or diltiazem) that relax the internal anal sphincter and improve blood flow to the area. Chronic fissures, however, develop a cycle of spasm and poor healing that prevents them from closing on their own.
Laser-assisted sphincterotomy is the gold standard surgical treatment for chronic anal fissures. A controlled laser cuts a small portion of the internal anal sphincter muscle, relieving the spasm that prevents healing. The fissure then heals naturally, usually within 2 to 4 weeks. The laser approach causes less bleeding, less post-operative pain and faster healing than traditional scalpel surgery.
Book a consultation with Dr. Prashanth J V today.
Book Consultation 📞 +91 93533 16175The procedure takes 20 to 30 minutes under spinal or general anaesthesia. You go home the same day with minimal discomfort.
Spinal or general anaesthesia ensures you are completely pain-free. You are positioned comfortably and the anal area is cleaned and prepared.
The fissure, its extent and any associated features (sentinel pile, hypertrophied anal papilla) are carefully assessed. This confirms the correct surgical plan.
A fine laser probe divides a small, controlled portion of the internal anal sphincter. This relieves the muscular spasm that prevents the fissure from healing, without damaging continence.
The fissure edges are treated with laser energy to promote healing. Any sentinel skin tag or hypertrophied papilla is also addressed at the same time if needed.
After 2 to 3 hours of observation, you go home the same day. A simple dressing is applied. No external wound care is required beyond keeping the area clean.
Home the same day. Mild soreness around the anal area is normal. Take prescribed analgesics and stool softeners. Warm sitz baths provide significant relief.
Most patients return to desk work and light activity. Continue the high-fibre diet and stool softeners. Avoid straining at all costs — this is the single most important recovery instruction.
The fissure begins healing noticeably. Post-defecation pain reduces significantly. Continue sitz baths twice daily. Avoid heavy lifting and strenuous exercise.
Complete healing in most cases. A follow-up confirms full recovery. Maintain a high-fibre diet long term to prevent the fissure from recurring.
Controlled laser sphincterotomy delivers highly accurate treatment with minimal surrounding tissue involvement and very low risk of incontinence.
Extensive experience treating all types of anal fissures — acute, chronic and recurrent — with consistently high success rates.
No overnight hospital stay needed. Go home a few hours after the procedure and be back to your normal routine within days.
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