Chronic fissure with small low fistula.

A small low intersphincteric fistula associated with a chronic fissure is usually treated with a minor surgical procedure. The surgery is performed under spinal or general anesthesia, so you should not feel pain during the operation. Mild to moderate pain after surgery is expected for a few days but is generally well controlled with pain medications, warm sitz baths, and proper wound care. Most patients experience significant relief of their symptoms as healing progresses. Discuss the exact procedure (fistulotomy or another sphincter-sparing option) and expected recovery with your proctologist.

Follow your proctologist’s advice, discuss the planned procedure and recovery, and undergo the surgery if indicated. Continue a high-fiber diet, drink plenty of fluids, avoid constipation, and attend regular follow-up visits.

Do not delay treatment if surgery has been recommended, as chronic fissures with fistulae usually do not heal completely with medicines alone. Seek immediate medical attention if you develop high fever, increasing swelling, severe bleeding, or worsening pain.

No it’s not painful and done under saddle anaesthesia, you will be conscious but won’t feel any pain . You will be injected anaesthesia in lower back ,only that injection you will feel

A small low intersphincteric fistula (0.03 cc) associated with a chronic fissure is generally a straightforward condition to treat surgically. The operation is usually short and performed under anesthesia, so you will not feel pain during the procedure. It is normal to have some pain or discomfort for a few days after surgery, but this is usually well controlled with pain medications, warm sitz baths, stool softeners, and proper wound care. Most patients experience gradual improvement over 1–2 weeks, and the pain from the chronic fissure itself often improves significantly once the underlying problem is treated. Do not let fear of postoperative pain stop you from getting treated, as delaying surgery may prolong your symptoms or allow the fistula to persist.

Discuss with your proctologist the exact procedure planned (fistulotomy, fissurectomy with LIS, or another procedure), expected recovery time, and postoperative care. Follow instructions regarding diet, stool softeners, hygiene, and follow-up appointments.

Maintain soft stools with a high-fiber diet, adequate fluids, and prescribed stool softeners. Perform warm sitz baths 3–4 times daily after surgery. Seek medical attention if you develop high fever, excessive bleeding, severe swelling, or worsening pain instead of gradual improvement.