Frequently Asked Questions
What is Anal Fissure Surgery?
Anal Fissure Surgery is a medical operation which is used to treat chronic anal fissures. Anal Fissure is a medical condition where a small tear or rip is seen in the lining of the anal canal. This surgery helps the anal sphincter muscle to relax and reduces the pain. Botulinum toxin or Botox injection may also be used as a surgical option for Anal Fissures.
What are the advantages of Anal Fissure Surgery?
The following are the advantages of Anal Fissure Surgery:
- Treats chronic anal fissures
- Reduces the pain in anus during and after defecation
- Fewer complications are involved
What are the indications of Anal Fissure Surgery?
Anal Fissure Surgery is indicated in the following conditions:
- Chronic anal fissure
- Anal fissure not responding to the medications
What is the preparation for Anal Fissure Surgery?
- The doctor may recommend drinking clear liquid and laxatives to empty the intestines.
- The patient will be advised to complete bowel preparation.
- The patient should avoid intake of any solid food items.
- Before undergoing this surgery, the patient should inform past and present medical and medications history to the doctor.
- Discuss with the doctor about all the risks, complications, and benefits associated with Anal Fissure Surgery.
What are the steps involved in Anal Fissure Surgery?
Following are the steps involved in Anal Fissure Surgery:
- Before the surgery, the patient will be given either local or general anesthesia.
- Then, the patient is placed in a prone jack-knife position where the buttocks are strapped apart.
- The doctor will check or examine the anus area with the help of anoscope.
- Now, a Pratt bivalve speculum is inserted into the anus to evaluate the anal pathology and then it is rotated to either left or right lateral position.
- A linear incision is made until the internal sphincter and few fibers of external sphincter are exposed.
- Now, internal anal sphincter is divided for the length of the fissure [Tailored sphincterotomy].
- In Fissurectomy, superficial skin around the anal fissure will be removed and the surgical wound may be left open or closed.
What is the postprocedure care/recovery care for Anal Fissure Surgery?
- The patient should take a sitz bath at least 3-4 times a day.
- After every defecation, the patient should take a sitz bath.
- Avoid hard wiping the area of the anus for the first few days after the surgery.
- Avoid using toilet papers.
- Use alcohol-free baby wipes.
- Pain may be present for a few days and if the pain is severe, take the painkillers prescribed by the doctor.
Consult the doctor if the following are noticed:
- Foul smelling drainage
- Severe pain
- Difficulty in urination
- Excess swelling
- Problem with controlling the bowel movement
- A large amount of stool with bright red blood
Who can perform Anal Fissure Surgery [Right specialist type for Anal Fissure Surgery]?
Anal Fissure Surgery can be performed by a Colon and Rectal Surgeon.
What is the cost of Anal Fissure Surgery?
Cost of Anal Fissure Surgery depends on factors such as:
- Admission fee
- Doctor fee
- Age of the patient
- The medical condition of the patient
- Post-surgical complications that are involved
- Type of hospital
- The admission room that you opted for
- Any other lab tests or examination tests such as X-ray, ECG, etc.
Minimum charges in Mumbai starts from Rs.3,960
Average cost in Mumbai is approximately Rs.47,300
Maximum price in Mumbai may rise up to Rs.1,21,000
Is Anal Fissure Surgery major surgery or minor surgery?
Anal Fissure Surgery can be either major or minor procedure depending on the patient's medical condition and severity of the anal fissures.
What is the eligibility criteria for Anal Fissure Surgery?
People who can undergo Anal Fissure Surgery are:
- Individuals suffering from anal fissures.
- People suffering from pain and discomfort during and after defecation.
- People with chronic constipation.
What is the ineligibility criteria for Anal Fissure Surgery?
People who cannot undergo Anal Fissure Surgery are those suffering from acute anal fissures and can be treated with medications or non-surgical options.
What are the risks and complications associated with Anal Fissure Surgery?
Risks and Complications associated with Anal Fissure Surgery are:
- Recurrence of the fissure
- Development of fistula
- Severe pain while defecating
- Abnormal or uncontrollable bowel movement
How long does it take to complete Anal Fissure Surgery?
Anal Fissure Surgery may take almost 30- 60 minutes to complete. Sometimes it may take more than the usual time depending on the condition of the patient.
What is the recovery time?
The individual who undergoes Anal Fissure Surgery may resume their daily activities within 1-2 weeks of surgery and may take 4-6 weeks to recover completely.
What is the success rate of Anal Fissure Surgery?
The success rate of Anal Fissure Surgery depends on the following factors:
- Age of the patient
- The medical condition of the patient
However, the success rate of Anal Fissure Surgery maybe 95%
Is Anal Fissure Surgery painful?
Every surgery comes with a certain level of pain and some discomfort. You won't be experiencing pain during this process because you will be under anesthesia. There may be some discomfort after the procedure.
What are the long-term results of Anal Fissure Surgery?
Some of the long-term results of Anal Fissure Surgery are:
- Incontinence to flatus [Lack of control over defecation]
- Fecal soiling [Leakage of stool]
- Loss of solid stool
- Reduces the pain
Can Anal Fissure Surgery be detected in the future?
Anal Fissure Surgery may or may not be detected in the future.
What are the options if Anal Fissure Surgery fails?
If Ananl Fissure Surgery fails, then the doctor may recommend revision surgery or may choose non-surgical treatment options.
What are the alternatives for Anal Fissure Surgery?
Some of the alternatives for Anal Fissure Surgery are the following:
- Botulinum toxin injections
- Lateral internal sphincterotomy
- Topical anesthetics
- Calcium channel blockers