Anorectal Surgery
Anal Fissure treatment in Chennai
An anal fissure is a crack or tear in the lower end of the anal canal.It is the most painful condition affecting the anal region.
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- 28+ yearsin practice
- 20,000+laparoscopic surgeries
- 4.9/5300+ Google reviews
- BillrothShenoy Nagar
Key facts about Anal Fissure
- Condition
- Anal Fissure
- Speciality
- Anorectal Surgery
- Approach
- Keyhole where suitable
- Treated by
- Dr. Kumaragurubaran
- Hospital
- Billroth, Shenoy Nagar
- Consultations
- Mon–Sat, no referral
What is Anal Fissure?
An anal fissure is a crack or tear in the lower end of the anal canal.It is the most painful condition affecting the anal region.
Symptoms of Anal Fissure
The signs patients most often describe. Anything lasting more than a few weeks is worth having examined.
- Severe pain during and after defecation
- Burning in nature which lasts for half an hour to one hour because of which defecation
- Severe constipation is present
- Foul smelling anal discharge
- Stools are hard
- Drops of blood or streaks of fresh blood
- Itching sensation in the anal region
What causes Anal Fissure?
- The inner lining of the anus is frequently damaged by bowel movements or other straining of the anal canal, which results in fissures.
- This could result from frequent
- Loose bowel motions or firm
- Dry bowel movements
- Anal fissures are more prone to form in patients with tight anal sphincter muscles.
- Fissures can also be caused by tumors
- Anal infections, and less frequently
- Inflammatory bowel disease
How Anal Fissure is diagnosed
No operation is planned on a guess — the diagnosis is established first.
- Usually, the doctor does the per-rectal examination and proctoscopy examination to diagnose anal fissures.
- Usually, the history is classical with pain and burning which starts after passing stools and may last for hours.
- A sigmoidoscopy or colonoscopy may be necessary to rule out associated colonic pathology.
How Anal Fissure is treated
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Initially, the doctor advises high-fiber foods and avoiding constipation medications to reduce pain laxatives for free motion ointments for healing the fissure, and sitz baths for reducing the pain.
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In case the symptoms do not settle with medical treatment the doctor may advise to do interventions.
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In this the fissure is excised.
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Anal Dilatation
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The anus is dilated reducing the resting anal pressure and helping in the healing of the fissure.
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Lateral Sphincterotomy
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In this, the internal anal sphincter is divided partially lowering the resting anal tone resulting in the healing of the fissure.
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Laser Treatment For Fissure
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In this, the calculated amount of joules of laser energy is delivered to the sphincter resulting in the relaxation of the sphincter , and also laser can be applied to the fissure resulting in the healing of the fissure.
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Dr. Kumaragurubaran is an expert in Laser Treatment FOR Fissure and he has a huge experience treating thousands of patients with fissures and can be considered as one of the BEST Doctors FOR Fissure Treatment.
Keyhole versus open surgery
Typical differences for a planned procedure in a generally healthy adult. Your own risks are discussed with you before consent.
| Measure | Open surgery | Keyhole |
|---|---|---|
| Incision | One cut, 10–15 cm | Three or four cuts, 5–10 mm |
| Hospital stay | 3–5 nights | Same day to 1 night |
| Back to desk work | 4–6 weeks | About 1 week |
| Wound infection risk | Higher | Substantially lower |
| Scarring | One long scar | Marks that fade |
| Still right when | Dense adhesions, bleeding, unclear anatomy | The large majority of planned cases |
Why patients choose this practice
Diagnosis before decision
No operation is scheduled on a guess. Many patients who arrive expecting surgery leave with a treatment plan instead.
Costs in writing, first
A written estimate covering surgeon, theatre, anaesthesia, implants and expected stay before you are asked to consent.
Keyhole most of the time
Ninety-five per cent of procedures are completed through keyhole access; the rest are open because open was the safer call.
Second opinions
If surgery has been advised elsewhere, bring the scans and the plan. Reviewing another surgeon’s recommendation is routine.
About the surgeon
Treated by
Dr. Kumaragurubaran
Senior Surgical Gastroenterologist, Advanced Laparoscopic, GI & Robotic Surgeon
MBBS, MS (General Surgery), MRCS (England), FIAGES (Gastro), FALS (Colorectal, Bariatric, Hernia, Robotic), Dip. ALS (Advanced Laparoscopy)
Gastroenterologist, GI & Laparoscopic Surgeon at Billroth Hospitals in Shenoy Nagar, Chennai. Treats Hernia, Reflux, Obesity, Colorectal, Gastrointestinal and Anorectal conditions, and provides medical treatment for GERD, Gastritis, Peptic ulcer, Jaundice, Pancreatitis, Colitis and IBD.
Anal Fissure: frequently asked questions
What is Anal Fissure?
An anal fissure is a crack or tear in the lower end of the anal canal.It is the most painful condition affecting the anal region.
What are the symptoms of Anal Fissure?
Severe pain during and after defecation. Burning in nature which lasts for half an hour to one hour because of which defecation. Severe constipation is present. Foul smelling anal discharge.
What causes Anal Fissure?
The inner lining of the anus is frequently damaged by bowel movements or other straining of the anal canal, which results in fissures. This could result from frequent. Loose bowel motions or firm.
How is Anal Fissure diagnosed?
Usually, the doctor does the per-rectal examination and proctoscopy examination to diagnose anal fissures. Usually, the history is classical with pain and burning which starts after passing stools and may last for hours. A sigmoidoscopy or colonoscopy may be necessary to rule out associated colonic pathology.
How is Anal Fissure treated?
Initially, the doctor advises high-fiber foods and avoiding constipation medications to reduce pain laxatives for free motion ointments for healing the fissure, and sitz baths for reducing the pain. In case the symptoms do not settle with medical treatment the doctor may advise to do interventions. In this the fissure is excised.
Who treats Anal Fissure in Chennai?
Dr. Kumaragurubaran, Senior Consultant Gastroenterologist, Laparoscopic, GI & Robotic Surgeon at Billroth Hospitals, Shenoy Nagar, Chennai, treats Anal Fissure. He has 28 years of experience and has performed more than 20,000 laparoscopic surgeries.
How do I book a consultation for Anal Fissure?
You can call +91 93603 91740, message on WhatsApp, or send the appointment form on this site. No referral is needed and most patients are seen within the same week. Consultations run Monday to Saturday at Billroth Hospitals, Shenoy Nagar.
Medically reviewed by Dr. Kumaragurubaran, MS (General Surgery), DNB (Surgical Gastroenterology), Senior Consultant at Billroth Hospitals, Shenoy Nagar. This page is patient education and does not replace a consultation in which you have been examined.
Next step
Discuss Anal Fissure with Dr. Kumaragurubaran
Bring any scans or reports you already have. You will be told plainly what is wrong, what the options are, and what happens if nothing is done.