Fissure Surgery: When to Consider It and What to Expect

Anal fissures—small tears in the lining of the anus—can cause sharp pain, bleeding, and discomfort that make everyday life difficult. While many fissures heal with lifestyle changes or medication, chronic cases may require fissure surgery for lasting relief.

If you're dealing with persistent pain or discomfort, it's time to consult a specialist. Dr. Kapileshwer Vijay, a highly experienced GI Surgeon in Jaipur, offers advanced surgical treatment options for fissures with excellent success rates and faster recovery.

In this blog, we’ll explore everything you need to know about fissure surgery—from symptoms and causes to treatment options and recovery.

What Is an Anal Fissure?

An anal fissure is a small cut or tear in the thin, moist tissue (mucosa) that lines the anus. This condition can be extremely painful, especially during or after a bowel movement.

Common Symptoms Include:

• Sharp or burning pain during bowel movements

• Blood on the toilet paper or stool

• Visible tear or crack near the anus

• Itching or irritation

• A small lump or skin tag near the fissure

What Causes an Anal Fissure?

Fissures can occur due to several reasons, such as:

• Passing large or hard stools

• Chronic constipation or diarrhea

• Straining during bowel movements

• Childbirth (in women)

• Inflammatory bowel disease (IBD)

• Anal infections or trauma

Most acute fissures heal on their own. However, if the fissure lasts more than 6 weeks, it is considered chronic and may require medical or surgical treatment.

When Is Fissure Surgery Needed?

Fissure surgery is typically recommended when:

• Symptoms persist despite medical treatment

• Pain continues for more than 6 weeks

• The fissure keeps recurring

• Anal muscle spasms worsen the condition

In such cases, surgical intervention becomes the most effective long-term solution.

Types of Fissure Surgery

Dr. Kapileshwer Vijay offers specialized fissure treatment through advanced techniques such as:

1. Lateral Internal Sphincterotomy (LIS)

This is the most common and effective surgery for chronic fissures. A small portion of the anal sphincter muscle is cut to reduce tension, promoting healing and preventing further tears.

2. Botox Injection

In selected cases, Botox may be injected into the anal muscles to relax them and allow healing. It's minimally invasive but typically used when surgery isn’t suitable.

3. Anal Advancement Flap Surgery

For patients with recurrent fissures or complex cases, tissue from the rectum is used to cover the fissure, promoting faster healing.

As a skilled Gastrointestinal Surgeon in Jaipur, Dr. Kapileshwer Vijay tailors the procedure to suit your specific condition and overall health.

What Happens During the Surgery?

• Pre-Surgery Evaluation: Includes medical history, physical examination, and diagnostic tests.

• Anesthesia: The procedure is usually done under general or spinal anesthesia.

• Surgery Time: Most fissure surgeries take 20–40 minutes.

• Post-Surgery: Patients are typically discharged the same day or within 24 hours.

Recovery After Fissure Surgery

One of the biggest advantages of modern fissure surgery is quick recovery and minimal discomfort. Here’s what to expect:

Immediate Recovery

• Mild soreness for a few days

• Pain relief within 1–2 days post-surgery

• Medication for pain management and stool softeners

Returning to Normal Life

• Most patients resume normal activities in 3–5 days

• Full recovery usually takes 2–3 weeks

• Follow a high-fiber diet to avoid constipation

Regular follow-ups with your Appendix Doctor in Jaipur, who also specializes in colorectal and anorectal surgeries, ensure a smooth healing process.

Why Choose Dr. Kapileshwer Vijay for Fissure Surgery?

Dr. Kapileshwer Vijay is a trusted name in GI Onco Surgery in Jaipur and Gallbladder Stone Surgery in Jaipur, with over 15 years of surgical experience and more than 7000 procedures to his credit. He is also a leading GI Surgeon in Jaipur known for minimally invasive treatments that offer minimal pain and faster healing.

At Gastro Clinic Jaipur, you receive:

• Accurate diagnosis and compassionate care

• Advanced surgical techniques with high success rates

• Personalized treatment plans

• Clean, comfortable, and well-equipped facilities

How to Prevent Anal Fissures

While surgery is effective, prevention is always better. Here are some tips to reduce the risk:

• Eat a high-fiber diet (fruits, vegetables, whole grains)

• Drink plenty of water

• Avoid straining during bowel movements

• Use stool softeners if needed

• Maintain proper anal hygiene

• Stay physically active

If you’ve had a fissure in the past, following these tips can help you avoid recurrence.

Anal fissures may seem like a minor issue, but the pain and discomfort can severely affect your quality of life. When lifestyle changes and medications aren’t enough, fissure surgery offers a safe, effective, and long-lasting solution.

Don’t suffer in silence. Reach out to Dr. Kapileshwer Vijay, a renowned GI Surgeon in Jaipur, and take the first step toward a pain-free, healthier life.