Minimally invasive procedures for acute and chronic anal fissure, with excellent healing outcomes.
An anal fissure is a small tear in the lining of the anal canal, most often caused by passing a hard stool. It is intensely painful and can become chronic if not managed properly. Dr. Krishna Pada Saha treats acute fissures with medical management first, reserving LASER sphincterotomy or minor surgery for fissures that fail to heal.
Because the pain of an anal fissure often creates a fear of passing stool, patients can unintentionally worsen the constipation cycle that caused the fissure in the first place — making it harder to heal on its own. Dr. Saha's approach begins with breaking this cycle: stool softeners, a high-fibre plan, and topical medication that relaxes the internal sphincter muscle to allow the tear to heal with normal blood flow. Only when a fissure has genuinely become chronic (typically lasting more than 6–8 weeks despite proper medical care) does he move to LASER sphincterotomy or minor surgery.
Recognising these early can help you seek timely, effective treatment.
Every patient is different — Dr. Saha recommends the safest, least invasive option that will give lasting results.
A clear, step-by-step path from consultation to full recovery.
A detailed history and clinical examination to accurately assess your condition and rule out other anorectal issues.
Based on the severity and your overall health, Dr. Saha recommends the most appropriate — and least invasive — treatment path.
The procedure is performed under local, spinal or general anaesthesia as appropriate, most often on a day-care basis.
Pain typically eases significantly within days of starting treatment. Complete healing of the fissure itself may take a few weeks with consistent care.
Most fissures are treated successfully without surgery, avoiding unnecessary intervention.
A precise, minimally invasive alternative to conventional surgery when medical treatment isn't enough.
Careful technique minimises any risk to long-term continence.
Most patients resume normal activity within days rather than weeks.
Most acute fissures heal within a few weeks with a high-fibre diet, stool softeners and topical medication that relaxes the sphincter muscle.
When a fissure becomes chronic and fails medical treatment, LASER sphincterotomy or a minor surgical procedure is recommended for lasting relief.
Modern LASER sphincterotomy is far less painful than the classic image of fissure surgery, with most patients back to routine activity within days.
Recurrence is reduced significantly by preventing constipation long-term — adequate fibre, fluids and avoiding straining.
Most acute fissures show significant improvement within 2–4 weeks of consistent medical management.
No — LASER sphincterotomy or minor lateral sphincterotomy are quick, well-tolerated day-care procedures, not major surgery.
Share your symptoms with our team and get guidance on the right next step.
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