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Anal Fissure Laser Surgery and Treatment in Mumbai

fissure surgery cost in mumbai

An anal fissure is a tear or rupture in the anal canal’s outer skin. The sickness may affect both sexes equally (in infants too). Often, anal fissures are seen at the angles of Anal opening.

“Acute” is used to describe a fissure that has been there for less than six weeks. Chronic fissures are those that have been there for longer than six weeks.

The Sentinel Pile, a growth that resembles a skin tag, may be found in the Chronic Fissure which is nothing but a hanging torn skin of fissure in ano.

Most anal fissures don’t need surgery, but if they keep coming back, you may need a more invasive treatment, like an operation. Dr. Laxman Proctology Center provides the best anal fissure treatment in Mumbai.

Young people are more likely to suffer from anal fissures, although the condition may strike anybody, regardless of age. In most cases, basic therapies like increasing fibre intake or sitz baths can heal anal fissures. Anal fissures may be treated with medicine or even surgery in certain cases.

When anal fissure treatment is required?


The anal fissure’s signs and symptoms include:

  • Painful Defecation: Defecation may be very painful for some people, and then they try to avoid it by going for motion. This, in turn, aggravates constipation and hard stools again cause trauma over and over again. In certain cases, defecation may cause an intense, pricking, or scorching pain that lasts for a few hours thereafter.
  • Bleeding: A splotch of blood in the feces or blood on the tissue
  • Need to strain while passing stools: The anal sphincter goes into spasm, then one needs to strain while passing motion.
  • Pruritus ani: Itching in the anal region
  • Malodorous discharge
  • Sentinel pile: A skin tag-like growth may be felt at the margin of the fissure in long-standing cases.

Causes of anal fissure

Anal canal injuries may induce anal fissures. One or more of the following may be the source of the trauma:

  • Hard stools: Constipation that persists for an extended period of time, particularly when the stool is big, hard, or dry
  • For an extended period of time
  • Anal sex and stretching
  • Iatrogenic– A tear may occur during the insertion of a rectal thermometer, USG probe, endoscope, or enema tube.
  • Anal sphincter muscles that are too tense or spastic (muscles that control the closing of the anus)
  • Scarring in the anorectal region
  • Rare causes: Medical conditions such as Crohn’s disease, ulcerative colitis, anal cancer, leukaemia, infections (such as TB), and sexually transmitted illnesses are all examples of underlying medical conditions (such as syphilis, gonorrhea, Chlamydia, chancroid, HIV).
  • Pregnancy and Childbirth
  • Reduction in anorectal blood flow

Diagnosis of anal fissure

An anal fissure is most often found when your doctor looks at your anus or lightly stretches it with a finger.

Fissure treatment in Mumbai

With anal fissure therapy, the main goal is to make stools softer to stop harm to the anal lining and hence pain and bleeding in the anal canal. In the beginning, conservative therapies such as the following may be used:

  • Use stool softeners, drink more water, and avoid caffeine-containing products that can make you dehydrated, as well as make changes to your diet (eat more high-fiber foods and fibre supplements).
  • Relaxing the anal muscles by soaking in a warm water for 10 to 20 minutes 2 to 3 times a day;
  • Gently cleaning the anorectal region
  • Avoid sitting on the toilet for lengthy periods of time; avoid straining.
  • lubricating the anorectal region with petroleum or anaesthetic jelly.

Using these techniques, 80 to 90% of cracks are healed within a few weeks to months. Anal fissures may be treated with several methods, such as medication or surgery.

For inflammation, you can use suppositories, foams, or ointments with hydrocortisone in them, as well as other ointments for few days. Topical muscle relaxants, anaesthetic ointments, or nitroglycerin or calcium channel blocker ointments may all help repair the fissure while anaesthetic ointments can alleviate discomfort if it’s preventing you from having a bowel movement (to relax the anal muscles and increase blood flow to the region, promoting healing).

Iintra-anal injection of botulinum toxin type A may be given in the anal sphincter muscles to temporarily paralyze it to relieve pain and help the fissure to heal.

Anal fissure laser surgery in Mumbai

If various therapies have failed to repair the fissure, your doctor may suggest surgery as a last resort.

Internal anal sphincter muscle spasms cause a fissure not to heal. A small part of the internal anal sphincter muscle is cut to minimize discomfort and to relieve the spasm and enable the fissure to heal. Bowel movement control is seldom lost even if a muscle is cut because it is in a very small and lowest part of the sphincter.

Most of the time, the procedure is done as an outpatient procedure, which means that the patient goes home the same day. The pain subsides after a few days and recovery is complete within a few weeks.

Laser surgery for chronic anal fissure:

30 minutes is an average amount of time needed for laser therapy of fissures. When a fissure doesn’t go away, a patient is advised Laser Sphincterotomy. The circular internal muscles of the anal sphincter control poop, and this is part of what they do. With the use of a laser, the sphincter is partly split to the extent of fissure to minimize spasm and the resting pressure, but not to disturb the sphincter’s function. This speeds up the healing process by increasing the flow of blood to the wound. In the case of chronic fissures, surgeons have found that surgery is much more effective than any other kind of medical treatment. A short procedure and a smaller incision are two of the primary benefits of this approach. It’s quite successful, with a 95% success rate.

Fissure laser surgery cost in Mumbai

The anal fissure laser surgery cost in Mumbai relies on various factors. The fissure laser surgery cost is affordable at our center in Mumbai.

Benefits of fissure laser treatment in Mumbai

  • It’s a rather painless procedure.
  • A quick return to normalcy.
  • It’s a simple process.
  • There is no faecal leakage or incontinence.
  • There is little to no bleeding.
  • The need for post-surgical care and discomfort is less.
  • Within 24 hours, most people are able to resume their daily activities.
  • There are no open wounds or cuts.


You have to make sure your stool is as soft as possible by increasing your fibre and water consumption. Soaking in warm water for 10 to 20 minutes many times a day, especially after going to the bathroom, may help heal the sphincter.

It looks like a noticeable break in the skin around the anus.

When a bowel movement or anything else that causes the anal canal to stretch, it can put stress on the inner lining of the anus and cause fissures. Fissure can be caused by stools that are hard and dry or by bowel movements that are very loose and happen often.

Most anal fissures heal within a few weeks.

It’s been likened to walking on shards of glass. When there is an anal fissure, there is often a small amount of bright red blood during and after a bowel movement. Although the agony might be excruciating, it is typically not life-threatening.

A fissure and a hemorrhoid might have similar symptoms. There is a risk of stinging, itchiness, and perhaps bleeding with either. The problem is more likely to be a fissure if you are in pain and discomfort more but do not feel an outward lump. You may have a hemorrhoid if you are bleeding from the Anus and feel some outward swelling.

You may use petroleum jelly, zinc oxide, 1% hydrocortisone cream, anaesthetic cream and products to soothe the area.

Yes, it can be prevented in children by treating constipation and changing diapers frequently.

Yes, it can be prevented in adults by following the below practices:

– Dry off the anorectal region.

– Soft items, such as a wet cloth or a cotton pad, may be used to clean the region. Avoid using toilet paper with a strong odour.

– Treat all cases of constipation and diarrhoea as soon as possible.

– Try not to irritate your rectum in any way.

It is common between the ages of 18 and 35.

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