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How do you know if you need fissure surgery?
4 August 2023

How do you know if you need fissure surgery?

How do you know if you need fissure surgery: Fissures, commonly known as anal fissures, can cause discomfort, pain, and hinder your daily life. While many cases can be managed with conservative treatments, some may require surgical intervention to achieve lasting relief. In this article, we will explore the signs and symptoms that indicate the need for fissure surgery, the different surgical options available, and what to expect during the recovery process. Whether you’re experiencing recurring anal fissures or seeking clarity on your treatment choices, in this article we will help you to know about it., keep on reading to get some clarity regarding it!

Causes of Fissure:

The causes of fissures are as follows:


One of the most prevalent causes of anal fissures is constipation. When stool becomes hard and difficult to pass, it can put significant pressure on the anal canal, leading to the tearing of the sensitive anal tissues. Straining during bowel movements can exacerbate the condition and increase the likelihood of developing fissures.


While constipation can cause fissures, paradoxically, diarrhea can also be a contributing factor. Frequent and loose stools can irritate the anal area, making the skin more susceptible to tearing.

Anal Trauma:

Any form of trauma or injury to the anal region can lead to fissures. This can occur due to rough wiping after bowel movements, inserting foreign objects into the anus, or engaging in vigorous anal intercourse.

Anal Spasms:

Some individuals may experience spasms of the anal sphincter, the muscular ring that surrounds the anus. These spasms can reduce blood flow to the area, leading to tissue damage and increasing the risk of fissures.

Inflammatory Bowel Disease (IBD):

Conditions such as Crohn’s disease and ulcerative colitis, which are classified as inflammatory bowel diseases, can cause chronic inflammation and ulcers in the digestive tract, including the anus. These ulcers can develop into fissures over time.


In women who have given birth vaginally, the process of childbirth can stretch and damage the tissues around the anus, resulting in anal fissures.

Symptoms indicating you need fissure surgery:

While most anal fissures can be treated with conservative measures, there are certain cases where fissure surgery becomes necessary for effective and lasting relief. Here are seven symptoms that may indicate you need fissure surgery:

Chronic and Severe Pain:

If you experience intense and persistent pain in the anal area, even after trying various non-surgical treatments, it could be a sign that the fissure has become chronic and requires surgical intervention.

Recurring Fissures:

If you have had multiple episodes of anal fissures that keep coming back despite trying conservative treatments, your doctor might recommend surgery to address the underlying issue causing the recurrence.

Failure of Conservative Treatments:

When over-the-counter medications, lifestyle changes, and topical ointments fail to provide significant improvement, your healthcare professional might suggest fissure surgery as a more effective solution.

Presence of Secondary Complications:

Anal fissures can sometimes lead to complications such as infection, abscess formation, or the development of fistulas (abnormal connections between the anus and nearby organs). In such cases, surgery may be necessary to address the underlying problems.


If you experience persistent bleeding from the anus, especially if it is heavy or recurrent, it is essential to consult with a healthcare professional to determine the cause. Surgery might be considered to treat the fissure and prevent further bleeding.

Impaired Quality of Life:

Anal fissures can significantly impact your daily life, causing discomfort, embarrassment, and hindering your ability to carry out routine activities. If the fissure is negatively affecting your overall well-being and quality of life, surgery may be recommended.

Persistent Symptoms:

If you continue to experience symptoms like itching, burning, and discomfort in the anal area for an extended period, despite trying various treatments, it may be an indication that fissure surgery is necessary for comprehensive healing.

Recovery time after fissure surgery:

The recovery time after fissure surgery can vary depending on the specific surgical procedure performed, the extent of the fissure, and individual healing rates. Generally, after undergoing fissure surgery, patients can expect a gradual recovery process. Here are some key points to keep in mind regarding the recovery period:

Immediate Post-Surgery Period:

In most cases, fissure surgery is performed on an outpatient basis, which means you can go home on the same day of the procedure. Immediately after surgery, you may experience some discomfort and pain at the surgical site.

Pain Management:

Your doctor will prescribe pain medications to help manage post-operative pain. It’s essential to follow your doctor’s instructions regarding the use of pain medication to ensure proper pain relief and avoid any complications.

Resuming Normal Activities:

In the first few days after surgery, you may need to rest and avoid strenuous activities. You’ll want to take it easy and gradually increase your activity level as you feel comfortable. Avoid heavy lifting or engaging in intense physical activities during the initial recovery period.

Healing Time:

The healing of the surgical site typically takes several weeks. The wound from the surgery will gradually close, and the tissues will repair themselves. Follow your doctor’s advice on wound care and hygiene to promote healing and reduce the risk of infection.

Bowel Movements:

After fissure surgery, it’s crucial to prevent constipation and straining during bowel movements, as these can put stress on the healing tissues. Your doctor may recommend a high-fiber diet, stool softeners, or laxatives to keep your stools soft and easy to pass.

Follow-up Appointments:

Your doctor will schedule follow-up appointments to monitor your healing progress and address any concerns or complications that may arise during the recovery period.

Return to Work and Normal Activities:

The timeline for returning to work and resuming normal activities can vary depending on the type of surgery and individual healing rates. Some people may be able to return to work within a week or two, while others may require more time off.

Get Fissure Surgery in Jaipur From Dr. Kapileshwer Vijay now!

If you are experiencing chronic anal fissures and conservative treatments have not provided the relief you seek, consider getting fissure surgery in Jaipur from the experienced and skilled hands of Dr. Kapileshwer Vijay. He is a renowned proctologist known for his expertise in managing various anorectal conditions, including anal fissures.

He has earned a reputation for his compassionate approach to patient care and his commitment to providing effective and personalized treatment solutions. With his in-depth knowledge and advanced surgical skills, he has helped numerous patients find relief from the discomfort and pain caused by anal fissures.



What is the recovery period after fissure surgery?

The recovery period after fissure surgery can vary, but typically, it takes several weeks for complete healing. During this time, you may experience some discomfort and pain at the surgical site.

How can I prevent constipation and straining after fissure surgery?

Preventing constipation and straining is crucial for a smooth recovery. Your doctor may recommend a high-fiber diet, including fruits, vegetables, and whole grains, to promote regular bowel movements and soften stools. Drinking plenty of water and staying physically active can also aid in preventing constipation.

When can I resume normal activities, including work and exercise, after fissure surgery?

The timing for resuming normal activities varies depending on the type of fissure surgery and individual healing rates. In general, light activities can be resumed within a few days to a week after surgery. However, you should avoid heavy lifting, strenuous exercise, and vigorous physical activities for a few weeks or until your doctor gives you the green light to do so.

Are there any dietary restrictions after fissure surgery?

Your doctor may advise you to follow a soft diet initially after fissure surgery to minimize strain during bowel movements. Soft foods like yogurt, soups, cooked vegetables, and well-cooked grains can be beneficial during this period.

How long will it take for the surgical wound to heal completely, and what can I expect during the healing process?

The healing time for the surgical wound typically ranges from a few weeks to a couple of months. During the healing process, you may notice some mild discharge or slight bleeding, which is normal. Your doctor will provide specific wound care instructions to keep the area clean and promote healing.

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