What Is a Fissure-in-Ano?
A fissure-in-ano is a small tear or crack in the thin, moist tissue (mucosa) lining the anus. It is one of the most painful anorectal conditions, causing sharp, burning pain during and after bowel movements — often described as “passing glass.” If you are looking for effective fissure treatment in Pune, Dr. Satish Jadhav at our Wakad laser centre provides permanent, painless relief.
Acute vs Chronic Fissure
- Acute Fissure — Recent tear, less than 6 weeks. Heals with medical treatment in most cases.
- Chronic Fissure — Persists beyond 8–12 weeks. Develops a sentinel pile (skin tag) and hypertrophied anal papilla. Requires surgical or laser treatment for permanent cure.
Causes of Anal Fissure
- Passing large or hard stools (constipation)
- Chronic diarrhoea
- Childbirth (in women)
- Anal intercourse
- Crohn’s disease or IBD
- Reduced blood flow to the anorectal area
- Dehydration and low fibre intake
Symptoms of Fissure-in-Ano
- Sharp, severe pain during bowel movements (lasts 30 minutes to several hours)
- Burning sensation after defecation
- Bright red blood on toilet paper or in the toilet bowl
- A visible crack or tear in the skin around the anus
- A small skin tag (sentinel pile) near the fissure
- Itching or irritation
Diagnosis
Dr. Satish Jadhav performs a gentle visual inspection and digital rectal examination. In most cases, the fissure is clearly visible at the anal verge (usually posterior midline). A proctoscopy may be performed after the fissure has healed or under anaesthesia.
Fissure Treatment Options in Pune
Conservative / Medical Treatment (Acute Fissures)
- High-fibre diet + adequate fluid intake
- Topical anaesthetic creams (Lidocaine)
- Topical GTN (glyceryl trinitrate) or diltiazem cream — relaxes the internal sphincter
- Sitz baths (warm water soaks)
- Stool softeners (Isabgol/psyllium husk)
Laser Lateral Internal Sphincterotomy (LIS) — Gold Standard
For chronic fissures that do not respond to medical treatment, Laser LIS (Lateral Internal Sphincterotomy) is the gold standard procedure:
- A small, precise laser incision cuts a part of the internal anal sphincter
- This reduces the high resting anal pressure that prevents fissure healing
- Done under local anaesthesia as a day-care procedure
- Healing rate: over 95%
- Risk of incontinence: less than 1% with laser technique
- Back to work within 24–48 hours
Why Choose Dr. Jadhav for Fissure Treatment in Wakad, Pune?
- ✅ 15+ years specialised proctology experience
- ✅ MD, FPC, CCKS qualified surgeon
- ✅ Latest diode laser — precision cuts, minimal bleeding
- ✅ Day-care surgery — same-day discharge
- ✅ Cashless insurance accepted
- ✅ Serving Hinjewadi, Baner, Balewadi, Aundh, Pimpri-Chinchwad and all of Pune
FAQ — Fissure Treatment in Pune
Q: Can a fissure heal on its own?
A: Acute fissures (less than 6 weeks) can heal with medical treatment and dietary changes. Chronic fissures typically require laser or surgical treatment.
Q: Is fissure surgery painful?
A: No. The laser LIS procedure is done under anaesthesia and is completely painless. Most patients experience minimal discomfort for just 1–2 days after surgery.
Q: Does fissure recur after laser treatment?
A: Recurrence after laser LIS is very rare (less than 2%) if dietary and lifestyle advice is followed.
Q: How quickly can I get an appointment?
A: We offer same-week appointments. Call +91 9665612777 to schedule your consultation.
Book Fissure Treatment Consultation in Wakad, Pune
End your fissure pain today. Dr. Satish Jadhav (MD, FPC, CCKS) — Pune’s expert in laser fissure treatment — is available 6 days a week at our Wakad centre.
📞 Call / WhatsApp: +91 9665612777
📍 2nd Floor, T Junction Building, Mankar Chowk, Kaspate Wasti Road, Wakad, Pune 411057
⏰ Mon–Sat: 9 AM – 9 PM