Fissure Treatment in Pune | Expert Guide to Recovery

Anal fissure is an extremely painful condition, but with proper treatment, complete recovery is possible. This guide covers everything about fissure treatment in Pune including the most effective options available at Dr Jadhav Piles Fissure Injection & Laser Centre.

Understanding Anal Fissure

An anal fissure is a small tear or crack in the anal mucosa. The pain associated with fissures can be severe and debilitating, often described as passing broken glass. Fissures significantly affect quality of life.

Why Fissures are Painful

The anal area is rich in pain receptors. When a fissure is present, every bowel movement reopens the wound and causes intense pain. Additionally, spasm of the internal anal sphincter reduces blood flow, preventing healing and perpetuating the cycle.

Conservative Fissure Treatment

For acute fissures (less than 6-8 weeks old):

• High-fiber diet and plenty of fluids
• Stool softeners (ispaghula, lactulose)
• Topical anesthetic ointments (lidocaine) for pain
• Topical vasodilators (nitroglycerin, diltiazem) to relax sphincter
• Warm sitz baths after bowel movements

Success rate for acute fissures: 50-70%

Botulinum Toxin Injection

For fissures that do not respond to conservative treatment, Botox injection into the internal anal sphincter is the next step. It relaxes the sphincter for 2-3 months, allowing the fissure to heal.

Success rate: 60-80%

Laser Lateral Internal Sphincterotomy (LIS)

LIS is the gold standard for chronic anal fissures. A small incision is made to partially divide the internal anal sphincter, permanently reducing the resting pressure and allowing healing.

Using laser technology for LIS provides:

• Minimal pain post-operatively
• Minimal bleeding
• Excellent wound healing
• Fast recovery (3-5 days)
• Success rate over 95%

Recovery After Fissure Surgery

• Day 1-2: Some discomfort — rest recommended
• Day 3-5: Significant improvement in pain
• Week 1-2: Most daily activities resumed
• Week 4-8: Complete healing

Expert Fissure Treatment in Pune

Dr Satish Jadhav (MD, FPC, CCKS) is a leading fissure specialist in Pune with extensive experience in both conservative and surgical fissure treatment.

Dr Jadhav Piles Fissure Injection & Laser Centre, Wakad, Pune
Phone: 9665612777