An Anal Fissure can cause a significant amount of discomfort for the sufferer. A Fissure is a small tear right at the anal verge. Occasionally, medication is all that is required for treatment, but if the problem persists, a surgical intervention may be necessary.
Anal Fissure is a very common problem we see here at CRSSNY. Fissures cause a significant amount of discomfort more than one might expect. Basically, what a Fissure is, it's a small tear in the anus right at the anal verge. What it causes is a significant discomfort when you go to the bathroom, and typically one will describe pain during a bowel movement and for minutes to even hours after, and the pain can be severe. It's a problem that is often misdiagnosed. It is a something that many patients will be told is due to your hemorrhoids which is not the case. This has nothing to do with hemorrhoids.
When we do diagnose a Fissure, we first treat it with medicine, dietary modification, soaking, and about 50% of the time Fissures will heal when you're treated appropriately. In addition to dietary modification and soaking, medication is prescribed. Typically, these medicines are specifically designed to treat Fissures. We're not talking about medicines like preparation H or hydrocortisone creams, those just help the pain. We're talking about medicines that can actually help the Fissure heal. The medicines we use cause the sphincters to relax which increases blood flow to the area and allows the Fissure to get better. So it's important to be properly diagnosed so you get the right type of medication.
If, however, your Fissure persists despite the medical therapy, then surgery may be required. And again, imperative to see a colorectal surgeon who are very comfortable operating around the anus. The surgical treatment for a Fissure is relatively straightforward. The operation takes about 20 minutes or so. It's done in an ambulatory setting where you go home the same day, and typically your pain is resolved after just a few days.