Any skin tags near the anal fissure will be removed. A cut will be made on the anal sphincter muscle. This will relax the sphincter and allow it to stretch, taking pressure off the fissure. A bandage will be placed over the area.
How Long Will It Take?
Less than 1 hour
Will It Hurt?
Pain and swelling are common in the first few days. There may be some pain after bowel movements. It is often not as painful as it was before surgery. Medicine and home care can help.
At the Care Center
Right after the procedure, the staff may:
Give you pain medicine
Show you how to care for the area
Teach you how to make bowel movements less painful
During your stay, staff will take steps to lower your chance of infection, such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
You can also lower your chance of infection by:
Washing your hands often and reminding visitors and staff to do the same
Reminding staff to wear gloves or masks
Not letting others touch your incisions
It will take 6 weeks for the incision and muscles to fully heal. Physical activity may need to be limited during recovery. You may need to delay your return to work for up to 2 weeks.
Call Your Doctor
Call the doctor if you are not getting better or you have:
Signs of infection, such as fever and chills
Excessive swelling in the rectal area
Large amounts of bleeding from the rectum
Foul-smelling drainage from the rectum
Problems controlling bowel movements
If you think you have an emergency, call for medical help right away.
Anal fissure. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/anal-fissure. Accessed October 20, 2020.
Anal fissure expanded information. American Society of Colon and Rectal Surgeons website. Available at: https://www.fascrs.org/patients/disease-condition/anal-fissure-expanded-information. Accessed April 3, 2018.
Anal fissures. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/diseases/13177-anal-fissures. Accessed October 20, 2020.
Anal fissures. UCSF Medical Center website. Available at: https://www.ucsfhealth.org/education/anal_fissures. Accessed October 20, 2020.
Anal fissure treatments. University of Wisconsin School of Medicine and Public Health, UW Health website. Available at: https://www.uwhealth.org/healthfacts/surgery/5467.html. Accessed October 20, 2020.
Higuero T. Update on the management of anal fissure. J Visc Surg. 2015 Apr;152(2 Suppl):S37-43.
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