Anal Fissure Surgery in Pune
Heals chronic fissures without open cuts. A laser approach with same-day discharge and a typical recovery of 1–2 days. But surgery is the last step, not the first — start with a proctologist and rule out the simpler fixes.
How it works
You don't buy an operation here — you start with a doctor. Book a consultation first; Anal Fissure surgery happens only if a proctologist confirms you need it.
About anal fissure
An anal fissure is a linear tear in the lining of the anal canal, most often in the posterior midline. A fresh one is an acute fissure; once it has been there beyond six to eight weeks it becomes chronic, with visible fibres at its base, a sentinel skin tag and a thickened anal papilla. What keeps it open is a self-perpetuating cycle: the tear causes pain, pain causes the internal sphincter to spasm, spasm reduces blood flow to the anoderm, and poor blood flow stops the tear healing. Every treatment for a fissure is aimed at breaking that cycle somewhere.
When is surgery actually needed?
Most acute fissures heal without an operation, and that trial is genuinely the treatment rather than a delay. It means 25–30 g of fibre a day, enough fluid, a stool softener, warm sitz baths and a topical sphincter relaxant — glyceryl trinitrate or diltiazem ointment — used properly for six to eight weeks. Botulinum toxin injection is a further non-surgical rung that relaxes the sphincter chemically without cutting it. Surgery is considered for a chronic fissure that has not healed after an adequate medical trial, or one that keeps recurring. Because the operation involves the internal sphincter, continence is the thing being weighed, which is exactly why it follows failed medical therapy rather than preceding it.
Why laser, not open surgery
Laser sphincterotomy with fissurectomy uses a controlled laser to release the spastic internal sphincter and to freshen the fibrotic base of a chronic fissure so it can heal. The principle is identical to a lateral internal sphincterotomy — drop the resting anal pressure so blood returns to the anoderm and the tear closes — but the energy is delivered in a small, precisely dosed way through a tiny access point rather than through an open incision.
Your options for anal fissure
Non-surgical options are listed first where they exist. Which one suits you depends on your examination and reports — this table is here so you can ask better questions, not to choose for you.
Our proctologist surgeons
Dr. Imran Sheikh
Senior
Dr. Vivek Rao
Senior
Dr. Sanjay Kulkarni
SeniorDr. Arjun Menon
SeniorCost, EMI & insurance
Covered by insurance
Anal Fissure surgery is covered by most health policies. We start cashless pre-authorisation before admission — you pay nothing extra at discharge.
Your recovery timeline
Week by week after anal fissure surgery
Home the same day. Most people find the post-procedure discomfort noticeably less than the fissure pain itself.
First bowel movement with a softener on board. Sitz baths after each one.
Back to routine and desk work; pain on defecation settles.
The fissure epithelialises. Continue fibre, fluids and softeners throughout.
Review. Persistent pain at this stage means the fissure is unhealed and needs re-assessment, not more of the same.
Risks, preparation & aftercare
Every operation carries risk. These are the complications your surgeon will take you through before you consent — they are listed here so you read them without a pen in your hand.
Possible complications of anal fissure surgery
Before your procedure
Continence and obstetric history are documented before any sphincter procedure — a previous difficult delivery or existing urgency changes the plan, and anorectal manometry is used where continence is already borderline. Fitness bloods; an enema on the morning; nothing to eat for 6 hours and clear fluids up to 2 hours before; blood thinners reviewed with the prescribing doctor.
After you go home
Stay on a stool softener and high fibre for six to eight weeks — the operation relaxes the muscle, but soft stools are what let the tear heal. Sitz baths after every bowel movement, topical treatment if prescribed, and no straining. Report pain that is not improving by two to three weeks, fever or heavy bleeding.
Frequently asked questions
Start with a conversation, not a commitment.
Book a ₹750 consultation with a proctologist — adjusted into your surgery cost if you go ahead. No pressure, no surgery unless you need it.