An anal fissure is a small tear at the opening of the anal canal, typically caused by chronic constipation or straining. Patients usually describe it as "a knife-like pain during bowel movements" followed by throbbing discomfort that can last for hours.
An anal fissure is not just a simple cut — it creates a vicious cycle:
Unless this cycle is broken, the fissure deepens and becomes chronic.
The primary goal of anal fissure treatment is to relieve the excessive spasm of the sphincter muscle, allowing the tissue to heal on its own.
Most newly formed (acute) fissures can heal without surgery:
Botox injection into the sphincter muscle is an option for patients who are reluctant to undergo surgery. It temporarily relaxes the muscle. However, its effect is temporary, and its success rate in chronic cases is significantly lower than surgery, with a notable risk of recurrence. It is therefore not the preferred method.
If a skin tag (sentinel pile) has formed alongside the fissure and symptoms keep recurring, the condition has become "chronic." At this stage, surgery is the gold standard.
Antalya offers excellent options for general surgeons specializing in proctology. Anal fissure treatment must be performed by an experienced proctologist due to the sensitivity of the region and the risk of functional complications from incorrect intervention.
Prof. Dr. Burhan Mayir provides personalized treatment protocols using modern diagnostic methods at his clinic in Antalya. Our core principle is to relieve the patient's pain as quickly as possible while ensuring lasting recovery.
Early-stage (acute) fissures may resolve with dietary adjustments, but chronic fissures with sentinel piles generally require professional medical intervention.
While Botox may seem like a more convenient option, surgery offers significantly higher success rates and permanence in chronic cases.
Treatment costs vary based on whether the fissure is acute or chronic, whether Botox or surgery is chosen, and the type of anesthesia used. For current pricing and appointment scheduling, please contact us.