Anal Fissure – Can It Be Treated?

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 that can last for hours.

The Vicious Cycle of Anal Fissure

1. Pain: The tear causes intense pain.
2. Spasm: Pain triggers involuntary contraction of the sphincter muscles.
3. Poor Healing: The spasm reduces blood flow, impairing tissue nutrition and preventing healing.

Unless this cycle is broken, the fissure deepens and becomes chronic.

Anal Fissure Treatment Options in Antalya

1. Non-Surgical Treatments (Acute Phase)

• Diet and Lifestyle: Preventing constipation with a high-fiber diet and adequate fluid intake.
• Warm Sitz Baths: Help relax the muscles and improve blood flow.
• Medical Treatment: Muscle-relaxing creams and pain relievers.

2. Botox for Anal Fissure

Botox injection temporarily relaxes the sphincter muscle. However, its effect is temporary and success rates in chronic cases are significantly lower than surgery, with a notable risk of recurrence. It is therefore not the preferred method.

3. Surgical Treatment (Chronic Phase)

• Lateral Internal Sphincterotomy (LIS): Controlled relaxation of the over-contracted sphincter muscle.
• Success Rate: Offers the highest long-term success rate and provides permanent healing.

Anal Fissure Treatment Prices

Treatment costs vary based on whether the fissure is acute or chronic, whether Botox or surgery is chosen, and the anesthesia method. Contact us for current pricing.