Laser Anal Fissure Treatment in Hyderabad
An anal fissure is a small tear in the lining of the anal canal that causes severe pain during and after bowel movements. Chronic fissures don't heal with medicines alone because the sphincter muscle goes into spasm, cutting off blood supply to the tear. Laser sphincterotomy relaxes the sphincter precisely without the risk of incontinence associated with open surgery.
Symptoms
- Sharp, cutting pain during bowel movements
- Bright red blood on toilet paper
- Pain that continues for hours after passing stool
- Fear of going to the toilet (constipation cycle)
- Skin tag or sentinel pile at the anal margin
Common Causes
- Chronic constipation and hard stools
- Prolonged diarrhoea
- Childbirth-related trauma
- Tight anal sphincter tone
- Inflammatory conditions (Crohn's, TB)
The Procedure
Under short anaesthesia, a laser fibre is used to perform a controlled, precise sphincterotomy — relaxing the tight internal sphincter to restore blood flow and allow the fissure to heal. The procedure takes 15-20 minutes.
- 1Short spinal or local anaesthesia
- 2Examination and confirmation of chronic fissure
- 3Controlled laser sphincterotomy
- 4Sentinel tag excised if present
- 5No stitches, minimal bleeding
Benefits
- Bloodless and near-painless procedure
- Preserves continence — precise depth control
- Daycare, same-day discharge
- Rapid symptom relief within 48 hours
- High success rate for chronic fissures
Recovery Timeline
- Day 0: Discharge 2-3 hours post-op
- Day 1: Significant pain relief
- Day 2-3: Return to work
- Week 1-3: Sitz baths and stool softeners
- Week 4: Fissure fully healed in most cases
Cost in Hyderabad
Daycare procedure. Insurance cashless available. Cost varies with anaesthesia and hospital package.
Frequently Asked Questions
Can anal fissure heal without surgery?+
Acute fissures often heal with sitz baths, stool softeners and topical medicines. Chronic fissures (over 6 weeks) usually need laser sphincterotomy for permanent cure.
Is laser fissure surgery painful?+
No. Post-op pain is dramatically less than the pre-existing fissure pain — most patients feel significant relief within 24-48 hours.
Will laser sphincterotomy cause incontinence?+
No. Laser allows precise, controlled depth of muscle release — the risk of incontinence is under 1%, far lower than open lateral sphincterotomy.
How soon can I resume work?+
Most patients return to desk work within 2-3 days after laser sphincterotomy.
Is fissure treatment covered by insurance?+
Yes. Laser fissure treatment is covered as a daycare procedure by most health insurance policies.
Consult Dr Sandeep Katakam
Get an honest opinion on whether laser fissure treatment is right for you.
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