Laser Fissure Surgery

Laser fissure surgery, also known as laser sphincterotomy, is a minimally invasive surgical procedure that uses laser technology to treat anal fissures. Anal fissures are small tears or cuts in the lining of the anal canal that can cause pain, bleeding, and discomfort during bowel movements.

Anal Fissure

Anal fissures can occur due to various factors, including:

  • Constipation: Passing hard and large stools can put a strain on the anal canal, leading to the development of fissures.
  • Diarrhea: Frequent episodes of loose or watery stools can irritate the lining of the anus and make it more prone to fissures.
  • Anal Trauma: Injury to the anal area, such as from vigorous wiping, insertion of foreign objects, or anal intercourse, can cause fissures.
  • Muscle Spasms: Involuntary spasms or tightness of the internal anal sphincter muscle can contribute to the development or persistence of fissures.

Laser Fissure Surgery Procedure

» Evaluation: Before the surgery, your doctor will evaluate your condition by conducting a physical examination and reviewing your medical history. This evaluation helps confirm the presence and severity of the anal fissure and ensures that laser fissure surgery is a suitable treatment option for you.

» Anesthesia: Laser fissure surgery can be performed under local anesthesia, regional anesthesia (such as spinal or epidural anesthesia), or general anesthesia. The choice of anesthesia depends on factors such as patient preference, the extent of the procedure, and the surgeon’s recommendation.

»  Procedure: During the surgery, a laser fiber is inserted into the anal canal. The laser energy is then delivered through the fiber, targeting the affected tissue. The laser energy effectively removes the damaged tissue, promotes healing, and helps relax the anal sphincter muscle. This relaxation of the muscle can relieve the tension and spasms that contribute to pain and difficulty in healing.

»  Recovery: Laser fissure surgery is typically performed on an outpatient basis, allowing you to go home on the same day. The recovery period is usually shorter compared to traditional fissure surgery methods. You may experience mild discomfort, pain, or swelling in the treated area, but these symptoms are generally manageable and tend to improve within a few days to a week. Your doctor may prescribe pain medications, stool softeners, and provide instructions on wound care and hygiene.

» Follow-up care: It is important to follow your doctor’s post-operative instructions to ensure proper healing and reduce the risk of complications or recurrence. This may include keeping the area clean, taking prescribed medications, using sitz baths, avoiding straining during bowel movements, and following a high-fiber diet. Your doctor will schedule follow-up appointments to monitor your healing progress, assess the effectiveness of the procedure, and address any concerns or complications that may arise.

Treatment for Anal fissures

Dietary Changes

Increasing fiber intake and consuming an adequate amount of fluids can help soften stools and prevent constipation.


Your healthcare provider may prescribe medications to relax the internal anal sphincter muscle and promote healing.

Botulinum Toxin Injection

In some cases, injecting botulinum toxin into the internal anal sphincter muscle can help relax the muscle and promote healing.


Surgical procedures, such as a lateral internal sphincterotomy or laser fissure surgery, may be recommended for chronic or persistent fissures that do not respond to other treatments.

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