Anal Fissures are tears or cracks in your anus. They are often confused with piles. Both fissures and piles often result from passing hard stool. Anal fissure can be fixed using surgical operation called as a fissurectomy.
When the mucosa of your anus stretches beyond its normal capacity, it results into a fissure. Constipation can be one of the reason behind it. Once a tear is developed, it leads to repetitive injuries around that area. The internal sphincter muscle beneath the tear causes spasm. This leads to severe pain. Spasm pulls the edge of your fissure making it difficult to heal by itself. When you have a bowel movement, the spasm can further tear up your mucosa. This cycle goes on each time you pass stool, leading to chronic anal fissure. Around 40% of the patients undergo such problems due to anal fissure.
Symptoms showing that you have developed anal fissure include:
Based on your symptoms, your physician can conduct a rectal examination to study and confirm about the fissure. Diagnosis can also include carrying out stool test to see if there is presence of blood in it.
Acute Anal Fissure heals within 6 weeks if subjected to proper treatments. Sometimes, doctor will first deal with your constipation issue and then start with fixing the fissure problem. Anal fissure that lasts more then six weeks is considered as chronic. If treatments do not work in these six weeks, surgical methods are used to fix the fissure.
In Fissurectomy Surgery, surgeons remove the extra skin tags around the anal fissure and then suture the wound or tear by stitching it up with an absorbable strand material. After the surgery, patients are asked to take follow ups to know about the recovery status.