Laser Anal Fissure Treatment in Dhaka

Q: How can I treat anal fissures at home?

You can treat anal fissures to some extent with the help of the following: Taking regular sitz bath to help relax the anal muscle and help irritation Over-the-counter stool softeners Drinking adequate amounts of water and improving digestion Eating more fiber in your diet and taking fiber supplements.

Q: Which is the best ointments/Cream For anal fissures?

You can treat acute fissures with ointments that contain nitroglycerin like Rectiv, which helps increase blood flow to the fissure and promote healing. Additionally, you can use topical anesthetics like lidocaine for pain relief.

Q: When should I consult a doctor for anal fissure treatment?

If you notice an anal fissure, scheduling a doctor’s appointment is crucial as untreated fissures could become a chronic condition. Moreover, recurring anal fissures can point toward a more significant issue.

Q: What is the best treatment For anal fissures?

The treatment for anal fissures depends on their type. For example, medications can treat an acute anal fissure; however, chronic fissures are better treated with surgical intervention like laser fissure surgery.

Q: What are the risks of anal fissure surgery?

For the most part, anal fissure surgeries are successful, and the patient is satisfied. However, like any other surgery, there could be potential complications during the surgical process. Some of the complications and contradictions that can occur can include: Bleeding: Although very rare to occur, there is a possibility of hemorrhage or bleeding during the surgery of an anal fissure. Incontinence: Several patients report suffering from temporary incontinence immediately after the surgery. The problem is not likely to remain for more than 2-3 weeks and can remain until the patient recovers completely. Perianal abscess: Though the complication is not very common, some people have suffered from an abscess and also developed an anal fistula after the surgery of an anal fissure. Tear extending to the surrounding muscle: Damage to the anal sphincter or surrounding muscle or nerves can be due to direct thermal or mechanical trauma, and some infections develop later.

Q: What is Anal Fissure?

Anal fissure is a small cut or tear in the lining of the anus, usually caused by hard stool, chronic constipation, or excessive straining during bowel movements. It often causes severe pain and fresh bleeding during defecation.

Q: Symptoms of Anal Fissure

Severe pain during or after bowel movement Bright red bleeding with stool Burning or itching around anus Pain while sitting (chronic cases)

Q: Causes of Anal Fissure

Chronic constipation Hard or large stool Low‑fiber diet Inadequate water intake Prolonged straining in toilet

Q: Can Anal Fissure Be Treated Without Surgery?

In early stages, anal fissure may improve with medicines, stool softeners, and lifestyle changes. However, chronic anal fissure usually requires surgical intervention for permanent relief.

Q: Anal Fissure Laser Treatment at Primitive Health Care

Primitive Health Care offers modern laser surgery for anal fissure, which is safer and more effective than traditional open surgery. Benefits of Laser Treatment No cuts or stitches Minimal pain and bleeding Quick procedure (20–30 minutes) Same‑day discharge (Day Care) Faster recovery Low recurrence rate

Free Consultation

Free Cab Facility

No-Cost EMI

Support in Insurance Claim

1-day Hospitalization

USFDA-Approved Procedure

Your surgeon for Anal Fissure

Every procedure is carried out by a consultant-level surgeon.

Prof. Dr ASM Zahidur Rahman

Former Professor & Head of the Department of Surgery at Shaheed Mansoor Ali Medical College and Hospital, Dhaka

25 years experience

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Prof.Dr. Abu Sayeed Mohammad Mahmudur Rahaman

Professor of Surgery (Retd.) Shahabuddin Medical College & Hospital (Ex.) Senior Consultant, General & Laparoscopic Surgeon United Hospital

45 years experience

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Prof. Dr. M. Fardil Hossain Faisal

Professor & Head, Department of Surgery Shaheed Monsur Ali Medical College & Hospital

25 years experience

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Brig. Gen. Prof. Dr. MD Tanvirul Islam

Former Professor and Head of the Department of Surgery, Combined Military Hospital (CMH), Dhaka

32 years experience

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Prof. Dr. Ashok Kumar

Professor, Department of Surgery Enam Medical College & Hospital

17 years experience

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What is Anal Fissure?

An anal fissure is a small tear in the lining of the anal canal. It usually happens when hard stool passes, and it causes sharp pain and a little fresh red blood when you go to the toilet.

It is why the problem keeps coming back - the pain makes the muscle around the back passage tighten, the tight muscle stops the tear closing, and the tear hurts again the next time. Left alone it can become chronic.

An examination, and sometimes an anoscopy, is used to confirm the tear and check that nothing else is causing your symptoms. Many fissures settle with medicine, sitz baths and stool softeners, but a tear that has been there for more than six to eight weeks often needs surgery.

At Primitive Health Care the usual treatment is laser fissure surgery. The tight internal sphincter is released with the laser and the tear is refreshed, so there is no cut on the skin and, in most cases, no stitches. Most patients go home the same day.

Illustration only. Your surgeon will explain your own findings.

Anal Fissure treatment at a glance

The essentials, before you read any further.

Condition	Anal Fissure
Procedure	Laser fissure repair with sphincterotomy
Duration	20 to 30 minutes
Performed by	General / Laparoscopic Surgeon
Anaesthesia	Local, spinal or general
Hospital stay	Same day discharge in most cases
Back to routine	1 to 3 days

Are you experiencing any of these?

If two or more of these sound familiar, it is worth speaking to a surgeon.

Severe pain during or after bowel movement
Fresh, bright red bleeding with stool
Burning or itching around the anus
A small lump or skin tag near the anus
Pain when passing hard stool
A tear that keeps coming back

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No cost for the first consultation and no obligation to book anything.

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Laser treatment compared with open surgery

Both are real options. This is how they differ in practice.

	Open surgery	Laser surgery
Cuts and incisions	A small external cut is required	No cuts, laser fibre only
Stitches	Usually needed	Usually none
Pain afterwards	Significant, needs strong painkillers	Mild, controlled with routine medication
Bleeding	More	Minimal
Hospital stay	One to two days	Same day discharge in most cases
Return to work	One to two weeks	One to three days
Risk of wound infection	Higher, open wound	Low

Laser treatment is not right for every patient or every grade of the condition. Your surgeon will tell you honestly if open surgery is the better choice for you.

Why patients choose laser treatment

What actually changes for you, day to day.

No cuts or stitches

The laser is applied inside the canal, so there is no open wound left behind to heal.

Same-day discharge

Most patients go home within a few hours of the procedure rather than staying overnight.

Back to work in days

Normal routine usually resumes within one to three days instead of one to two weeks.

Less bleeding

The laser seals the area as it works, so blood loss during the procedure is minimal.

Lower infection risk

With no open wound, the chance of a wound infection is much lower than with open surgery.

Senior surgeons

Every procedure is performed by a professor-level general or laparoscopic surgeon.

What happens on the day

Step by step, so there are no surprises.

Consultation and diagnosis
20 to 30 minutes
- You meet the surgeon and describe your symptoms
- An examination is done to confirm the tear and rule out other causes
- The surgeon explains whether laser treatment is suitable for you
Admission and preparation
1 to 2 hours
- Registration at the hospital on the day of the procedure
- Blood pressure, pulse and routine blood tests are checked
- Consent is signed and an IV line is started
Anaesthesia
5 to 10 minutes
- Local, spinal or general anaesthesia depending on the case
- You stay pain-free throughout the procedure
The laser procedure
20 to 30 minutes
- The ragged edges of the tear are freshened so it can heal
- The tight internal sphincter is released with the laser
- No cut on the skin and, in most cases, no stitches
- The area heals over the following weeks
Recovery and observation
1 to 2 hours
- You rest in the recovery area while the anaesthesia wears off
- Nurses check your vitals and you start taking fluids
Discharge and follow-up
Same day
- Most patients go home the same day
- Painkillers, sitz bath and stool softener advice are given
- A follow-up visit is arranged and hygiene advice is given

What will it cost?

The cost depends on whether the fissure is acute or chronic, the hospital you choose and the operating surgeon. Send your details and a care coordinator will call you with an exact figure. There is no obligation to book.

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Frequently Asked Questions

More about Anal Fissure

FAQs

How to treat anal fissure? ➕

Non-Surgical Anal Fissure Treatment Topical Nitroglycerin When used topically, nitroglycerin helps in healing by increasing the blood flow to the fissure. It functions by causing the sphincter muscle to relax, which eventually helps the tear heal. This ointment works well to treat anal fissures that cause moderate to severe pain. Calcium Channel Blockers The doctors recommend calcium channel blockers, which also relax the blood vessels in the anal muscles, if topical nitroglycerin doesn’t work. Botox Injections Botox injections are considered the last resort, before considering surgical procedures, if neither of the aforementioned medications is effective. Botox is a muscle relaxant that works for about three months, giving the fissure enough time to heal without the sphincter muscle spasms. Surgical Anal Fissure Treatment Internal Sphincterotomy Lateral (Laser/Open) Surgery becomes the only choice if the anal fissure recurs after a while or does not go away with medicines. This procedure involves making a tiny lateral incision in the internal anal sphincter, which is called a lateral internal sphincterotomy. After locating the muscle with an anoscope, a laser or scalpel is utilised to cut it. The process is carried out while under anaesthesia. Cutting the muscle gives the fissure enough time to heal by releasing excess stress. It is usually done as an outpatient surgery and takes around half an hour to finish. Stages of Fissure Healing Stage 1: Acute Fissure It is the first step of fissure healing. The surrounding tissue may be painful and inflammatory during this time since the tear is still fresh. Bright red blood on the stool or toilet paper, severe pain during bowel movements, and discomfort that may last all day are the usual symptoms at this stage. In order to confirm the diagnosis and begin with the proper treatment, it is essential to seek medical attention at this phase. Stage 2: Inflammation and Scab Formation The body begins the healing process as the acute phase progresses. A scab or a tiny clot may form to shield the wound when inflammation surrounding the fissure starts to lessen. As a natural barrier, the scab promotes healing and prevents further damage. People may feel less pain and discomfort at this stage, but to support the healing process, it is important to stick to the recommended treatment regimen. Stage 3: Granulation Tissue Formation New tissue starts to form during the granulation tissue production phase, which is the next stage of fissure healing. Granulation tissue, which is made up of connective tissue and microscopic blood vessels, indicates that the body is actively repairing the fissure. Gradually, the scab disappears throughout this phase, enabling the development of healthy tissue. Even while soreness could still exist, it usually goes away as the healing process advances. Stage 4: Epithelialization and Maturation Epithelialization and maturation take place during the last phase of fissure healing. A new layer of skin is created as epithelial cells move to cover the wound. Reinjury is less likely as the tissue grows more robust and durable. People may feel little to no pain or discomfort at this point. To avoid recurrence, it is crucial to maintain healthy bowel habits and proper anal hygiene.

How can I treat anal fissures at home? ➕

Which is the best ointments/Cream For anal fissures? ➕

When should I consult a doctor for anal fissure treatment? ➕

What is the best treatment For anal fissures? ➕

What are the risks of anal fissure surgery? ➕

What is Anal Fissure? ➕

Symptoms of Anal Fissure ➕

Causes of Anal Fissure ➕

Can Anal Fissure Be Treated Without Surgery? ➕

Anal Fissure Laser Treatment at Primitive Health Care ➕

Recovery After Laser Surgery ➕

Anal Fissure Surgery Package Includes ➕

Why Choose Primitive Health Care? ➕

When Should You See a Doctor? ➕

Book Anal Fissure Consultation ➕

Pain-Free Anal Fissure Treatment – Laser Surgery at Primitive Health Care