Pain, bleeding, or discharge around the anus are symptoms many people feel embarrassed to mention, yet they can signal two common colorectal conditions: anal fissure and anal fistula. Although their names sound alike, the problems differ in origin, severity, and treatment. Recognising the distinction helps you seek timely, effective care and avoid long‑term discomfort.
What is an Anal Fissure?
An anal fissure is a tiny tear in the delicate lining of the anal canal. It usually develops after passing hard stools, during chronic constipation, or after childbirth. The cut exposes nerve endings, causing sharp pain during and after bowel movements. Bright‑red streaks of blood on toilet paper, a burning sensation, and muscle spasm are typical signs. While most acute fissures heal with fibre‑rich diet, hydration, stool‑softeners, and medicated ointments, roughly 10 % become “chronic” and need surgery.
What is an Anal Fistula?
An anal fistula is an abnormal tunnel connecting the inside of the anal canal to the skin near the anus. It almost always follows an untreated anal abscess, when infection tunnels outward instead of settling. Patients notice recurrent boils, swelling, foul‑smelling discharge, and throbbing pain that worsens when sitting. Because a fistula is lined by inflamed tissue, it rarely heals on its own; surgical closure is essential.
Diagnosis at Chetna Hospital
Our general and laparoscopic surgeons begin with a gentle examination and may recommend anoscopy or high‑resolution ultrasound to map the tract. For complex or branching fistulas, an MRI fistulogram provides a precise roadmap, allowing the surgeon to remove or seal every branch and minimise recurrence.
Surgical Solutions for Lasting Relief
For Persistent Fissure
- Lateral Internal Sphincterotomy (LIS) – the gold‑standard procedure. A small cut in the tight sphincter muscle improves blood flow and allows the fissure to heal. Out‑patient surgery, >95 % success.
- Botulinum Toxin Injection – a five‑minute day‑care option that temporarily relaxes the sphincter when surgery must be deferred.
For Anal Fistula
- Fistulotomy/Fistulectomy – opening or excising the tract so it heals from the inside out.
- Seton Placement – a medicated thread left in situ for complex, high fistulas, gradually cutting through tissue while draining infection.
- Laser‑Assisted Closure (FiLaC) or Video‑Assisted Anal Fistula Treatment (VAAFT) – minimally invasive techniques that seal the tunnel internally with minimal cuts, lowering pain and downtime.
Most procedures are performed under short anaesthesia, and many patients walk home the same day.
Why Choose Chetna Hospital, Chinchwad?
- Experienced Surgeons – NABH‑pre‑accredited team skilled in open, laparoscopic, and laser surgery.
- Advanced Technology – cutting‑edge laser units and modular, infection‑controlled theatres.
- Patient‑Centric Care – personalised diet plans, colorectal nursing, and physiotherapy accelerate recovery.
- Quick Return to Routine – many patients resume desk work within a week.
For Consultation Contact us on 8390861787 / 9158681123
Website – www.chetnahospital.co.in
Address – Chetna Hospital, Sambhajinagar, MIDC, G Block, Near Rotary Club, Chinchwad 411019
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