Information
What is anal fissure?
Anal fissure is tear or ulcer of the lower part of anal canal. It is similar to mouth cleft, which everyone has had. Anal fissure may be acute or chronic one. Acute fissure is resulting from passage through the anal canal of big and hard stools (constipation), in explosive diarrhea, traumas in the anal region, anal sex and after childbirth. Often repeated tears lead to development of chronic anal fissure.
It may appear at any age, but most often in women between 30 and 50 years of age.
What are the complaints of anal fissure?
The leading complaint is acute causalgia, pulsating or dull pain in anus, usually after defecation. The pain lasts from several minutes to several hours. Bleeding is in 80% of the patients. It is minimum one and is noticed on the toilet paper. Excretion of mucus may appear in chronic fissures due to the chronic inflammation.
How are diagnosed anal fissures?
It is diagnosed by clinical examination, which does not cause pain.
How are treated anal fissures?
In acute fissures (up to 4 - 6 weeks) the treatment is started non-operatively. Chronic fissures with complaints of more than 6 weeks are slightly affected by non-operative methods. Their operative treatment leads to healing of 95% of the patients. It is carried out by local anesthesia and is painless. Recovery is within a week.
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