Fissures

Fissures

Fissures are small tears in the skin or mucous membrane of the anus.These fissures can be painful and cause discomfort during or after bowel movements. Fissures occur mostly in children and middle age, but can also occur at any other age.

How do anal fissures occur?

How fissures occur is not always clear. It is thought to be due to too much tension on the anus and when this is stretched, a fissure develops. With the next, somewhat harder stool, the fissure then tears open again and so the fissure remains.

Treatment of anal fissures

Treatment of fissures is usually straightforward. This makes this condition easy to treat. There are several possible treatments for fissures:

• a cream that relaxes the cramped muscles and improves circulation. This is to be used for 6 to 12 weeks.
• Botulinum injections, which produce a temporary relaxation of the cramped muscle.
• Small, targeted incision in the mucous membrane, and part of the muscle.This widens the sphincter muscle a little, allowing the stool to pass a little and preventing the fissure from tearing open again. This operation could be done either under local anaesthetic or full anaesthetic, depending on your situation.

The effect of the treatments is usually very strong. One often has a lot less or no pain at all.

Make an appointment to treat fissures

Are you suffering from fissures? Feel free to contact our proctology department and make an appointment. Many people stay around with complaints around the anus for a long time, when there is no need.

More information on fissures

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Frequently Asked Questions about Anal Fissures

How long does it take for an anal fissure to heal?

An anal fissure usually heals within a few weeks. Because the tear can reopen during bowel movements, recovery may sometimes take longer. If the fissure does not heal on its own, treatment may be recommended.

What can be done to treat an anal fissure?

An anal fissure may heal naturally, especially if bowel movements remain soft. Treatment options can include relaxing creams, botulinum toxin injections, or a minor surgical procedure.

What are the symptoms of an anal fissure?

Common symptoms include sharp pain during or after bowel movements, a burning sensation, and sometimes light rectal bleeding. Symptoms may return if the tear reopens.

Is an anal fissure dangerous?

An anal fissure is usually not dangerous, but it can be very painful. If symptoms persist or keep returning, it is advisable to consult a doctor.

What if my anal fissure does not heal?

If the fissure does not heal on its own, treatment by a proctologist may help. Together, we will look for the most suitable treatment to relieve pain and discomfort.

When should I contact a doctor?

You should contact a doctor if you experience ongoing pain, rectal bleeding, or symptoms that do not improve. Most anal fissures can be treated effectively.