Presenting as an open sore or tear in the lining of the anal canal, and resulting in pain, bleeding and other uncomfortable symptoms, anal fissures can be caused by many different digestive problems or physical symptoms.

What is an anal fissure?

An anal fissure is a tear in the anal canal, often caused by straining to defecate due to constipation. Signs of a tear include a stinging or burning pain, and the appearance of a small amount of blood. Some people are more susceptible to anal fissures than others. Those with chronic bowel conditions, pregnant women, and people with tight sphincter muscles all have an increased risk of a fissure developing.

Many fissures will heal on their own, especially if the cause is temporary. Topical treatments are available to numb the area and relieve pain while the fissure repairs itself. However, some tears are more serious and the effects can last for a long time. The fissures might also reoccur often, or fail to heal properly and reopen. This is when surgery could be the best option.

Treatment for anal fissures in London

Anal surgery can treat anal fissures that have not mended with time and/or topical treatment. Chronic anal fissures are those which have not healed for six weeks or more. Recurring fissures might also benefit from surgical treatment. Mr Alastair Windsor can advise you further after your initial examination.

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As a specialist in digestive surgery and treatments, Mr Alastair Windsor can offer a variety of different choice to match the needs of each patient, including:

Anal Botox

One option available is the injection of botulinum toxin (Botox) into the anal canal. The popular sub-dermal filler has a host of medical applications, including the treatment of anal tears and fissures. It tightens and paralyses the tissue in the sphincter muscle so that there is a reduction is spasming and subsequent pain. The treatment gives the fissure chance to heal naturally. Though slightly uncomfortable, it is a relatively simple non-surgical procedure, and recovery will be fairly quick.

Anal Sphincterotomy

The surgical method is the anal sphincterotomy. Under general anaesthetic, the tissue in the anus is cut to release tension in the anus, which can reduce the frequency and severity of future tears. Though the surgery is not without risks, most patients attend on a day admission basis and recover within a few weeks.

Mr Alastair Windsor is a leading colorectal specialist, working from the London Digestive Centre in the capital’s medical district. The respected private anal fissure surgeon and his team have support from the renowned Princess Grace Hospital, direct access to intensive care, and the full support of our clinical nursing team.

From your initial assessment to your operation and follow-up treatment, you are in safe hands at every step of the way. We aim to deliver the very highest standards of care at all times. Don’t let an anal fissure get in the way of you living your life. Get relief from the pain with anal surgery by a trusted London specialist. Book an appointment today.