Is surgery necessary for chronic anal fissure?
Disease description:
I have been suffering from anal fissures for a long time. The recurring fissures have developed into chronic anal fissures, causing pain and rectal bleeding. I would like to know whether surgery is necessary.
Doctor's answer (1)
Dr. Li Jingxiang
Chronic anal fissure refers to a condition where anal fissures recur frequently and the cracks are difficult to heal on their own, usually accompanied by symptoms such as rectal bleeding and pain, affecting the patient's daily life. When conservative treatments are ineffective, especially when anal fissures recur repeatedly and significantly impair quality of life, surgical treatment becomes a necessary option.
If a patient experiences only brief episodes of spasmodic anal pain after defecation, non-surgical treatment may be considered. This includes modifying dietary habits, increasing dietary fiber and fluid intake, and maintaining regular bowel movements. If conservative treatments have already been tried without success, surgical intervention should be considered. Surgical risks are relatively low, the recovery period is short, and it can effectively relieve pain and bleeding symptoms, thereby improving the patient's quality of life.
