Fissure Treatment in Pune
Best Fissure Treatment Center in Pune: Kaizen Gastro Care
Anal fissure is a very common problem. But most people feel shy to talk about it. Because of this hesitation, many patients delay their treatment for months. Over time, a simple tear can turn into a painful, long-lasting problem.
At Kaizen Gastro Care, we understand this hesitation completely. Our team treats every patient with respect, privacy and care. We offer complete fissure treatment in Pune, from the first consultation to full recovery, under the direct care of our Colorectal Surgeon in Pune and trusted Fissure Specialist in Pune, Dr. Samrat Jankar, who brings 17+ years of dedicated surgical experience to every case.
Dr. Samrat Jankar clinical work has been recognised at a national level, including the Best Doctor in Pune (2025) award by Outlook Magazine, the Gold Medal Fellowship from the Association of Colon & Rectal Surgeons of India (ACRSI), First Prize at FISTULACON (2021) for his LASER LIFT procedure, and the Best Video Award (2019) at AMASICON. He is also the developer of the PILTEC technique for complex fistula care, reflecting the depth of expertise behind every fissure treatment plan we offer.
Our medical gastroenterology side is headed by Dr. Vikrant Kale, who trained internationally with the Royal College of Physicians of Ireland (MRCPI) and holds Fellowships in Upper & Lower GI Endoscopy and Inflammatory Bowel Disease from Oxford University, UK. His research has been published in respected journals such as Digestive Endoscopy, further reflecting the clinical depth and evidence-based approach behind our patient care.
Whether you have a fresh, acute fissure or an old chronic anal fissure with a skin tag, our specialists have the right solution for you. We use modern, minimally invasive methods that give fast relief with very little discomfort.
If you are noticing bleeding while passing stool, sharp pain, or bright red blood after stool, please do not ignore these signs. Early treatment is simple. Delayed treatment is not.
What is an Anal Fissure?
An anal fissure is a small cut or tear in the skin lining of the anal canal. Doctors also call it fissure-in-ano. This anal canal tear usually happens when a person passes hard or large stool.
The tear may look tiny, but it can cause a lot of pain. This is because the anal area has many nerve endings. Even a small anal tear can make daily life uncomfortable, especially during and after using the toilet.
Many patients feel scared and confused when they first notice blood or pain. This is very normal. An anal fissure is a common condition and it is very treatable when diagnosed early.
An anal fissure may look like a minor anal tear at first. But without proper care, it can turn into a chronic anal fissure, causing repeated pain and discomfort for months.
Types of Anal Fissures
Doctors classify anal fissures based on how long they last and where they are located. This helps in planning the right treatment.
- Acute Anal Fissure – A fresh tear, usually less than 6 weeks old. The edges are soft, and it heals well with simple, non-surgical treatment.
- Chronic Anal Fissure – A fissure lasting more than 6 weeks. The edges become hard and fibrous. It often comes with a skin tag, called a sentinel pile, and usually needs advanced treatment.
- Posterior Anal Fissure – Located at the back of the anal opening. This is the most common site, because blood flow is naturally lower here, making healing slower.
- Anterior Anal Fissure – Located at the front of the anal opening. This type is less common overall, but is seen more often in women, especially after childbirth.
- Recurrent Anal Fissure – A fissure that returns after apparent healing. This often means the underlying cause, like chronic constipation or a tight anal sphincter, was not fully addressed. It needs a deeper evaluation.
What are the signs and symptoms of anal fissure?
Anal fissure symptoms are usually easy to notice. But many patients feel too shy to talk about them, and this delays diagnosis. Common signs include:
- Sharp pain during bowel movements – Often described as a cutting or tearing sensation.
- Burning sensation after bowel movement – This burning can last from a few minutes to several hours.
- Bright red blood after stool or blood on toilet paper – A classic sign of a fresh tear.
- Anal bleeding – Usually mild, but should never be ignored.
- Anal pain – Can be sharp during motion and dull afterward.
- Anal itching and irritation – Caused by ongoing inflammation and minor discharge.
- Visible tear near the anus – Sometimes seen on self-examination, though we recommend a proper check by a doctor.
- Skin tag near the anus, also called a sentinel pile – A common sign of a chronic fissure.
- Difficulty and pain while sitting – Especially on hard surfaces.
- Pain after constipation – Often the trigger event that starts or worsens the fissure.
If pain after bowel movement continues for more than a few days, please do not wait. Early consultation with a specialist makes treatment much simpler.
What are the causes of anal fissures?
Anal fissures develop when the anal skin faces more pressure or trauma than it can handle. Understanding the cause helps prevent the problem from returning after treatment.
- Chronic Constipation – This is the single biggest cause of anal fissure. Stool that stays too long in the bowel becomes hard and dry.
- Passing Hard Stools – Hard stool needs more force to pass, which stretches and tears the anal lining.
- Straining During Bowel Movements – Repeated straining puts direct pressure on the anal skin, causing small tears that may not heal properly.
- Low Fibre Diet – A diet low in fruits, vegetables, and whole grains leads to harder stools and slower bowel movements.
- Dehydration – Not drinking enough water makes stool dry and difficult to pass smoothly.
- Chronic Diarrhea – Surprisingly, frequent loose motions can also irritate and tear the delicate anal lining, especially with repeated wiping.
- Pregnancy and Childbirth – Hormonal changes during pregnancy can cause constipation. Vaginal delivery also increases pressure on the anal area, often leading to anterior fissures.
- Inflammatory Bowel Disease – Conditions like Crohn’s disease cause inflammation in the digestive tract, increasing the risk of fissures that are harder to heal.
- Anal Trauma – Any injury to the anal area, including from certain medical procedures, can lead to a tear.
- Tight Anal Sphincter – Some people naturally have a tighter internal sphincter muscle. This reduces blood flow to the area, slowing healing and increasing the risk of tears.
- Poor Bowel Habits – Delaying the urge to pass stool allows the stool to harden further inside the bowel, increasing fissure risk over time.
Diagnosis of the anal fissure at Kaizen Gastro Care:
Getting the right diagnosis is the first step towards pain-free healing. At Kaizen Gastro Care, we understand that this area is sensitive and private. We follow a careful, gentle diagnostic process, respecting your comfort at every step.
- Clinical Examination – We begin with a detailed and private discussion of your symptoms, bowel habits, diet, and medical history.
- Physical Examination – A gentle visual check of the anal area helps spot the fissure, its location, and any sentinel pile.
- Digital Rectal Examination – This is done carefully. If pain is severe, our doctors often avoid this step initially, to prevent unnecessary discomfort.
- Anoscopy – A small instrument helps view the fissure clearly inside the anal canal, confirming its exact position and depth.
- Proctoscopy – Used in select cases where a more detailed internal view is needed.
- Colonoscopy – Recommended if inflammatory bowel disease or another bowel condition is suspected, especially in recurrent or unusual cases.
- Differential Diagnosis – Since piles, fistula, and anal abscess can show similar symptoms, our doctors carefully rule these out before confirming a fissure diagnosis. This ensures you get the correct treatment from the very first visit.
Treatment of the Anal Fissure at Kaizen Gastro Care:
Dr. Samrat Jankar Fissure specialist at Kaizen Gastro Care fissures treated with medications aimed to break this cycle. About 50-60% will heal within 3-6 weeks but those which don’t will require a small operation which is almost always successful, though we try to avoid surgery if at all possible. The Treatment of fissures is classified into 2 types:
1)Non-Surgical Fissure Treatment:
Most acute fissures heal well within a few weeks with simple, non-invasive care:
- High Fibre Diet and Fibre Supplements – Softer stool reduces strain and allows the fissure to heal naturally.
- Stool Softeners – These make bowel movements smoother and less painful, giving the fissure time to close.
- Sitz Bath – Sitting in warm water for a few minutes, a few times a day, relaxes the sphincter muscle, improves blood flow, and reduces pain.
- Pain Relief Medicines – Help manage discomfort during the healing period.
- Topical Ointment – Including nitroglycerin ointment and calcium channel blocker cream, these improve blood flow to the fissure area and support faster healing.
- Botox Injection for Fissure – Used in select resistant cases. It temporarily relaxes the internal sphincter muscle, allowing the fissure to heal without surgery.
2) Surgery:
If the conservative methods can’t help relieve the fissure condition then the Kaizen fissure doctor suggests a surgical option to treat the fissure. Several different surgical techniques can be used to treat an anal fissure. These are discussed below.
- Lateral Internal Sphincterotomy: An lateral internal sphincterotomy is a type of surgery where the surgeon cut a section of the sphincter muscle. This helps to reduce the tension in the muscle, preventing further spasms of the sphincter and allowing the anal fissure to heal.
- Fissurectomy: A fistulectomy is a surgical procedure where the anal fissure is surgically removed as well as the surrounding tissue.
- Daycare Fissure Surgery – most patients are treated and discharged the same day, with very little downtime
- Advancement anal flaps: Advancement anal flaps are not usually recommended to treat primary anal fissures. Like a fistulectomy, this form of treatment does not address the underlying causes of an anal fissure.
- Laser Surgery for Fissure in Pune: Although there are various surgical methods for anal fissures, Kaizen Gastro Care prefers leveraging laser-assisted surgery to treat the disorder of anal fissures. In laser fissure treatment in Pune, the patient is given local or general anesthetic by the fissure specialist before the process. At the anal fissure location, the physician employs a laser probe to emit infrared radiation or laser beams. The high-energy laser beams encourage quick and proper healing of the fissure by increasing blood flow to the fissure area.
Why not delay Fissure treatment?
Some of the possible health complications of an anal fissure include:
- Fissures can cause tremendous pain and discomfort
- Fissures can create it difficult to pass stools, leading to chronic constipation
- If left untreated, fissures can lead to additional difficulties like anal fistula
- Anal Cancer
- Chronic Diarrhoea
- Risks of Severe Infections
There is a digit of effective treatments available for fissures, so there is no need to postpone seeking treatment.
Why Choose Kaizen Gastro Care for Fissure Treatment In Pune?
Each patient with Fissure needs an individualized approach:
- Experienced Fissure Specialist Team: Samrat Jankar is renowned as the best Fissure Specialist in Pune which is available at Kaizen Gastro Care Pune for treating various Piles, Fistula, and other anal diseases.
- Advanced diagnosis and treatment: Kaizen Gastro Care provides a full range of diagnostic tests and innovative treatments which are used for the diagnosis and management of different Piles and Anal conditions.
- Location: Kaizen Gastro Care Clinic is located at the Pune and PCMC Prime location i.e. Wakad Area. This is the central location of Pune city. The patient can easily come with all public transport.
- Leading-edge technology: Kaizen Gastro Care is equipped with leading-edge technology such as Endoscopy tests, Manometry, 24 Hr Ph Monitoring, Biopsy, and biofeedback. Also equipped with Piles Specialists and nutritionists.
- A Dedicated Center for Fissure Treatment: Kaizen Gastro Care is the First Dedicated center for fissure and different Anal Disease treatments in Pune and all over Maharashtra.
- A complete team of specialists working together for your care, including Dr. Vikrant Kale (Gastroenterologist & Hepatologist), Dr. Samrat Jankar (Colorectal & Laparoscopic Surgeon), Dr. Rupali Bandgar-Jankar (GI Motility Specialist) and Dt. Bhushan Khedkar (Gut Diet & Nutrition Specialist), ensuring every angle of your digestive health is covered
- We Manage Your Care for the Long Term: We at Kaizen Gastro Care manage Piles, Fistula, and Anal disease for the long term. Kaizen Gastro Care manages the patients for the long term, taking regular follow-ups and long-term care.
Why Choose Dr. Samrat Jankar for Fissure Specialist in Pune?
Dr. Samrat Jankar, Director and Department Head of GI Surgery at Kaizen Gastro Care, personally leads all fissure and colorectal treatments at our Wakad clinic. With more than 17 years of dedicated surgical experience, he is one of the most trusted names when it comes to a Colorectal Surgeon in Pune and Fissure Specialist in Pune.
Dr. Jankar completed his MBBS from Grant Medical College and Sir JJ Hospital, Mumbai, in 2007. He went on to complete his MS in General Surgery from Maharashtra University of Health Sciences, Nashik, in 2012, followed by a DNB in Surgical Gastroenterology from the National Board of Examination in 2017. He further sharpened his surgical skills with specialised training at GEM Hospital, Coimbatore, one of India’s leading centres for GI surgery. He also holds a Fellowship in Minimal Access Surgery (FMAS), awarded by AMASI in November 2019.
Over the years, Dr. Jankar has performed more than 3,000 laparoscopic surgeries and over 5,000 fistula-related procedures. He is well known for developing the PILTEC technique, a specialised surgical method recognised for its high success rate in complex and recurrent fistula treatment.
His clinical work and contribution to the field have earned him wide recognition:
- Best Doctor in Pune (2025) – Awarded by Outlook Magazine’s healthcare survey for his clinical dedication and expert surgical care
- Gold Medal Fellowship – Conferred by the Association of Colon & Rectal Surgeons of India (ACRSI) for topping his fellowship evaluation
- First Prize at FISTULACON (2021) – Awarded at an international ACRSI summit for the best video presentation on his LASER LIFT procedure for complex, recurring fistula-in-ano
- Best Video Award (2019) – AMASICON conference, hosted by the Association of Minimal Access Surgeons of India
- Second Best Video Presentation Award (2018) – ACRISICON, for a single-incision laparoscopic total proctocolectomy procedure
- Innovative Award Paper (2019) – Presented at the ACRISICON annual national conference
- Young Scholar Award (2018) – AMASICON, for his research on laparoscopic living donor hepatectomy experiences in India
Patients from Pimpri-Chinchwad, Wakad, Baner, Aundh and Hinjewadi trust Dr. Jankar for his precise, sphincter-preserving surgical approach, honest advice and warm, patient-first attitude. He believes in explaining every option clearly, so patients feel confident before choosing their treatment path.
Recovery After Fissure Treatment
Recovery is usually smooth and quick with proper care and guidance:
- Pain Management – Mild pain relief medicine is given for the first few days after treatment.
- Wound Care – Regular sitz baths keep the area clean, reduce swelling, and support faster healing.
- Diet After Fissure Surgery – A high fibre diet, along with plenty of water, keeps stools soft and prevents constipation and straining during recovery.
- Recovery Time – Patients undergoing laser fissure surgery often heal within a week. Those who undergo LIS surgery recover slightly slower, usually within 1 to 2 weeks.
- Follow-up Care – Regular check-ups help track healing progress and catch any issues early, before they become a bigger concern.
- Return to Work After Fissure Surgery – Most patients can resume light work within a few days after laser or LIS surgery, thanks to the minimally invasive approach.
- Preventing Recurrence – Following your doctor’s advice on diet, hydration, and healthy bowel habits greatly reduces the chance of the fissure coming back.
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Suffering from anal fissure pain, itching or bleeding? Please do not wait for it to get worse. Reach out to Kaizen Gastro Care today, and let our team guide you towards quick, comfortable relief.
📍 Shop No. 208/209, Oriana Crest Building, Datta Mandir Road, Wakad, Pune, Maharashtra 411057 📞 097636 35252 📧 kaizengastrocare@gmail.com 🕒 Mon–Sat: 08 AM to 03 PM & 04 PM to 09 PM
Frequently Asked Questions (FAQ):
Dr. Samrat Jankar, Colorectal Surgeon and Director at Kaizen Gastro Care, is a leading fissure specialist in Pune, with 17+ years of dedicated surgical experience and multiple national awards.
Dr. Samart Jankar Fissure specialist at Kaizen Gastro Care fissures treated with medications aimed to break this cycle. About 50-60% will heal within 3-6 weeks but those which don't will require a small operation which is almost always successful, though we try to avoid surgery if at all possible.
As per studies and fissure specialists' experienced, surgery is considered to be the permanent cure for anal fissures. Kaizen Expert Fissure specialist doctors usually perform a procedure called lateral internal sphincterotomy (LIS) for permanent healing of the fissure.
Laser Sphincterotomy or LASER treatment opts when a patient suffers from a chronic fissure. During the treatment process, Dr. Samrat Jankar Fissure specialist in Pune uses the laser to create an incision. This helps to relax the tight anal sphincter muscles thereby helping in the healing of the fissure.
The main cause of the fissure can be Various IBD conditions such as ulcerative colitis or Crohn's disease, and Constipation.
- Keeping the affected area clean.
- Using mild soap and warm water to clean
- Consuming fibrous food and plenty of water
- Regular exercises to avoid constipation
- Treating diarrhea or constipation immediately
Anal fissures are small tears or cuts on the skin inside the anus. Whereas, piles, also known as hemorrhoids/piles are swollen veins and surrounding tissue around the anus or anal canal.
The Average cost of Anal Fissure Treatment in Pune starts from INR 20,000 to INR 60,000. Also, the cost of the Fissure treatment depends upon the age of the patient, The severity of the fissure, the Type of surgery planned to be performed, The medical condition of the patient, and Post-surgical complications that are involved.
Anal fistula and anal fissure are two different anorectal diseases. An abnormal tunnel-like connection between the bowel and perianal skin is the anal fistula. Whereas an anal fissure is a tear or paper-like cut in the lining of the anus.
If anal fissures are left untreated, they can cause severe constipation, fecal impaction, pain in the anal area, sentinel pile, difficulty to do daily activities, and can form an anal fistula. To avoid these, you should not delay the anal fissure treatment.
Recovering to normal life after laser fissure surgery should not take more than 3 days. Most individuals can go back to work and their normal routine 1 to 2 weeks after surgery. It will assumably take about 6 weeks for your anus to completely heal. Most individuals get better without any issues.