Fissure Treatment
Best Fissure Treatment Center in Pune: Kaizen Gastro Care
Our team is led by Dr. Samrat Jankar. He is a trusted Fissure Specialist in Pune. He is known for painless and effective fissure treatment. He has over 17+ years of experience. He has done more than 5,000+ successful colorectal surgeries. Dr. Samrat Jankar was awarded Best Doctor in Pune (2025) by Outlook Magazine. He also won a Gold Medal Fellowship from ACRSI (Association of Colon & Rectal Surgeons of India). In 2021, he won First Prize at FISTULACON, an international ACRSI summit, for his surgical video. He has trained under well-known colorectal surgeons. This gave him global exposure in advanced surgery techniques.
At Kaizen Gastro Care, we use modern equipment for correct diagnosis. This includes anoscopy, proctoscopy, and colonoscopy. We follow a day care surgery model. So most patients go home the same day, with very little downtime. Every treatment plan is made just for you. We do proper checks before treatment, and follow-up care after. This keeps your recovery smooth and comfortable.
What is an Anal Fissure?
An anal fissure is a small tear in the lining of the anal canal. This tear usually happens when hard stool stretches the anal skin beyond its limit. The area has many nerve endings. So even a small tear can cause sharp, burning pain. Many patients also notice bright red blood on toilet paper or in the stool.
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.
- 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.
- 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?
Choosing the right doctor for anal fissure treatment is very important. Dr. Samrat Jankar is one of the best colorectal surgeons in Pune. He is trusted by thousands of patients for his skill, precision, and gentle patient care.
Here is why many people prefer him for fissure treatment in Pune:
- Well qualified education – MBBS from Grant Medical College and Sir JJ Hospital, Mumbai (2007), MS in General Surgery from Maharashtra University of Health Sciences, Nashik (2012), and DNB in Surgical Gastroenterology from the National Board of Examination (2017).
- 17+ years of surgical experience – He has been treating patients with anal fissure, piles, fistula, and other colorectal problems for over 17 years.
- Skilled Laparoscopic Surgeon in Pune – Trained in advanced laparoscopic and minimally invasive surgery techniques, giving patients safer and faster recovery.
- Expert in laser fissure treatment – He offers modern laser fissure surgery and LIS surgery, meaning less pain, less bleeding, and quicker healing.
- International training – Dr. Samrat Jankar has trained under renowned colorectal surgeons and gained global exposure in advanced surgical techniques for complex anorectal conditions.
- International faculty member – He has been invited as international faculty and has spoken on colorectal conditions at conferences in India and abroad.
- International award-winning surgeon – He won First Prize at FISTULACON (2021), an international ACRSI summit, for his surgical video presentation on the LASER LIFT procedure. He also holds a Gold Medal Fellowship from ACRSI.
- National recognition – He was named Best Doctor in Pune (2025) by Outlook Magazine’s healthcare survey.
- Strong academic record – He has presented research papers at national conferences and holds a Fellowship in Minimal Access Surgery (FMAS) from AMASI.
- Trusted fissure doctor in Pune – Patients know him for accurate diagnosis, modern treatment, and long-lasting results.
- Patient-friendly care – He takes time to explain your condition and treatment options clearly, and makes sure you feel comfortable and informed before and after treatment.
As a leading Fissure Specialist in Pune, Dr. Samrat Jankar gives treatment that is customised for each patient’s needs, not a one-size-fits-all approach. His aim is simple — safe, painless, and effective treatment, so you can get back to normal life quickly and confidently.
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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Kaizen Gastro Care offers state-of-the-art facilities to help patients get fissure, fistula & piles treatment through modern non-invasive laser technology. We offer both surgical and non-surgical treatment to patients who are seeking anorectal disease treatment in Pune, India. For more information about our comprehensive treatment options, or to request an appointment with the best gastro care clinic in Pune. Call us at 9763635252 or Book an online Appointment: Book Now!
Frequently Asked Questions (FAQ):
In Pune, you can get consulted by the best fissure specialist doctor at Kaizen Gastro Care. Dr. Samrat Sankar is well-trained and can provide the safest surgical treatment for curing your anal fissure at an affordable cost.
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.