Anal fissure is one of the commonest causes of painful defecation. Most heal with conservative measures.
What is it?
A small tear in the lining of the anal canal causing severe pain on passing stool and sometimes bright red bleeding.
Conservative treatment
High-fibre diet, plenty of water, warm sitz baths, topical glyceryl trinitrate or diltiazem ointment for 6–8 weeks.
When surgery is needed
Chronic fissure resistant to medical therapy.
Surgical options
Lateral internal sphincterotomy (gold standard) or botulinum toxin injection. Day-care procedures with excellent outcome.
Prevention of recurrence
Maintain fibre and fluid intake; avoid straining.
Frequently Asked Questions
Most heal in 4–6 weeks with conservative measures.
Yes — gold-standard procedure with low complication rate.
Recurrence is uncommon with sphincterotomy and dietary maintenance.
It helps healing but may need repeating.
Anal fissure surgery cost in Dubai depends on whether botox or lateral internal sphincterotomy is chosen, day-care vs overnight admission and hospital category. Most medically indicated procedures are covered by UAE insurance with pre-authorisation. A written personalised estimate is provided at consultation; cost varies by plan.
the right surgeon for you is one with dedicated proctology experience, clear conservative-first approach and comfort with both botox and sphincterotomy. Dr. Vanesha Varik (MBBS, MS, FIAGES, MRCPS[Glasg]) runs a proctology clinic at Medcare Al Safa covering fissure, fistula, piles, pilonidal sinus and anal polyps.
Yes — anal polyps, skin tags and other proctology conditions are assessed and treated in the same day-care setting. Small lesions are excised under local anaesthesia; larger or suspicious lesions are biopsied and sent for histology.
The full proctology list covered by this practice includes anal fissure (botox and sphincterotomy), fistula-in-ano (VAAFT, LIFT, laser), haemorrhoids (laser and stapled), pilonidal sinus (EPSiT and excision), anal abscess drainage and minor anorectal procedures — all at Medcare Al Safa, Dubai.
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