Laser Sphincterotomy for Fissure
Laser-assisted relaxation of the internal anal sphincter for chronic fissure — precise, minimally invasive, with rapid healing.
Watch & Learn
What is Anal Fissure? — Causes, Symptoms & Treatment
About This Treatment
Laser sphincterotomy uses a focused laser beam to precisely divide a portion of the internal anal sphincter (the involuntary muscle that is in spasm in chronic fissures). By relieving the spasm, blood flow to the fissure is restored and healing can take place.
Compared to conventional lateral internal sphincterotomy (LIS), laser sphincterotomy offers better precision — the surgeon can control the depth of sphincter division more accurately, reducing the risk of over-cutting. The laser also seals blood vessels as it cuts, resulting in minimal bleeding and faster wound healing.
The procedure takes 10–15 minutes under local anesthesia and is done as a day-care procedure.
Key Benefits
Superior Precision
Laser allows controlled, precise sphincter division — less risk of over-cutting than conventional knife.
Minimal Bleeding
Laser seals vessels as it cuts — essentially bloodless procedure with clean wound edges.
Fast Healing
Laser wounds heal faster than knife incisions. Return to work in 2–4 days.
Why Choose This Treatment?
| Feature | This Treatment | Traditional |
|---|---|---|
| Precision | checkHigh (controlled depth) | Moderate (knife) |
| Bleeding | checkMinimal | Some intraoperative bleeding |
| Healing Time | check1–2 Weeks | 2–4 Weeks |
| Pain Level | checkMild (1–2 days) | Moderate (1 week) |
Before Treatment
- 01
Confirm chronic fissure (>6–8 weeks duration) not responding to medical management.
- 02
Anal manometry may be done to measure sphincter pressure.
- 03
Basic blood tests and fasting for 4 hours before the procedure.
After Treatment
- 01
Sitz baths 3 times daily for the first 2 weeks.
- 02
High-fiber diet and stool softeners for 4 weeks.
- 03
Mild analgesics as needed for the first 2–3 days.
- 04
Avoid spicy food and alcohol for 2 weeks post-procedure.
Frequently Asked Questions
Precise Laser Relief for Chronic Fissure
Chronic fissures need more than creams. Our laser sphincterotomy provides lasting relief with the precision of laser technology.