Why fissurectomy is done
Chronic fissure edges may become fibrotic and less likely to heal with ointment alone.
Remove unhealthy edges
Refresh healing surface
Assess sentinel tag
Fissure Treatment
Laser Fissurectomy
Laser fissurectomy may be used to treat selected chronic fissures by removing unhealthy tissue and supporting healing. It is chosen after assessing spasm, chronic changes and prior treatment response.
Treatment Pathway
1
Why fissurectomy is done
Remove unhealthy edges
2
How laser fits
Chronic fissure findings
3
Recovery focus
Soft stool
Key Treatment Points
Laser fissurectomy may be used to treat selected chronic fissures by removing unhealthy tissue and supporting healing. It is chosen after assessing spasm, chronic changes and prior treatment response.
How laser fits
Laser energy may reduce cutting and bleeding in selected cases, but suitability is individual.
Chronic fissure findings
Spasm assessment
Procedure counselling
Recovery focus
Healing depends on preventing hard stool and controlling pain while tissue repairs.
Soft stool
Warm sitz baths if advised
Review if bleeding or pain worsens
Related Reading
Explore Related Topics
Continue learning about anal fissure — each linked topic adds important clinical context to help you prepare for your consultation.
FAQ
Frequently Asked Questions
Is laser fissurectomy the same as LIS?
No. LIS relaxes sphincter muscle; fissurectomy treats the fissure tissue. The surgeon may discuss one or both concepts.
Will laser cure every fissure?
No. Outcome depends on chronicity, spasm, bowel habits and healing response.
Is recovery painful?
Some soreness is expected. Pain control and stool care are part of the plan.
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Care Notes
Usually for chronic cases
Stool care remains essential
May be combined with other measures
Medical references used for this guide
This page is educational and does not replace a clinician's examination. References reviewed include ASCRS anal fissure expanded information, Mayo Clinic anal fissure symptoms and causes, and Cleveland Clinic anal fissure guide.