Laser Fissure Treatment

Laser fissure treatment and the controlled relaxation of the hypertonic internal sphincter offer a lower risk to continence (the ability to hold gas/fluid) than conventional lateral internal sphincterotomy.

• Chronic fissure patients with complaints of severe pain after bowel movements and fresh bleeding
• Cases that do not heal with medical treatment (cream, baths, fiber)
• Individuals who have experienced recurrence after conventional surgery
• Patients who want to minimize the risk of loss of continence

1. 1

   Pre-Assessment & Diagnosis

   The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.

2. 2

   Planning & Preparation

   An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.

3. 3

   Procedure / Operation

   The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.

4. 4

   Follow-up & Monitoring

   Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.

There may be mild discomfort on the first day after the procedure; most patients return to work within 1–3 days.