{"id":2158,"date":"2025-09-16T14:20:45","date_gmt":"2025-09-16T14:20:45","guid":{"rendered":"https:\/\/ebruayvazoglu.com\/?page_id=2158"},"modified":"2026-03-03T09:59:54","modified_gmt":"2026-03-03T09:59:54","slug":"anal-fissure-surgery","status":"publish","type":"page","link":"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/","title":{"rendered":"Anal Fissure Surgery"},"content":{"rendered":"\n  <div class=\"banner has-hover\" id=\"banner-1698916174\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img decoding=\"async\" width=\"1020\" height=\"574\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/Anal-Fissur-Ameliyati-1400x788.jpg\" class=\"bg attachment-large size-large\" alt=\"Ankara\">                                    \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n   <div id=\"text-box-1022808551\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-1022808551 {\n  width: 60%;\n}\n#text-box-1022808551 .text-box-content {\n  font-size: 100%;\n}\n@media (min-width:550px) {\n  #text-box-1022808551 {\n    width: 60%;\n  }\n}\n<\/style>\n    <\/div>\n \n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1698916174 {\n  padding-top: 400px;\n}\n#banner-1698916174 .banner-bg img {\n  object-position: 21% 47%;\n}\n@media (min-width:550px) {\n  #banner-1698916174 {\n    padding-top: 40%;\n  }\n}\n<\/style>\n  <\/div>\n\n\n\n\t<section class=\"section\" id=\"section_638697843\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1793699569\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Anal Fissure Surgery in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_638697843 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: #aa2665;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1006805957\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-900955654\">\n\n\t<div id=\"col-1987972981\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Anal fissure surgery is a surgical method used for the definitive treatment of tears in the anal region that cause severe pain during defecation. It is preferred in chronic cases that do not heal with medications and creams.<\/p>\n<p>The most commonly used method in anal fissure surgery is lateral internal sphincterotomy. This procedure is performed by controlled relaxation of the internal anal sphincter muscle, reducing pressure and enabling healing.<\/p>\n<p>The postoperative recovery process is generally fast. Patients can return to daily activities within a few days; however, attention should be paid to hygiene and dietary habits. Fiber-rich foods and adequate fluid intake support a healthy recovery process.<\/p>\n<p>The success rate after anal fissure surgery is quite high. Pain largely disappears, and the risk of recurrence is low. Rarely, uncontrolled gas or stool leakage may occur, so surgical experience is of great importance.<\/p>\n<table>\n<tbody>\n<tr>\n<td>What You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition of the Surgery<\/td>\n<td>Anal fissure surgery is a surgical intervention performed to relieve pain and spasm caused by a crack (fissure) in the anal region. It is usually carried out by cutting a portion of the internal anal sphincter muscle.<\/td>\n<\/tr>\n<tr>\n<td>Definition of the Condition<\/td>\n<td>An anal fissure is a thin tear or crack in the skin around the anus. It can cause severe pain, bleeding, and fear of defecation.<\/td>\n<\/tr>\n<tr>\n<td>Indication for Surgery<\/td>\n<td>Surgery is preferred in long-standing (chronic) fissures that do not heal, in cases that do not respond to medical treatment, and when sphincter spasm persists.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Method Used<\/td>\n<td>The most commonly used method is \u201cLateral Internal Sphincterotomy.\u201d In this procedure, the internal sphincter muscle is partially cut to reduce spasm and pressure.<\/td>\n<\/tr>\n<tr>\n<td>Type of Anesthesia<\/td>\n<td>It is usually performed under spinal or general anesthesia. In some cases, it can also be performed under local anesthesia.<\/td>\n<\/tr>\n<tr>\n<td>Duration of Surgery<\/td>\n<td>On average, it takes 15\u201330 minutes.<\/td>\n<\/tr>\n<tr>\n<td>Length of Hospital Stay<\/td>\n<td>Patients are usually discharged the same day.<\/td>\n<\/tr>\n<tr>\n<td>Recovery Process<\/td>\n<td>Significant relief is achieved within 1\u20132 weeks. Full recovery may take 4\u20136 weeks. In the first days, pain during defecation gradually decreases.<\/td>\n<\/tr>\n<tr>\n<td>Postoperative Care<\/td>\n<td>Warm sitz baths, a fiber-rich diet, and stool softeners are recommended. Attention should be paid to the hygiene of the area.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Rarely, complications such as infection, bleeding, temporary inability to control gas and stool, and recurrent fissure formation may occur.<\/td>\n<\/tr>\n<tr>\n<td>Success Rate<\/td>\n<td>With the lateral internal sphincterotomy method, the success rate is over 90%. It provides a permanent solution in chronic fissures.<\/td>\n<\/tr>\n<tr>\n<td>Risk of Recurrence<\/td>\n<td>With appropriate surgical technique and postoperative care, the risk of recurrence is quite low. However, it may recur if constipation habits continue.<\/td>\n<\/tr>\n<tr>\n<td>Return to Physical Activity<\/td>\n<td>Light daily activities can be done within 1\u20132 days. Intense exercise and prolonged sitting should be postponed for a few weeks.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1987972981 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1006805957 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2108102078\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:-50px 0px 0px 0px;margin:-50px 0px 0px 0px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-699841657\">\r\n\r\n\n\t<div id=\"col-230678150\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<p>You can contact Prof. Dr. Ebru Soy, one of the doctors performing  in Ankara, to get information about  prices, the process, and the hospital where  is performed.<\/p>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-230678150 > .col-inner {\n  margin: -60px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1998123437\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#aa2665;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-center\"  id=\"row-1266342243\">\r\n\r\n\n\t<div id=\"col-801039409\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel-hakkimda x md-x lg-x y md-y lg-y\" id=\"image_1157294611\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"653\" height=\"789\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp\" class=\"attachment-large size-large\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp 653w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda-331x400.webp 331w\" sizes=\"(max-width: 653px) 100vw, 653px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1157294611 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1797696898\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-158776983\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Prof. Dr. Ebru Ayvazo\u011flu Soy<\/strong><\/div>\r\n\t\t\n<style>\n#text-158776983 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-158776983 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-2504420441\" class=\"text text-justify\">\n\t\t\r\n\r\n<p><strong>Education;<\/strong><\/p>\r\n<p><strong>High School:<\/strong> TED Ankara College \u2013 Graduation: 1998<br \/><strong>Faculty of Medicine:<\/strong> <a href=\"https:\/\/tip.hacettepe.edu.tr\/\" target=\"_blank\" rel=\"noopener\">Hacettepe University Faculty of Medicine<\/a> \u2013 Graduation: 2005<br \/><strong>Specialization:<\/strong> General Surgery Residency Training \u2013 <a href=\"https:\/\/tip.baskent.edu.tr\/kw\/index.php\" target=\"_blank\" rel=\"noopener\">Ba\u015fkent University Faculty of Medicine<\/a>, Department of General Surgery \u2013 2012<\/p>\r\n<p><strong>Post-Specialization Career;<\/strong><\/p>\r\n<p><strong>2012\u20132014:<\/strong> Compulsory public service \u2013 Mu\u015f State Hospital<br \/><strong>January 2014 \u2013 November 2022:<\/strong> Ba\u015fkent University Faculty of Medicine, Department of General Surgery \u2013 Served as a specialist physician and later as an academician<br \/><strong>March 2016 \u2013 October 2017:<\/strong> Ba\u015fkent University Istanbul Practice Hospital \u2013 Deputy Director Responsible for Liver Transplantation<br \/><strong>June 2020 \u2013 November 2022:<\/strong> Ba\u015fkent University Ankara Hospital \u2013 Director of the International Patient Department<\/p>\r\n\t\t\t<\/div>\n\t\r\n<a href=\"https:\/\/ebruayvazoglu.com\/en\/about-me\/\" class=\"button white is-outline is-small\" style=\"border-radius:99px;\">\n\t\t<span>Review Resume<\/span>\n\t<\/a>\n\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" class=\"button white is-small\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Get in Touch<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1998123437 > .col-inner {\n  padding: 30px 30px 1px 30px;\n  margin: -30px 0px -40px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2108102078 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_615402035\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1912277754\">\n\n\t<div id=\"col-262816486\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#What_Is_an_Anal_Fissure\" >What Is an Anal Fissure?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#What_Are_the_Symptoms_of_an_Anal_Fissure\" >What Are the Symptoms of an Anal Fissure?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#What_Is_Anal_Fissure_Surgery\" >What Is Anal Fissure Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#In_Which_Situations_Is_Anal_Fissure_Surgery_Performed\" >In Which Situations Is Anal Fissure Surgery Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#What_Are_the_Risks_of_Anal_Fissure_Surgery\" >What Are the Risks of Anal Fissure Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#How_Is_Anal_Fissure_Surgery_Performed\" >How Is Anal Fissure Surgery Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#How_Is_Lateral_Internal_Sphincterotomy_LIS_Performed\" >How Is Lateral Internal Sphincterotomy (LIS) Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#How_Is_Botulinum_Toxin_Botox_Injection_Performed\" >How Is Botulinum Toxin (Botox) Injection Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#Postoperative_Process_After_Anal_Fissure_Surgery\" >Postoperative Process After Anal Fissure Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#What_Should_Patients_Pay_Attention_to_After_Anal_Fissure_Surgery\" >What Should Patients Pay Attention to After Anal Fissure Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/anal-fissure-surgery\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_an_Anal_Fissure\"><\/span>What Is an Anal Fissure?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>An anal fissure is a superficial tear that forms on the inner part of the anal canal. It usually occurs due to hard bowel movements, constipation, or childbirth. This condition presents with pain and bleeding during defecation.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Symptoms_of_an_Anal_Fissure\"><\/span>What Are the Symptoms of an Anal Fissure?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anal fissures are small tears in the skin around the anus and can be quite painful. They usually occur during defecation, and symptoms can be noticed immediately. The most common anal fissure symptoms are:<\/p>\n<ul>\n<li aria-level=\"1\">Sharp, burning pain during or after defecation<\/li>\n<li aria-level=\"1\">Itching or discomfort around the anus<\/li>\n<li aria-level=\"1\">Bright red fresh blood on toilet paper or in the stool<\/li>\n<li aria-level=\"1\">A prolonged aching sensation after defecation<\/li>\n<li aria-level=\"1\">A small swelling or skin tag around the anus (in chronic fissure)<\/li>\n<\/ul>\n<p>If symptoms persist or recur, a proctology specialist should be consulted for treatment before it becomes chronic.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Anal_Fissure_Surgery\"><\/span>What Is Anal Fissure Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anal fissure surgery is an operation focused on solving the underlying physiological problem beneath a chronic wound in the anal region. We can think of this problem as a vicious cycle: the tear causes pain; the pain triggers a severe spasm in the internal anal muscles (almost like a cramp); this spasm compresses blood vessels, preventing blood supply\u2014meaning nourishment\u2014to the wound. A wound that cannot be nourished simply cannot heal. The surgery aims to eliminate the muscle spasm, the most critical link in this cycle.<\/p>\n<p>To achieve this goal, modern surgery offers several main methods. Since each patient\u2019s condition is different, the most appropriate technique is decided after examination and evaluation. The basic surgical approaches used are:<\/p>\n<ul>\n<li>Lateral Internal Sphincterotomy (LIS)<\/li>\n<li>Fissurectomy and Anocutaneous Flap Surgery<\/li>\n<li>Botulinum Toxin (Botox) Injection<\/li>\n<\/ul>\n<p>Lateral Internal Sphincterotomy (LIS) is considered the \u201cgold standard\u201d and is the most common and most effective method in anal fissure surgery. In this procedure, a small portion of the internal anal sphincter muscle responsible for the spasm is cut in a controlled manner from the side where the wound is not present. This small incision provides permanent relaxation of the muscle, reduces pressure in the region, and allows blood flow to return to normal. Once blood supply improves, the wound heals rapidly.<\/p>\n<p>Fissurectomy and Flap Surgery is a \u201csphincter-sparing\u201d approach in which cutting the muscle is avoided. It is especially ideal for patients who have weak gas-stool control mechanisms or are at risk in this regard. The procedure has two stages: First, with fissurectomy, the chronic, hardened wound tissue that has lost its ability to heal is completely removed. Then, to close the resulting defect, a piece of healthy, well-vascularized skin (a flap) from the adjacent area is advanced and sutured into place. This is like repairing a worn fabric with a sturdy patch.<\/p>\n<p>Botulinum Toxin (Botox) Injection is a less invasive alternative to surgery. In this method, botox is injected directly into the internal anal muscle that is in spasm. Botox temporarily stops the release of the substance that delivers the contraction signal from nerve endings. Thus, the muscle relaxes for about three months. This period usually provides a sufficient window for the fissure to heal. Since its effect is not permanent, it is a valuable option especially for patients who do not want to accept surgical risks or who are not suitable candidates for surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"In_Which_Situations_Is_Anal_Fissure_Surgery_Performed\"><\/span>In Which Situations Is Anal Fissure Surgery Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anal fissure surgery is not a treatment recommended immediately for every patient. Surgery is generally the final and most effective step, used after simpler and more conservative methods have been tried. The situations serious and persistent enough to lead to a surgery decision are those that significantly reduce the patient\u2019s quality of life.<\/p>\n<p>First, there are initial-step methods referred to as \u201cmedical treatment.\u201d For a patient to be a candidate for surgery, they generally need to have failed to respond to these treatments for an adequate period (6\u20138 weeks). These first-step treatments are:<\/p>\n<ul>\n<li>A fiber-rich nutrition program<\/li>\n<li>Daily adequate fluid intake (at least 2 liters)<\/li>\n<li>Warm sitz baths<\/li>\n<li>Special topical creams with a local muscle-relaxing effect<\/li>\n<\/ul>\n<p>If healing is still not achieved despite these basic measures, surgery comes into consideration. The main situations that create the need for surgery are as follows:<\/p>\n<ul>\n<li>The presence of a chronic, treatment-resistant fissure<\/li>\n<li>Frequent recurrence even if it heals with medical treatment<\/li>\n<li>Unbearably severe pain that paralyzes the patient\u2019s life<\/li>\n<li>The development of additional problems such as an abscess or fistula on the basis of the fissure<\/li>\n<\/ul>\n<p>In summary, the decision for surgery arises out of necessity. If the fissure has become a constant source of pain and anxiety that negatively affects the patient\u2019s daily life, social activities, and psychology, providing a permanent solution through surgical intervention will be the most appropriate approach.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-262816486 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_615402035 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_958768006\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1918879430\">\n\n\n\t<div id=\"col-1973461743\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:15px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\n\n<div class=\"row align-middle\"  id=\"row-507143618\">\n\n\n\t<div id=\"col-1064725337\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2148877106\" class=\"text show-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<\/strong><\/div>\n\t\t\n<style>\n#text-2148877106 {\n  font-size: 1.5rem;\n  text-align: center;\n  color: rgb(170, 38, 101);\n}\n#text-2148877106 > * {\n  color: rgb(170, 38, 101);\n}\n@media (min-width:550px) {\n  #text-2148877106 {\n    font-size: 2rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-338320790\" class=\"text hide-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<br \/>\r\n<\/strong><\/div>\n\t\t\n<style>\n#text-338320790 {\n  font-size: 1.25rem;\n  line-height: 1.05;\n  text-align: center;\n  color: #aa2665;\n}\n#text-338320790 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-338320790 {\n    font-size: 1.7rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-1621924459\" class=\"text\">\n\t\t\n\n<div>You can contact us via WhatsApp by clicking the button.<\/div>\n\t\t\n<style>\n#text-1621924459 {\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-1621924459 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1979462370\" class=\"col medium-2 small-12 large-2\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover hide-for-small x md-x lg-x y md-y lg-y\" id=\"image_546330999\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png 500w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-400x400.png 400w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_546330999 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_546330999 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t<div class=\"img has-hover show-for-small x md-x lg-x y md-y lg-y\" id=\"image_791305834\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"512\" height=\"100\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-3.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_791305834 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_791305834 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1979462370 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-1979462370 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1973461743 > .col-inner {\n  padding: 20px 30px 1px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 15px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_958768006 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1312107560\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1933231675\">\n\n\t<div id=\"col-195255706\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Risks_of_Anal_Fissure_Surgery\"><\/span>What Are the Risks of Anal Fissure Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As with any surgical intervention, anal fissure surgery also has potential risks and undesirable effects. These risks vary depending on the type of technique used, the patient\u2019s general health status, and the surgeon\u2019s experience. Being informed transparently about these possibilities before surgery is every patient\u2019s most natural right.<\/p>\n<p>The most frequently asked-about and emphasized risk concerns the effects on gas and stool control. In particular, the LIS operation, which involves cutting the muscle, inherently reduces the resting tightness of the anus to some extent. While this does not lead to a noticeable problem in the vast majority of patients, it may cause some temporary or permanent changes in a small number. Knowing the possible risks of surgery is important for setting the right expectations. The most common potential risks are:<\/p>\n<ul>\n<li>Gas leakage<\/li>\n<li>Mild staining or soiling in underwear<\/li>\n<li>Rarely, difficulty holding liquid stool<\/li>\n<li>Bleeding at the surgical site<\/li>\n<li>Infection or abscess formation<\/li>\n<li>Temporary difficulty urinating<\/li>\n<li>Failure of the fissure to heal or recurrence<\/li>\n<\/ul>\n<p>Weakening of gas and stool control (incontinence) is the most important risk of the LIS procedure. Modern surgical techniques\u2014such as \u201ctailored\u201d approaches that cut the muscle only as much as the fissure length rather than excessively\u2014have significantly reduced this risk. Control problems after surgery are usually mild and most often improve within the first few months. The risk of severe, permanent incontinence that affects quality of life is extremely low. In at-risk individuals\u2014such as women who have had multiple vaginal deliveries, those who have previously undergone anorectal surgery, or older patients\u2014alternatives such as flap procedures that do not involve cutting the muscle are considered first. In this way, the safest and most effective method is selected for each patient, and risks are minimized.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Anal_Fissure_Surgery_Performed\"><\/span>How Is Anal Fissure Surgery Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anal fissure surgery is generally a day procedure that does not require hospitalization. The operation, performed under anesthesia (regional or general), is completed in a short time\u2014about 15 to 30 minutes\u2014depending on the chosen technique.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Lateral_Internal_Sphincterotomy_LIS_Performed\"><\/span>How Is Lateral Internal Sphincterotomy (LIS) Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In this technique, the aim is to relax the spastic internal anal muscle in a controlled manner. It can be applied with two different approaches. In the \u201copen technique,\u201d the surgeon makes a small incision on the side of the anus and cuts part of the muscle under direct vision. In the \u201cclosed technique,\u201d the muscle is cut through a small puncture, guided by the surgeon\u2019s tactile sensitivity. The closed technique may result in less postoperative pain and leave less scarring. Today, the most important point is adopting a \u201cpatient-specific\u201d approach that cuts the muscle only as much as necessary rather than along its entire length. This preserves the effectiveness of the procedure while minimizing the risk of side effects. The basic steps of LIS are simple.<\/p>\n<ul>\n<li>Providing appropriate anesthesia<\/li>\n<li>Making a small incision or puncture on the side of the anus<\/li>\n<li>Identifying the internal anal sphincter (IAS) responsible for the spasm<\/li>\n<li>Cutting the lower part of the muscle in a controlled manner<\/li>\n<li>Facilitating blood flow by achieving permanent muscle relaxation<\/li>\n<\/ul>\n<p>How Are Fissurectomy and Flap Surgery Performed?<\/p>\n<p>This method is preferred when the sphincter needs to be preserved. It is essentially a \u201cclean and repair\u201d operation. First, the chronic, hardened wound tissue is completely removed (fissurectomy). This allows the wound to regain a fresh and healthy base. Then, a piece of healthy skin is prepared from the area immediately adjacent to this cleaned site. This skin piece, together with its blood supply, is rotated or advanced\u2014like a door\u2014and positioned over the wound and sutured. In this way, fresh, well-vascularized tissue is transferred to the region. The main principles of this method are:<\/p>\n<ul>\n<li>Complete removal of non-healing chronic wound tissue<\/li>\n<li>Creating a healthy wound bed<\/li>\n<li>Preparing a healthy skin flap from the adjacent area<\/li>\n<li>Advancing the flap over the wound and suturing it<\/li>\n<li>Supporting healing by providing fresh blood flow to the area<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Botulinum_Toxin_Botox_Injection_Performed\"><\/span>How Is Botulinum Toxin (Botox) Injection Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is a non-surgical but surgically effective and quite simple procedure. It can often be performed even in an office setting. Using a very fine needle, a predetermined dose of botox is injected directly into the spastic internal anal muscle. The procedure takes only a few minutes and usually does not cause significant pain.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-195255706 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1312107560 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2048450927\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1821311408\">\r\n\r\n\n\t<div id=\"col-184047975\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:20px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-694990942\">\r\n\r\n\n\t<div id=\"col-1957934936\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3107598202\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact Us. <\/strong><\/div>\r\n\t\t\n<style>\n#text-3107598202 {\n  font-size: 1.55rem;\n  color: #aa2665;\n}\n#text-3107598202 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-3107598202 {\n    font-size: 2.5rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"gap-1032085481\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1032085481 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div>You can request an online appointment by filling out the form. Our team will contact you as soon as possible.<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-162450697\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f683-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"683\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2158#wpcf7-f683-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"683\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f683-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Book Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"131\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-162450697 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-184047975 > .col-inner {\n  padding: 20px 30px 0px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2048450927 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1030161164\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1712499987\">\n\n\t<div id=\"col-39843382\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Postoperative_Process_After_Anal_Fissure_Surgery\"><\/span>Postoperative Process After Anal Fissure Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The postoperative period generally begins with great relief for patients. The sharp, tearing pain endured for years is replaced by a milder, more manageable surgical soreness. For successful healing, the patient must carefully follow postoperative care rules.<\/p>\n<p>The First Few Days:<\/p>\n<p>The patient is usually sent home the same day. Pain that begins after the anesthesia wears off is easily controlled with prescribed painkillers. One of the most important issues in this period is the first bowel movement. To prevent it from being traumatic, stool softeners are prescribed. Mild soreness and spotting-type bleeding during the first bowel movement are normal.<\/p>\n<p>The First Week:<\/p>\n<p>During this period, ensuring comfort and hygiene is the priority. Some important steps should be taken to speed up healing. What needs to be done for pain control and wound care includes:<\/p>\n<ul>\n<li>Using prescribed painkillers regularly<\/li>\n<li>Taking warm sitz baths at least 3\u20134 times a day<\/li>\n<li>Taking a sitz bath especially after every bowel movement<\/li>\n<li>Cleaning after using the toilet with lukewarm water, not dry paper<\/li>\n<li>Drying the area gently (by patting or using a hair dryer on a cool setting)<\/li>\n<li>Using a sanitary pad for discharge or spotting<\/li>\n<\/ul>\n<p>The Following Weeks (2\u20136 Weeks):<\/p>\n<p>Patients can usually return to desk jobs and normal daily routines within a week. Sensitivity at the wound site gradually decreases. Full healing and tissue normalization usually take up to six weeks. During this period, there are activity adjustments to be considered:<\/p>\n<ul>\n<li>Starting light walks early<\/li>\n<li>Avoiding heavy lifting<\/li>\n<li>Postponing strenuous sports that require straining<\/li>\n<li>Avoiding activities that put pressure on the anus, such as cycling<\/li>\n<\/ul>\n<p>Your surgeon will call you for follow-up visits at certain intervals to monitor the healing process. Attending these visits is important for early detection of any potential problem.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Should_Patients_Pay_Attention_to_After_Anal_Fissure_Surgery\"><\/span>What Should Patients Pay Attention to After Anal Fissure Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anal fissure surgery resolves the anatomical part of the problem but does not change the lifestyle habits that caused the fissure in the first place. Therefore, to make the success of the surgery permanent and avoid experiencing this problem again, the patient has some important responsibilities. It is like opening a clean page in life, and that new page needs to be filled with the right habits.<\/p>\n<p>The most critical lifelong focus is bowel habits and diet. The goal is to ensure that stool is always soft, easy to pass, and does not strain the anus. There are basic principles that should be followed to achieve this. The most important dietary recommendations are:<\/p>\n<ul>\n<li>Lentils<\/li>\n<li>Chickpeas<\/li>\n<li>White beans<\/li>\n<li>Apples<\/li>\n<li>Pears<\/li>\n<li>Apricots<\/li>\n<li>Rolled oats<\/li>\n<li>Whole wheat bread<\/li>\n<li>Bulgur<\/li>\n<li>Broccoli<\/li>\n<li>Artichoke<\/li>\n<li>Leeks<\/li>\n<\/ul>\n<p>In addition to diet, developing proper toilet habits is just as important. These habits protect the anal region from unnecessary strain. For toilet discipline, the following rules should be followed.<\/p>\n<ul>\n<li>Never postponing the urge to use the toilet<\/li>\n<li>Not sitting on the toilet for more than 5 minutes<\/li>\n<li>Not taking distracting items such as a phone or book into the toilet<\/li>\n<li>Strictly avoiding straining and pushing<\/li>\n<\/ul>\n<p>Placing a small stool under the feet to facilitate the defecation position<\/p>\n<p>Finally, in any abnormal situation, you should contact your surgeon without delay. There are some warning signs that require seeing a doctor:<\/p>\n<ul>\n<li>Fever above 38.5\u00b0C that does not subside<\/li>\n<li>Severe pain that does not respond to painkillers<\/li>\n<li>Persistent bright red or clotted bleeding<\/li>\n<li>Increasing swelling, redness, and purulent discharge in the anal region<\/li>\n<li>Inability to urinate for more than 12 hours after surgery<\/li>\n<\/ul>\n<p>Following these recommendations is the most valuable investment to ensure that the comfort achieved through surgery lasts a lifetime.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-39843382 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1030161164 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1745171398\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-984800885\">\n\n\t<div id=\"col-839307316\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t<div id=\"text-3985622395\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-3985622395 {\n  font-size: 1.5rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-2511112284\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2511112284-label\" class=\"accordion-title plain\" href=\"#accordion-item-in-which-situations-is-anal-fissure-surgery-necessary?\" aria-expanded=\"false\" aria-controls=\"accordion-2511112284-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>In which situations is anal fissure surgery necessary?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2511112284-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2511112284-label\">\n\t\t\t\n<p>Anal fissure surgery is performed for chronic cracks that do not heal with medications and creams. If there is long-term pain, bleeding, or muscle spasm, surgical intervention provides permanent relief and tissue repair.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2922801313\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2922801313-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-pain-last-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-2922801313-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How long does pain last after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2922801313-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2922801313-label\">\n\t\t\t\n<p>Postoperative pain is generally noticeable in the first few days but decreases within 1 week. Regular use of painkillers, warm sitz baths, and ensuring soft stools speed up recovery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2571204077\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2571204077-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-can-constipation-be-prevented-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-2571204077-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How can constipation be prevented after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2571204077-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2571204077-label\">\n\t\t\t\n<p>Constipation delays wound healing. Drinking plenty of water, eating fiber-rich foods, and using stool softeners recommended by the doctor if necessary help prevent constipation.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3173890146\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3173890146-label\" class=\"accordion-title plain\" href=\"#accordion-item-when-can-you-return-to-work-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3173890146-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>When can you return to work after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3173890146-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3173890146-label\">\n\t\t\t\n<p>It is generally possible to return to desk work within 5\u201310 days. For those working in physically demanding jobs, this period may extend up to 2 weeks. The recovery process varies depending on individual factors.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1118441262\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1118441262-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-a-fissure-recur-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1118441262-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can a fissure recur after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1118441262-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1118441262-label\">\n\t\t\t\n<p>If proper hygiene, nutrition, and bowel habits are not maintained after surgery, a fissure may develop again. However, with appropriate care and regular follow-up, the risk of recurrence is quite low.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3879588509\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3879588509-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-techniques-are-used-in-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3879588509-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which techniques are used in anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3879588509-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3879588509-label\">\n\t\t\t\n<p>The most commonly used method is lateral internal sphincterotomy. In this technique, a portion of the muscle is relaxed to reduce pressure and facilitate wound healing. In some cases, fissurectomy may also be preferred.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1409342287\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1409342287-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-should-toilet-habits-be-like-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1409342287-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What should toilet habits be like after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1409342287-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1409342287-label\">\n\t\t\t\n<p>The urge to use the toilet should not be postponed, and bowel movements should be performed without straining. Cleaning should be done gently after a warm sitz bath, and harsh toilet paper should not be used. This supports wound healing.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1516549433\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1516549433-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-bleeding-normal-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1516549433-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is bleeding normal after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1516549433-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1516549433-label\">\n\t\t\t\n<p>Mild bleeding or leakage is normal in the first few days. However, heavy, prolonged, or foul-smelling discharge may be a sign of infection and requires medical evaluation.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3668546517\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3668546517-label\" class=\"accordion-title plain\" href=\"#accordion-item-when-can-you-exercise-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3668546517-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>When can you exercise after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3668546517-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3668546517-label\">\n\t\t\t\n<p>Light walking can be done after a few days. However, heavy exercise, weight lifting, or activities such as cycling are generally recommended after 3\u20134 weeks. Your doctor\u2019s approval should be awaited.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1384773638\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1384773638-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-should-the-diet-be-like-after-anal-fissure-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1384773638-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What should the diet be like after anal fissure surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1384773638-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1384773638-label\">\n\t\t\t\n<p>Fiber-rich vegetables, fruits, and whole grains should be preferred. Avoiding spicy, heavily seasoned, and processed foods and drinking plenty of water speeds up recovery and prevents constipation.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3738864841\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3738864841-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-anal-fissure-surgery-take?\" aria-expanded=\"false\" aria-controls=\"accordion-3738864841-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How Long Does Anal Fissure Surgery Take?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3738864841-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3738864841-label\">\n\t\t\t\n<p>Anal fissure surgery is usually performed using the lateral internal sphincterotomy method and takes between 15 and 30 minutes.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1554131876\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1554131876-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-doctor-or-department-should-you-go-to-for-an-anal-fissure?\" aria-expanded=\"false\" aria-controls=\"accordion-1554131876-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Doctor or Department Should You Go to for an Anal Fissure?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1554131876-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1554131876-label\">\n\t\t\t\n<p>The specialty you should consult for anal fissure treatment is general surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1745171398 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":719,"parent":729,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2158","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2158","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/comments?post=2158"}],"version-history":[{"count":2,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2158\/revisions"}],"predecessor-version":[{"id":2176,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2158\/revisions\/2176"}],"up":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/729"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media\/719"}],"wp:attachment":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media?parent=2158"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}