- female
- 30 Years
- 14/08/2025
I've been dealing with anal fissure pain on and off since late 2019 and have been using Anovate cream with laxatives, plus increasing fiber and fluids. It's really disruptive and painful I want to get rid of it for good. Does surgery work better than these treatments? For now, I'm trying sitz baths and fiber supplements but would like to know if there are better options
Answered by 1 Apollo Doctors
While your current approach with Anovate, laxatives, increased fiber and fluids, sitz baths, and fiber supplements is a good starting point, it's understandable that you're seeking more definitive relief after experiencing anal fissures for several years. Surgery, specifically a lateral internal sphincterotomy, is often a highly effective option for chronic or refractory anal fissures, but it's also associated with a small risk of incontinence. If medical treatments haven't been successful, discussing surgical options with your doctor is a valid next step
Dr. Kamran Suggests...
Consult a Colorectal Surgeon
Answered 14/08/2025
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I've been dealing with an anal fissure for a year now. At first, the pain wasn't too bad and didn't happen often, but over the last month, it's gotten really bad with constant pain and itching. I've seen 23 doctors and they all say surgery is the way to go. Is there any chance it could be treated without needing an operation?
-I'm sorry to hear about the ongoing discomfort. It's possible to manage an anal fissure without surgery, especially if it hasnt healed despite treatment. You may benefit from lifestyle changes like increasing fiber intake, using stool softeners, and p
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I've been diagnosed with rectal prolapse and my doctor mentioned two surgery options STARR and laparoscopic rectopexy. What's the difference between them, and which one is usually better? Also, what kind of risks or complications should I be aware of with each procedure?
Adults with rectal prolapse need surgery to put rectal tissue that slips into their anus back where it belongs. Rectal prolapse surgery (rectopexy) may take place through your abdomen or perineum (a perineal rectosigmoidectomy).
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.




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