apollo
  • Male
  • 30 Years
  • 14/08/2025

I've had an anal fissure for about 8 months now with an 8mm mass near the front. It only hurts during bowel movements when my stool is hard, otherwise no pain at all, but there's a little pus at the site. Do I need surgery for this? If so, what are the side effects? Would lateral internal sphincterotomy (LIS) be recommended and what are its side effects?

Doctor 1

Answered by 1 Apollo Doctors

Given the presence of an anal fissure for 8 months, a mass, pain during hard stools, and pus, surgery might be needed to address the chronic nature of the issue and potential infection. Lateral internal sphincterotomy (LIS) is a surgical option but it's crucial to discuss its risks and benefits with a doctor, including the possibility of sphincter incontinence.

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

0

0

Sick? Talk to a doctor now

More Colorectal Surgery Health Queries

View all

Hey, I've been dealing with a painful lump right on the outside of my anus for three days now. It's super sore when I touch it, but oddly enough, I don't really notice it when I go to the bathroom or throughout the day. I've been using Proctosedyl Cream, but it hasn't helped so far. Any idea what could be going on or what I should try next?

You should consult a doctor, a general surgeon, for a proper evaluation and diagnosis, as the painful lump could be a thrombosed external hemorrhoid, an anal abscess, or another condition requiring medical attention, and they may prescribe a different treatment or perform a minor procedure to relieve your symptoms.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been feeling a burning sensation near my anus when I'm sitting for a long time. I'm worried if this could be piles or something else. If it turns out to be piles, what can I do to treat it?

-A burning sensation near the anus when sitting for a long time could be a sign of piles (hemorrhoids), but it could also be related to other conditions like anal fissures or irritation. If it's piles, remedies include warm baths, high-fiber diet, and ove

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Is there a permanent surgical fix for anal fissures even if I keep having hard stools without a clear cause but want to make sure the fissure doesn't come back

LATERAL INTERNAL SPHINCTEROTOMY Precise and controlled division of the internal anal sphincter muscle is a highly effective and commonly used method to treat chronic and refractory anal fissures, with success rates reported to be over 90%.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.