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an anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure. Ask health related questions from verified doctors for free and get quick medical advice for your health queries. Please tell me if anal fissure surgery is painful? 1 doctor answer. Anal fissure surgery, tailored sphincterotomy, can you tell me more? 1 doctor answer. More precise lateral internal sphincterotomies treat chronic anal fissures. Traditionally the internal sphincter muscle was divided all the way up to the dentate line. Anal fissures usually heal within a few weeks without the need for treatment. But they can easily come back if theyre caused by constipation that remains untreated. In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures). anal fissure is injury to anal canal like scratch due to passing of hard stool. The best treatment for it is hot sitz bath in large container after passing stool and laxatives for 15 day and if still it is there than surgery woud be the best and permanant option. Recurrence after experiencing your first anal fissure, youre more prone to having them again. Healing failure any anal fissure that doesnt heal within 6 weeks is viewed as being chronic and call for more treatment. They can be painful and difficult to heal so talk to your doctor right away. The sooner you take action to heal it the better chance you have of it going away. If it doesnt heal within 8 weeks they usually become chronic and thats what happened to me.