Anal fissures is the commonest benign anorectal problem that is seen in anorectal practice at the clinic today. It can affect all age groups in both men and women .It can also cause minor bleeding or itching. They can be painful during and immediately after bowel movements. Anal fissures may result from high anal pressure, local trauma or due to an underlying medical condition. Sometimes an anal fissure and a hemorrhoid develop at the same time. Definition and Types Anal Fissure is a painful small tear or crack in the thin moist tissue around the anus in the distal anal canal.
It is usually present posteriorly in the midline. The depth of the fissure can be superficial or can also go deep to the underlying sphincter muscle. An Anal Fissure can be acute or chronic. An acute anal fissure is a deep tear in the epithelium of the anal margin extending into the anal canal. There is…
