{"id":16701,"date":"2026-04-12T18:11:06","date_gmt":"2026-04-12T15:11:06","guid":{"rendered":"https:\/\/www.hakanyanar.com\/services\/anal-fissure-treatment-istanbul\/"},"modified":"2026-04-12T21:16:25","modified_gmt":"2026-04-12T18:16:25","slug":"anal-fissure-treatment-istanbul","status":"publish","type":"page","link":"https:\/\/www.hakanyanar.com\/en\/services\/anal-fissure-treatment-istanbul\/","title":{"rendered":"Anal Fissure Treatment Istanbul"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16701\" class=\"elementor elementor-16701 elementor-16569\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d110dcd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d110dcd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-89efb2e\" data-id=\"89efb2e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bda5db8 elementor-widget elementor-widget-html\" data-id=\"bda5db8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!DOCTYPE html>\r\n<html lang=\"tr\">\r\n<head>\r\n<meta charset=\"UTF-8\">\r\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\r\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Raleway:wght@400;500;600;700;800&family=Cormorant+Garamond:ital,wght@0,400;0,600;1,400&display=swap\" rel=\"stylesheet\">\r\n\r\n<style>\r\n*, *::before, *::after { box-sizing: border-box; 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}\r\n  .hy-content { float: none; display: block; width: 100%; }\r\n  .hy-sidebar { float: none; display: block; width: 100%; margin-bottom: 32px; }\r\n  .hy-toc { position: static; }\r\n  .hy-bc { padding: 10px 20px; }\r\n  .hy-related-card { float: none; width: 100%; margin-right: 0; margin-bottom: 12px; }\r\n}\r\n<\/style>\r\n\r\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalCondition\",\"name\":\"Anal Fissure\",\"alternateName\":\"Anal fissure\",\"description\":\"A small tear in the lining of the anal canal causing pain and bleeding during bowel movements. Treated with botulinum toxin or lateral internal sphincterotomy.\",\"relevantSpecialty\":{\"@type\":\"MedicalSpecialty\",\"name\":\"General Surgery\"},\"signOrSymptom\":[{\"@type\":\"MedicalSymptom\",\"name\":\"Sharp pain during defecation\"},{\"@type\":\"MedicalSymptom\",\"name\":\"Bright red rectal bleeding\"},{\"@type\":\"MedicalSymptom\",\"name\":\"Anal spasm\"},{\"@type\":\"MedicalSymptom\",\"name\":\"Itching\"}],\"possibleTreatment\":[{\"@type\":\"MedicalTherapy\",\"name\":\"Botulinum Toxin Injection\"},{\"@type\":\"MedicalTherapy\",\"name\":\"Lateral Internal Sphincterotomy\"},{\"@type\":\"MedicalTherapy\",\"name\":\"Topical Nitroglycerin\"}]}<\/script>\r\n\r\n<style>\r\n.hy-treat-card { border: 1px solid #DDE4EE; border-radius: 10px; margin-bottom: 18px; overflow: hidden; }\r\n.hy-treat-head { background: linear-gradient(90deg, #07183A 0%, #0d2b5e 100%); padding: 16px 22px; display: flex; align-items: center; gap: 12px; }\r\n.hy-treat-icon { font-size: 22px; }\r\n.hy-treat-title { font-size: 16px; font-weight: 700; color: #fff; font-family: Raleway, sans-serif; }\r\n.hy-treat-badge { margin-left: auto; background: rgba(91,155,213,.25); border: 1px solid rgba(91,155,213,.4); color: #5B9BD5; font-size: 11px; font-weight: 600; padding: 3px 10px; border-radius: 12px; font-family: Raleway, sans-serif; white-space: nowrap; }\r\n.hy-treat-body { padding: 20px 22px; }\r\n.hy-treat-body p { font-size: 14px; color: #334155; line-height: 1.8; font-family: Raleway, sans-serif; margin-bottom: 12px; }\r\n.hy-treat-body p:last-child { margin-bottom: 0; }\r\n.hy-treat-stats { display: flex; gap: 0; border: 1px solid #DDE4EE; border-radius: 8px; overflow: hidden; margin-bottom: 14px; }\r\n.hy-treat-stat { flex: 1; padding: 12px 10px; text-align: center; border-right: 1px solid #DDE4EE; }\r\n.hy-treat-stat:last-child { border-right: none; }\r\n.hy-treat-stat-val { font-size: 18px; font-weight: 800; color: #07183A; font-family: Raleway, sans-serif; display: block; }\r\n.hy-treat-stat-lbl { font-size: 10px; color: #64748B; font-family: Raleway, sans-serif; margin-top: 2px; display: block; }\r\n.hy-treat-points { list-style: none; padding: 0; margin-top: 10px; }\r\n.hy-treat-points li { padding: 4px 0 4px 20px; position: relative; font-size: 13.5px; color: #334155; font-family: Raleway, sans-serif; line-height: 1.6; }\r\n.hy-treat-points li::before { content: '\u2713'; position: absolute; left: 0; color: #16a34a; font-weight: 700; }\r\n.hy-stage-strip { display: flex; gap: 0; margin-bottom: 24px; border-radius: 8px; overflow: hidden; border: 1px solid #DDE4EE; }\r\n.hy-stage { flex: 1; padding: 14px 10px; text-align: center; border-right: 1px solid #DDE4EE; }\r\n.hy-stage:last-child { border-right: none; }\r\n.hy-stage-num { font-size: 11px; font-weight: 700; font-family: Raleway, sans-serif; margin-bottom: 4px; }\r\n.hy-stage-desc { font-size: 11px; color: #64748B; font-family: Raleway, sans-serif; margin-bottom: 6px; line-height: 1.4; }\r\n.hy-stage-surv { font-size: 16px; font-weight: 800; font-family: Raleway, sans-serif; }\r\n.hy-stage-1 .hy-stage-num, .hy-stage-1 .hy-stage-surv { color: #16a34a; }\r\n.hy-stage-2 .hy-stage-num, .hy-stage-2 .hy-stage-surv { color: #2563a8; }\r\n.hy-stage-3 .hy-stage-num, .hy-stage-3 .hy-stage-surv { color: #d97706; }\r\n.hy-stage-4 .hy-stage-num, .hy-stage-4 .hy-stage-surv { color: #dc2626; }\r\n.hy-stage-1 { background: #f0fdf4; } .hy-stage-2 { background: #eff6ff; }\r\n.hy-stage-3 { background: #fffbeb; } .hy-stage-4 { background: #fef2f2; }\r\n.hy-risk-grid { display: flex; flex-wrap: wrap; gap: 10px; margin-bottom: 16px; }\r\n.hy-risk-item { background: #F8FAFC; border: 1px solid #DDE4EE; border-radius: 8px; padding: 12px 14px; flex: 1; min-width: 180px; }\r\n.hy-risk-icon { font-size: 20px; margin-bottom: 6px; }\r\n.hy-risk-title { font-size: 13px; font-weight: 700; color: #07183A; font-family: Raleway, sans-serif; margin-bottom: 4px; }\r\n.hy-risk-desc { font-size: 12px; color: #64748B; font-family: Raleway, sans-serif; line-height: 1.5; }\r\n<\/style>\r\n<\/head>\r\n<body>\r\n<div class=\"hy\">\r\n\r\n<div class=\"hy-hero\">\r\n  <span class=\"hy-eyebrow\">Proctology & General Surgery \u00b7 Istanbul<\/span>\r\n  <h1>Anal Fissure <span><\/span><\/h1>\r\n  <div class=\"hy-hero-sub\">Prof. Dr. Hakan Yanar \u2014 General Surgery & Oncological Surgery Specialist<\/div>\r\n  <p class=\"hy-hero-desc\">Anal fissure causes severe pain during bowel movements. Conservative treatment, botulinum toxin, and sphincterotomy provide permanent relief.<\/p>\r\n  <div class=\"hy-badges\"><span class=\"hy-badge\">\u2702\ufe0f Sphincterotomy<\/span><span class=\"hy-badge\">\ud83d\udc89 Botulinum Toxin<\/span><span class=\"hy-badge\">\ud83c\udfe5 Same-Day Discharge<\/span><span class=\"hy-badge\">\u2705 All Fissure Types<\/span><\/div>\r\n<\/div>\r\n<div class=\"hy-bc\"><a href=\"\/en\/\">Home<\/a><span class=\"hy-bc-sep\">\u203a<\/span><a href=\"https:\/\/www.hakanyanar.com\/en\/services\/\">Conditions<\/a><span class=\"hy-bc-sep\">\u203a<\/span>Anal Fissure<\/div>\r\n<div class=\"hy-body hy-cf\">\r\n\r\n<div class=\"hy-sidebar\">\r\n  <div class=\"hy-toc\">\r\n    <div class=\"hy-toc-title\">\ud83d\udccb \u0130\u00e7indekiler<\/div>\r\n    <a href=\"#what-is\">What is Anal Fissure?<\/a><a href=\"#causes\">Causes & Risk Factors<\/a><a href=\"#symptoms\">Symptoms<\/a><a href=\"#treatment\">Treatment Options<\/a><a href=\"#istanbul\">Treatment in Istanbul<\/a><a href=\"#faq\">FAQ<\/a>\r\n  <\/div>\r\n  <div class=\"hy-doc-card\">\r\n    <img decoding=\"async\" src=\"https:\/\/www.hakanyanar.com\/wp-content\/uploads\/2022\/01\/hakanyanarliv-2.png\" alt=\"Prof. Dr. Hakan Yanar\" class=\"hy-doc-img\">\r\n    <div class=\"hy-doc-name\">Prof. Dr. Hakan Yanar<\/div>\r\n    <div class=\"hy-doc-title\">Genel Cerrahi & Onkolojik Cerrahi Uzman\u0131<\/div>\r\n    <a href=\"tel:+905301715814\" class=\"hy-doc-btn\">\ud83d\udcde Randevu Al<\/a>\r\n    <a href=\"https:\/\/wa.me\/905301715814\" class=\"hy-doc-btn wa\" target=\"_blank\">\ud83d\udcac WhatsApp<\/a>\r\n  <\/div>\r\n  <div class=\"hy-info-box\">\r\n    <div class=\"hy-info-title\">\u26a1 H\u0131zl\u0131 Bilgiler<\/div>\r\n    <div class=\"hy-info-row\"><span class=\"hy-info-label\">Procedure Time<\/span><span class=\"hy-info-val\">20\u201330 min<\/span><\/div><div class=\"hy-info-row\"><span class=\"hy-info-label\">Hospital Stay<\/span><span class=\"hy-info-val\">Same day<\/span><\/div><div class=\"hy-info-row\"><span class=\"hy-info-label\">Method<\/span><span class=\"hy-info-val\">LIS \/ Botox<\/span><\/div><div class=\"hy-info-row\"><span class=\"hy-info-label\">Recovery<\/span><span class=\"hy-info-val\">1\u20132 weeks<\/span><\/div><div class=\"hy-info-row\"><span class=\"hy-info-label\">Success Rate<\/span><span class=\"hy-info-val\">>90%<\/span><\/div><div class=\"hy-info-row\"><span class=\"hy-info-label\">Languages<\/span><span class=\"hy-info-val\">TR \u00b7 EN \u00b7 FR \u00b7 RU<\/span><\/div>\r\n  <\/div>\r\n<\/div>\r\n<div class=\"hy-content\">\r\n\r\n<div class=\"hy-sec\" id=\"what-is\">\r\n<h2>What is an Anal Fissure?<\/h2>\r\n<p class=\"hy-p\">An <strong>anal fissure<\/strong> is a small longitudinal tear or crack in the lining (mucosa) of the anal canal, typically located in the posterior midline. It is one of the most common proctological conditions, affecting people of all ages, and is particularly prevalent in young adults.<\/p>\r\n<p class=\"hy-p\">Fissures are classified as <strong>acute<\/strong> (less than 6 weeks) or <strong>chronic<\/strong> (more than 6 weeks, often associated with a sentinel pile and exposed internal sphincter fibers). Chronic fissures rarely heal without medical or surgical treatment.<\/p>\r\n<div class=\"hy-info-alert\"><p>\ud83d\udccc <strong>Important:<\/strong> Rectal bleeding is not always caused by an anal fissure. Colorectal cancer and inflammatory bowel disease can also present with bleeding. A proctological examination is essential to confirm the diagnosis.<\/p><\/div>\r\n<\/div>\r\n\r\n<div class=\"hy-sec\" id=\"causes\">\r\n<h2>Causes & Risk Factors<\/h2>\r\n<div class=\"hy-risk-grid\">\r\n<div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\ud83d\udca9<\/div><div class=\"hy-risk-title\">Constipation & Straining<\/div><div class=\"hy-risk-desc\">Hard, large stools and chronic straining are the most common causes. They create mechanical trauma to the anal mucosa during defecation.<\/div><\/div>\r\n<div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\ud83c\udfc3<\/div><div class=\"hy-risk-title\">Diarrhea<\/div><div class=\"hy-risk-desc\">Frequent loose stools irritate the anal mucosa and can cause or perpetuate fissures, particularly in patients with inflammatory bowel disease.<\/div><\/div>\r\n<div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\ud83e\udd30<\/div><div class=\"hy-risk-title\">Childbirth<\/div><div class=\"hy-risk-desc\">Perineal trauma during vaginal delivery is a common cause of anterior anal fissures in women.<\/div><\/div>\r\n<div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\u26a1<\/div><div class=\"hy-risk-title\">Internal Sphincter Hypertonia<\/div><div class=\"hy-risk-desc\">High resting pressure of the internal anal sphincter reduces blood supply to the posterior commissure, impairing healing \u2014 a key factor in chronic fissures.<\/div><\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n<div class=\"hy-sec\" id=\"symptoms\">\r\n<h2>Symptoms<\/h2>\r\n<div class=\"hy-warn\"><div class=\"hy-warn-title\">\u26a0\ufe0f When to Seek Medical Attention<\/div><p>Rectal bleeding, severe anal pain, or symptoms persisting beyond 4\u20136 weeks require professional evaluation. Do not self-diagnose \u2014 colorectal cancer must be excluded.<\/p><\/div>\r\n<ul class=\"hy-ul\">\r\n<li>Severe, sharp pain during and after bowel movements \u2014 the hallmark symptom<\/li>\r\n<li>Bright red blood on toilet paper or in the toilet bowl<\/li>\r\n<li>Persistent anal spasm lasting 1\u20132 hours after defecation<\/li>\r\n<li>Itching or burning sensation in the anal area<\/li>\r\n<li>Visible crack or sentinel pile at the anal margin<\/li>\r\n<li>Fear of defecation leading to voluntary constipation \u2014 worsens the condition<\/li>\r\n<\/ul>\r\n<\/div>\r\n\r\n<div class=\"hy-sec\" id=\"treatment\">\r\n<h2>Treatment Options<\/h2>\r\n<p class=\"hy-p\">Treatment is tailored to the duration and severity of the fissure. Acute fissures are managed conservatively; chronic or recurrent fissures typically require intervention.<\/p>\r\n\r\n\r\n<div class=\"hy-treat-card\">\r\n<div class=\"hy-treat-head\">\r\n<div class=\"hy-treat-icon\">\ud83c\udf3f<\/div>\r\n<div class=\"hy-treat-title\">Conservative Treatment \u2014 First-Line Approach<\/div>\r\n<div class=\"hy-treat-badge\">Acute Fissure<\/div>\r\n<\/div>\r\n<div class=\"hy-treat-body\">\r\n<div class=\"hy-treat-stats\"><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">25\u201335 g<\/span><span class=\"hy-treat-stat-lbl\">Daily fiber intake<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">2\u20133 liters<\/span><span class=\"hy-treat-stat-lbl\">Daily fluid<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">10 min<\/span><span class=\"hy-treat-stat-lbl\">Sitz bath duration<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">4\u20136 weeks<\/span><span class=\"hy-treat-stat-lbl\">Expected healing<\/span><\/div><\/div>\r\n<p>A high-fiber diet (vegetables, fruits, whole grains) and adequate fluid intake soften stools and reduce straining. Warm sitz baths 2\u20133 times daily improve local blood flow and relieve sphincter spasm. Topical anesthetic creams provide short-term pain relief.<\/p><p><strong>Topical nitroglycerin (0.2\u20130.4%)<\/strong> or <strong>diltiazem cream<\/strong> relaxes the internal sphincter and improves anodermal blood supply, promoting healing in acute and mild chronic fissures. Applied 2\u20133 times daily for 6\u20138 weeks.<\/p>\r\n<ul class=\"hy-treat-points\"><li>High-fiber diet is the cornerstone of both treatment and prevention<\/li><li>Topical nitroglycerin heals ~50% of chronic fissures<\/li><li>Warm sitz baths relieve sphincter spasm effectively<\/li><li>Headache is the most common side effect of nitroglycerin cream<\/li><\/ul>\r\n<\/div>\r\n<\/div>\r\n\r\n<div class=\"hy-treat-card\">\r\n<div class=\"hy-treat-head\">\r\n<div class=\"hy-treat-icon\">\ud83d\udc89<\/div>\r\n<div class=\"hy-treat-title\">Botulinum Toxin Injection \u2014 Chronic Fissure<\/div>\r\n<div class=\"hy-treat-badge\">Chronic Fissure<\/div>\r\n<\/div>\r\n<div class=\"hy-treat-body\">\r\n<div class=\"hy-treat-stats\"><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">5\u201310 min<\/span><span class=\"hy-treat-stat-lbl\">Procedure duration<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">Local<\/span><span class=\"hy-treat-stat-lbl\">Anesthesia<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">2\u20133 months<\/span><span class=\"hy-treat-stat-lbl\">Duration of effect<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">~70%<\/span><span class=\"hy-treat-stat-lbl\">Success rate<\/span><\/div><\/div>\r\n<p>Botulinum toxin (Botox) is injected into the internal anal sphincter, temporarily reducing resting pressure and allowing the fissure to heal. The procedure takes approximately 5\u201310 minutes under local anesthesia in an outpatient setting.<\/p><p>Success rate is approximately 60\u201380% for chronic fissures. The effect lasts 2\u20133 months; the fissure typically heals within this period. If healing is incomplete, a repeat injection or surgical sphincterotomy may be considered.<\/p>\r\n<ul class=\"hy-treat-points\"><li>Outpatient procedure \u2014 no hospital admission required<\/li><li>No risk of fecal incontinence (unlike sphincterotomy)<\/li><li>Return to normal activities the same day<\/li><li>Can be repeated if necessary<\/li><\/ul>\r\n<\/div>\r\n<\/div>\r\n\r\n<div class=\"hy-treat-card\">\r\n<div class=\"hy-treat-head\">\r\n<div class=\"hy-treat-icon\">\u2702\ufe0f<\/div>\r\n<div class=\"hy-treat-title\">Lateral Internal Sphincterotomy \u2014 Definitive Surgery<\/div>\r\n<div class=\"hy-treat-badge\">Refractory \/ Recurrent<\/div>\r\n<\/div>\r\n<div class=\"hy-treat-body\">\r\n<div class=\"hy-treat-stats\"><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">20\u201330 min<\/span><span class=\"hy-treat-stat-lbl\">Operating time<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">Local\/Spinal<\/span><span class=\"hy-treat-stat-lbl\">Anesthesia<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">Same day<\/span><span class=\"hy-treat-stat-lbl\">Discharge<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">90%+<\/span><span class=\"hy-treat-stat-lbl\">Success rate<\/span><\/div><\/div>\r\n<p>Lateral internal sphincterotomy (LIS) is the gold-standard surgical treatment for chronic anal fissures refractory to conservative management. A small portion of the internal anal sphincter is divided laterally, permanently reducing resting pressure and restoring blood supply to the posterior commissure.<\/p><p>Prof. Dr. Hakan Yanar performs LIS under local or spinal anesthesia. The procedure takes 20\u201330 minutes; patients are discharged the same day. The fissure heals in 4\u20138 weeks with a success rate exceeding 90%.<\/p>\r\n<ul class=\"hy-treat-points\"><li>Success rate >90% \u2014 gold standard for chronic fissures<\/li><li>Same-day discharge<\/li><li>Return to desk work within 1 week<\/li><li>Very low risk of incontinence with modern technique<\/li><\/ul>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n<div class=\"hy-sec\" id=\"istanbul\">\r\n<div class=\"hy-istanbul\">\r\n<h2>Anal Fissure Treatment in Istanbul<\/h2>\r\n<p class=\"hy-p\">Prof. Dr. Hakan Yanar performs proctological procedures at Liv Hospital Ulus, Be\u015fikta\u015f, Istanbul. Consultations and treatment are available in English, French, and Russian for international patients.<\/p>\r\n<\/div>\r\n<\/div>\r\n\r\n<script type=\"application\/ld+json\">\r\n{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is an anal fissure?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"An anal fissure is a small tear or crack in the lining of the anal canal. It causes sharp pain and bright red bleeding during bowel movements. Most fissures are caused by passing hard or large stools.\"}},\r\n{\"@type\":\"Question\",\"name\":\"How is an anal fissure treated without surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Acute fissures often heal with dietary changes (high-fiber diet, plenty of fluids), topical anesthetic or nitroglycerin creams, and warm sitz baths. Botulinum toxin injection is effective for chronic fissures that do not respond to creams.\"}},\r\n{\"@type\":\"Question\",\"name\":\"What is lateral internal sphincterotomy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Lateral internal sphincterotomy (LIS) is a minor surgical procedure in which a small portion of the internal anal sphincter muscle is divided to reduce resting pressure, allowing the fissure to heal. It has a success rate of over 90%.\"}},\r\n{\"@type\":\"Question\",\"name\":\"Is anal fissure surgery painful?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The procedure is performed under local or spinal anesthesia \u2014 patients feel no pain during surgery. Post-operative discomfort is usually mild and managed with simple pain relievers. Most patients return to work within 1 week.\"}},\r\n{\"@type\":\"Question\",\"name\":\"What is the difference between an anal fissure and hemorrhoids?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Hemorrhoids are enlarged blood vessels causing painless bleeding and itching. An anal fissure is a tear in the anal lining causing severe pain during and after bowel movements. Both can cause bleeding, but the character of pain differs significantly.\"}},\r\n{\"@type\":\"Question\",\"name\":\"Can an anal fissure heal on its own?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Acute fissures (less than 6 weeks) may heal spontaneously with conservative measures. Chronic fissures (more than 6 weeks) rarely heal without medical or surgical intervention and require professional treatment.\"}},\r\n{\"@type\":\"Question\",\"name\":\"How long does recovery take after sphincterotomy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most patients are discharged the same day or the day after surgery. Pain subsides significantly within 48\u201372 hours. Return to desk work is possible within 1 week; full recovery in 2\u20134 weeks.\"}},\r\n{\"@type\":\"Question\",\"name\":\"What causes recurrent anal fissures?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Recurrence is often linked to chronic constipation, low-fiber diet, excessive straining, or incomplete treatment. Maintaining adequate fiber intake (25\u201335 g\/day), hydration, and avoiding prolonged sitting on the toilet are the most effective preventive measures.\"}}]}\r\n<\/script><div class=\"hy-sec\" id=\"faq\"><h2>S\u0131k Sorulan Sorular<\/h2><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">What is an anal fissure?<\/div><div class=\"hy-faq-a\">An anal fissure is a small tear or crack in the lining of the anal canal. It causes sharp pain and bright red bleeding during bowel movements. Most fissures are caused by passing hard or large stools.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">How is an anal fissure treated without surgery?<\/div><div class=\"hy-faq-a\">Acute fissures often heal with dietary changes (high-fiber diet, plenty of fluids), topical anesthetic or nitroglycerin creams, and warm sitz baths. Botulinum toxin injection is effective for chronic fissures that do not respond to creams.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">What is lateral internal sphincterotomy?<\/div><div class=\"hy-faq-a\">Lateral internal sphincterotomy (LIS) is a minor surgical procedure in which a small portion of the internal anal sphincter muscle is divided to reduce resting pressure, allowing the fissure to heal. It has a success rate of over 90%.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">Is anal fissure surgery painful?<\/div><div class=\"hy-faq-a\">The procedure is performed under local or spinal anesthesia \u2014 patients feel no pain during surgery. Post-operative discomfort is usually mild and managed with simple pain relievers. Most patients return to work within 1 week.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">What is the difference between an anal fissure and hemorrhoids?<\/div><div class=\"hy-faq-a\">Hemorrhoids are enlarged blood vessels causing painless bleeding and itching. An anal fissure is a tear in the anal lining causing severe pain during and after bowel movements. Both can cause bleeding, but the character of pain differs significantly.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">Can an anal fissure heal on its own?<\/div><div class=\"hy-faq-a\">Acute fissures (less than 6 weeks) may heal spontaneously with conservative measures. Chronic fissures (more than 6 weeks) rarely heal without medical or surgical intervention and require professional treatment.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">How long does recovery take after sphincterotomy?<\/div><div class=\"hy-faq-a\">Most patients are discharged the same day or the day after surgery. Pain subsides significantly within 48\u201372 hours. Return to desk work is possible within 1 week; full recovery in 2\u20134 weeks.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">What causes recurrent anal fissures?<\/div><div class=\"hy-faq-a\">Recurrence is often linked to chronic constipation, low-fiber diet, excessive straining, or incomplete treatment. Maintaining adequate fiber intake (25\u201335 g\/day), hydration, and avoiding prolonged sitting on the toilet are the most effective preventive measures.<\/div><\/div><\/div>\r\n\r\n<div class=\"hy-cta\">\r\n  <h3>Book an Appointment for Anal Fissure<\/h3>\r\n  <p>Contact Prof. Dr. Hakan Yanar for evaluation and treatment in Istanbul.<\/p>\r\n  <div class=\"hy-cta-btns\">\r\n    <a href=\"tel:+905301715814\" class=\"hy-cta-btn primary\">\ud83d\udcde Hemen Ara<\/a>\r\n    <a href=\"https:\/\/wa.me\/905301715814\" class=\"hy-cta-btn wa\" target=\"_blank\">\ud83d\udcac WhatsApp ile Yaz<\/a>\r\n    <a href=\"\/iletisim\/\" class=\"hy-cta-btn primary\">\ud83d\udcc5 Online Randevu<\/a>\r\n  <\/div>\r\n<\/div>\r\n<div class=\"hy-related\"><h3>\u0130lgili Hastal\u0131k ve Tedaviler<\/h3><div class=\"hy-related-grid hy-cf\"><div class=\"hy-related-card\"><div class=\"hy-related-icon\">\ud83e\ude7a<\/div><div class=\"hy-related-name\">Hemorrhoids<\/div><div class=\"hy-related-desc\">Proctology services<\/div><a href=\"\/en\/services\/hemorrhoid\/\" class=\"hy-related-link\">Detayl\u0131 \u0130ncele \u2192<\/a><\/div><div class=\"hy-related-card\"><div class=\"hy-related-icon\">\ud83d\udd39<\/div><div class=\"hy-related-name\">Pilonidal Sinus<\/div><div class=\"hy-related-desc\">Flap surgery<\/div><a href=\"\/en\/services\/pilonidal-sinus\/\" class=\"hy-related-link\">Detayl\u0131 \u0130ncele \u2192<\/a><\/div><div class=\"hy-related-card\"><div class=\"hy-related-icon\">\ud83e\udec0<\/div><div class=\"hy-related-name\">Inguinal Hernia<\/div><div class=\"hy-related-desc\">Laparoscopic repair<\/div><a href=\"\/en\/services\/inguinal-hernia\/\" class=\"hy-related-link\">Detayl\u0131 \u0130ncele \u2192<\/a><\/div><\/div><\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/body>\r\n<\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Proctology &#038; General Surgery \u00b7 Istanbul Anal Fissure Prof. Dr. Hakan Yanar \u2014 General Surgery &#038; Oncological Surgery Specialist Anal fissure causes severe pain during bowel movements. Conservative treatment, botulinum toxin, and sphincterotomy provide permanent relief. \u2702\ufe0f Sphincterotomy\ud83d\udc89 Botulinum Toxin\ud83c\udfe5 Same-Day Discharge\u2705 All Fissure Types Home\u203aConditions\u203aAnal Fissure \ud83d\udccb \u0130\u00e7indekiler What is Anal Fissure?Causes &#038; Risk [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":15980,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-16701","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Anal Fissure Treatment Istanbul &#8212; Prof. Dr. Hakan Yanar<\/title>\n<meta name=\"description\" content=\"Anal fissure treatment in Istanbul with botulinum toxin and lateral sphincterotomy. Expert proctologist Prof. Dr. Hakan Yanar. Book your appointment today.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.hakanyanar.com\/services\/makat-catlagi\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anal Fissure Treatment Istanbul\" \/>\n<meta property=\"og:description\" content=\"Anal fissure treatment in Istanbul with botulinum toxin and lateral sphincterotomy. Expert proctologist Prof. Dr. Hakan Yanar. 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