{"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":"2026-05-08T23:08:57","modified_gmt":"2026-05-08T20:08:57","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=\"en\">\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 Tear\",\"description\":\"A tear in the mucosa of the anal canal. Acute cases are treated with topical therapy, while chronic cases are treated with lateral internal sphincterotomy or Botox.\",\"relevantSpecialty\":{\"@type\":\"MedicalSpecialty\",\"name\":\"General Surgery\"},\"signOrSymptom\":[{\"@type\":\"MedicalSymptom\",\"name\":\"Pain during defecation\"},{\"@type\":\"MedicalSymptom\",\"name\":\"Burning sensation\"},{\"@type\":\"MedicalSymptom\",\"name\":\"Rectal bleeding\"}],\"possibleTreatment\":[{\"@type\":\"MedicalTherapy\",\"name\":\"Lateral Internal Sphincterotomy\"},{\"@type\":\"MedicalTherapy\",\"name\":\"Botulinum Toxin Injection\"}]}<\/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>(Anal Tear)<\/span><\/h1>\r\n  <div class=\"hy-hero-sub\">Prof. Dr. Hakan Yanar \u2014 General Surgery Specialist<\/div>\r\n  <p class=\"hy-hero-desc\">When treatment is initiated early, anal fissures can often be resolved without surgery. For chronic cases, lateral internal sphincterotomy offers a permanent solution.<\/p>\r\n  <div class=\"hy-badges\"><span class=\"hy-badge\">\ud83e\ude79 Lateral Internal Sphincterotomy<\/span><span class=\"hy-badge\">\ud83d\udc89 Botox Treatment<\/span><span class=\"hy-badge\">\ud83c\udfe5 Outpatient Surgery<\/span><span class=\"hy-badge\">\u2705 90%+ Success<\/span><\/div>\r\n<\/div>\r\n\r\n<div class=\"hy-bc\">\r\n  <a href=\"\/en\/\">Home<\/a>\r\n  <span class=\"hy-bc-sep\">\u203a<\/span>\r\n  <a href=\"https:\/\/www.hakanyanar.com\/en\/services\/\">Conditions<\/a>\r\n  <span class=\"hy-bc-sep\">\u203a<\/span>\r\n  Anal Fissure\r\n<\/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 Table of Contents<\/div>\r\n    <a href=\"#what-is\">What is an Anal Fissure?<\/a><a href=\"#risk\">Risk Factors<\/a><a href=\"#symptoms\">Symptoms<\/a><a href=\"#treatment\">Treatment Methods<\/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\">General Surgery Specialist<\/div>\r\n    <a href=\"tel:+905301715814\" class=\"hy-doc-btn\">\ud83d\udcde Book an Appointment<\/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 Quick Facts<\/div>\r\n    <div class=\"hy-info-row\"><span class=\"hy-info-label\">Operating Time<\/span><span class=\"hy-info-val\">20\u201340 min<\/span><\/div><div class=\"hy-info-row\"><span class=\"hy-info-label\">Hospital Stay<\/span><span class=\"hy-info-val\">Outpatient<\/span><\/div><div class=\"hy-info-row\"><span class=\"hy-info-label\">Method<\/span><span class=\"hy-info-val\">Sphincterotomy \/ 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 tear or cut in the skin or mucosa lining the inner surface of the anal canal. It manifests with severe burning and sharp pain during bowel movements, frequently accompanied by a small amount of bright red bleeding.<\/p>\r\n<p class=\"hy-p\">When symptoms have been present for less than 8 weeks, it is termed an <strong>acute fissure<\/strong>, whereas those lasting longer are considered <strong>chronic fissures<\/strong>. In chronic cases, a sentinel pile (skin tag) and sphincter hypertrophy often develop; this complicates treatment and generally makes surgery necessary.<\/p>\r\n<div class=\"hy-info-alert\"><p>\ud83d\udccc <strong>Important:<\/strong> Delaying bathroom visits due to pain hardens the stool and worsens the cycle. If your symptoms persist for more than 2 weeks, you should consult a surgeon.<\/p><\/div>\r\n<\/div>\r\n\r\n<div class=\"hy-sec\" id=\"risk\">\r\n<h2>Who is at Risk?<\/h2>\r\n<div class=\"hy-risk-grid\"><div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\ud83d\udebd<\/div><div class=\"hy-risk-title\">Chronic Constipation<\/div><div class=\"hy-risk-desc\">Passing hard, bulky stool tears the anal mucosa; it is the most common cause of fissures.<\/div><\/div><div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\ud83e\udd30<\/div><div class=\"hy-risk-title\">Obstetric Trauma<\/div><div class=\"hy-risk-desc\">Posterior midline fissures can develop during vaginal delivery; it is one of the most common postpartum proctologic complaints.<\/div><\/div><div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\ud83d\udc8a<\/div><div class=\"hy-risk-title\">Chronic Diarrhea<\/div><div class=\"hy-risk-desc\">Excessively acidic and liquid stool chronically irritates the anal mucosa.<\/div><\/div><div class=\"hy-risk-item\"><div class=\"hy-risk-icon\">\ud83c\udfe5<\/div><div class=\"hy-risk-title\">Inflammatory Bowel Disease<\/div><div class=\"hy-risk-desc\">Crohn's disease significantly increases fissure development; alternative treatments are favored over standard sphincterotomy in these cases.<\/div><\/div><\/div>\r\n<ul class=\"hy-ul\">\r\n<li>Anal intercourse \u2014 mechanical trauma<\/li>\r\n<li>Low fiber and inadequate fluid intake<\/li>\r\n<li>Anal sphincter hypertonia \u2014 structurally high resting sphincter pressure in some individuals<\/li>\r\n<\/ul>\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 Conditions Requiring Emergency Evaluation<\/div><p>Pain accompanied by fever, scrotal or labial swelling, and skin redness should raise suspicion for Fournier's gangrene; seek immediate emergency care.<\/p><\/div>\r\n<ul class=\"hy-ul\">\r\n<li>Severe sharp or burning pain during defecation \u2014 often described as the feeling of \"passing glass\"<\/li>\r\n<li>Pain lasting for minutes to hours after a bowel movement<\/li>\r\n<li>Small amounts of bright red blood on toilet paper or in the toilet bowl<\/li>\r\n<li>Pruritus ani (itching) and irritation around the anus<\/li>\r\n<li>Fear of bowel movements and stool withholding (fecal retention) due to pain<\/li>\r\n<li>A visible tear, sentinel pile (skin tag), or hypertrophied anal papilla in chronic cases<\/li>\r\n<\/ul>\r\n<\/div>\r\n\r\n<div class=\"hy-sec\" id=\"treatment\">\r\n<h2>Treatment Methods<\/h2>\r\n<p class=\"hy-p\">The treatment of an anal fissure follows a step-up approach based on the duration (acute\/chronic) and severity of the condition. For acute fissures, conservative management is usually sufficient; however, for chronic fissures, surgery is the standard of care.<\/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 Management \u2014 First-Line for Acute Fissures<\/div>\r\n<div class=\"hy-treat-badge\">Acute Fissure (< 8 weeks)<\/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<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">2\u20133 liters<\/span><span class=\"hy-treat-stat-lbl\">Daily fluids<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">6\u20138 weeks<\/span><span class=\"hy-treat-stat-lbl\">Treatment duration<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">50%<\/span><span class=\"hy-treat-stat-lbl\">Acute healing rate<\/span><\/div><\/div>\r\n<p>A high-fiber diet and ample fluid intake soften the stool, reducing trauma. Warm sitz baths for 10 minutes, 2\u20133 times a day, relax sphincter spasms and promote healing by increasing local blood flow.<\/p><p>Topical anesthetics (lidocaine gel) provide short-term pain relief. Topical corticosteroids help suppress inflammation. Osmotic laxatives (lactulose, macrogol) can be added to relieve constipation.<\/p>\r\n<ul class=\"hy-treat-points\"><li>50% of acute fissures heal within 6\u20138 weeks<\/li><li>Initiated with non-pharmacological lifestyle modifications<\/li><li>Pain relievers and sitz baths provide symptom control<\/li><li>Prolonged cases transition to medical sphincterotomy<\/li><\/ul>\r\n<\/div>\r\n<\/div>\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\">\ud83d\udc89<\/div>\r\n<div class=\"hy-treat-title\">Medical Sphincterotomy \u2014 Topical and Botox Therapy<\/div>\r\n<div class=\"hy-treat-badge\">Chronic \/ Conservative Refractory<\/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\">Topical<\/span><span class=\"hy-treat-stat-lbl\">Nitroglycerin \/ Diltiazem<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">3\u20136 months<\/span><span class=\"hy-treat-stat-lbl\">Botox duration<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">Office<\/span><span class=\"hy-treat-stat-lbl\">No anesthesia required<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">50\u201370%<\/span><span class=\"hy-treat-stat-lbl\">Success rate<\/span><\/div><\/div>\r\n<p>The application of <strong>topical nitroglycerin (0.2\u20130.4%)<\/strong> or <strong>diltiazem cream<\/strong> chemically lowers the internal sphincter pressure, increasing the necessary blood flow for the fissure to heal. Headache is the most common side effect.<\/p><p>A <strong>Botulinum toxin (Botox)<\/strong> injection into the internal sphincter muscle induces temporary paresis; the resting anal pressure remains low for 3\u20136 months. During this period, the fissure heals. Compared to surgical sphincterotomy, the risk of incontinence is lower; however, the recurrence rate is higher.<\/p>\r\n<ul class=\"hy-treat-points\"><li>Effective non-surgical methods<\/li><li>Botox is administered in an office setting without anesthesia<\/li><li>50\u201370% healing rate (in chronic fissures)<\/li><li>Refractory cases proceed to surgical sphincterotomy<\/li><\/ul>\r\n<\/div>\r\n<\/div>\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\">\u2702\ufe0f<\/div>\r\n<div class=\"hy-treat-title\">Lateral Internal Sphincterotomy (LIS) \u2014 Gold Standard Surgery<\/div>\r\n<div class=\"hy-treat-badge\">Chronic Refractory 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\">20\u201340 min<\/span><span class=\"hy-treat-stat-lbl\">Procedure time<\/span><\/div><div class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">Outpatient<\/span><span class=\"hy-treat-stat-lbl\">Anesthesia<\/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 class=\"hy-treat-stat\"><span class=\"hy-treat-stat-val\">1\u20132 weeks<\/span><span class=\"hy-treat-stat-lbl\">Recovery<\/span><\/div><\/div>\r\n<p>In this minimal surgical procedure performed by Prof. Dr. Hakan Yanar, a small portion of the internal sphincter muscle is released using a closed technique. This lowers the resting anal pressure and increases the blood supply critical for fissure healing.<\/p><p>The procedure takes 20\u201340 minutes under spinal or local anesthesia, and patients are discharged the same day. Postoperative pain is significantly reduced, and most patients return to normal daily activities within 48 hours.<\/p><p>In experienced hands, the risk of incontinence is extremely low (1\u20132%). The long-term success rate exceeds 90%.<\/p>\r\n<ul class=\"hy-treat-points\"><li>90%+ long-term healing rate<\/li><li>Outpatient surgery \u2014 same-day discharge<\/li><li>Risk of incontinence in experienced hands is <2%<\/li><li>The most effective treatment option for chronic fissures<\/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 is an experienced general surgeon specializing in the surgical treatment of proctologic diseases at Liv Hospital Ulus. Offering a permanent solution with lateral internal sphincterotomy for chronic anal fissure cases, Prof. Yanar provides consultations in Turkish, English, French, and Russian.<\/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 (anal tear) is a sharp-edged tear in the skin or mucosa lining the anal canal. It presents with severe pain and a burning sensation during bowel movements.\"}},\r\n{\"@type\":\"Question\",\"name\":\"How does an anal fissure heal?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"50% of acute anal fissures heal within 6\u20138 weeks with lifestyle modifications and topical treatments. For chronic fissures, a Botox injection or lateral internal sphincterotomy may be required.\"}},\r\n{\"@type\":\"Question\",\"name\":\"What is a lateral internal sphincterotomy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"In this brief surgery, a small portion of the internal sphincter muscle is divided, lowering anal pressure and accelerating healing. The success rate exceeds 90%. It is performed as an outpatient procedure.\"}},\r\n{\"@type\":\"Question\",\"name\":\"Does Botox work for anal fissures?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Botulinum toxin injected into the internal sphincter muscle causes temporary paresis lasting 3\u20136 months; the anal pressure drops, allowing the fissure to heal. It is a minimally invasive alternative to sphincterotomy.\"}},\r\n{\"@type\":\"Question\",\"name\":\"How to distinguish an anal fissure from hemorrhoids?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A fissure is characterized by severe, sharp pain during and after defecation, with minimal bleeding. In hemorrhoids, pain is typically mild or absent, but bright red bleeding is more prominent. A physical examination is necessary for a definitive diagnosis.\"}},\r\n{\"@type\":\"Question\",\"name\":\"What is a chronic fissure?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Fissures lasting longer than 8 weeks are considered chronic. Chronic fissures develop a sentinel pile, hypertrophied papilla, and sphincter hypertrophy; medical therapy often becomes insufficient, making surgery necessary.\"}},\r\n{\"@type\":\"Question\",\"name\":\"Does an anal fissure recur after surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The long-term healing rate following a sphincterotomy is over 90%. Maintaining a high-fiber diet and preventing constipation helps avoid recurrence.\"}},\r\n{\"@type\":\"Question\",\"name\":\"What should the diet be like with an anal fissure?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A daily intake of 25\u201335 g of fiber, 2\u20133 liters of water, and if necessary, an osmotic laxative (lactulose, macrogol) are the foundational recommendations. It is also critical to limit time spent on the toilet and avoid straining.\"}}]}\r\n<\/script><div class=\"hy-sec\" id=\"faq\"><h2>Frequently Asked Questions<\/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 (anal tear) is a sharp-edged tear in the skin or mucosa lining the anal canal. It presents with severe pain and a burning sensation during bowel movements.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">How does an anal fissure heal?<\/div><div class=\"hy-faq-a\">50% of acute anal fissures heal within 6\u20138 weeks with lifestyle modifications and topical treatments. For chronic fissures, a Botox injection or lateral internal sphincterotomy may be required.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">What is a lateral internal sphincterotomy?<\/div><div class=\"hy-faq-a\">In this brief surgery, a small portion of the internal sphincter muscle is divided, lowering anal pressure and accelerating healing. The success rate exceeds 90%. It is performed as an outpatient procedure.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">Does Botox work for anal fissures?<\/div><div class=\"hy-faq-a\">Yes. Botulinum toxin injected into the internal sphincter muscle causes temporary paresis lasting 3\u20136 months; the anal pressure drops, allowing the fissure to heal. It is a minimally invasive alternative to sphincterotomy.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">How to distinguish an anal fissure from hemorrhoids?<\/div><div class=\"hy-faq-a\">A fissure is characterized by severe, sharp pain during and after defecation, with minimal bleeding. In hemorrhoids, pain is typically mild or absent, but bright red bleeding is more prominent. A physical examination is necessary for a definitive diagnosis.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">What is a chronic fissure?<\/div><div class=\"hy-faq-a\">Fissures lasting longer than 8 weeks are considered chronic. Chronic fissures develop a sentinel pile, hypertrophied papilla, and sphincter hypertrophy; medical therapy often becomes insufficient, making surgery necessary.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">Does an anal fissure recur after surgery?<\/div><div class=\"hy-faq-a\">The long-term healing rate following a sphincterotomy is over 90%. Maintaining a high-fiber diet and preventing constipation helps avoid recurrence.<\/div><\/div><div class=\"hy-faq-item\"><div class=\"hy-faq-q\">What should the diet be like with an anal fissure?<\/div><div class=\"hy-faq-a\">A daily intake of 25\u201335 g of fiber, 2\u20133 liters of water, and if necessary, an osmotic laxative (lactulose, macrogol) are the foundational recommendations. It is also critical to limit time spent on the toilet and avoid straining.<\/div><\/div><\/div>\r\n\r\n<div class=\"hy-cta\">\r\n  <h3>Book an Appointment for an Anal Fissure<\/h3>\r\n  <p>Schedule a consultation with Prof. Dr. Hakan Yanar to evaluate your symptoms.<\/p>\r\n  <div class=\"hy-cta-btns\">\r\n    <a href=\"tel:+905301715814\" class=\"hy-cta-btn primary\">\ud83d\udcde Call Now<\/a>\r\n    <a href=\"https:\/\/wa.me\/905301715814\" class=\"hy-cta-btn wa\" target=\"_blank\">\ud83d\udcac Message via WhatsApp<\/a>\r\n    <a href=\"https:\/\/www.hakanyanar.com\/en\/contact\/\" class=\"hy-cta-btn primary\">\ud83d\udcc5 Online Appointment<\/a>\r\n  <\/div>\r\n<\/div>\r\n<div class=\"hy-related\"><h3>Related Conditions & Treatments<\/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\">Laser and stapler treatment<\/div><a href=\"\/en\/services\/hemorrhoid-disease\/\" class=\"hy-related-link\">Learn More \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\">Pilonidal sinus surgery<\/div><a href=\"\/en\/services\/pilonidal-sinus\/\" class=\"hy-related-link\">Learn More \u2192<\/a><\/div><div class=\"hy-related-card\"><div class=\"hy-related-icon\">\ud83d\udd2c<\/div><div class=\"hy-related-name\">Colorectal Cancer<\/div><div class=\"hy-related-desc\">Colonoscopy and surgery<\/div><a href=\"\/en\/services\/colon-rectal-cancer\/\" class=\"hy-related-link\">Learn More \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 (Anal Tear) Prof. Dr. Hakan Yanar \u2014 General Surgery Specialist When treatment is initiated early, anal fissures can often be resolved without surgery. For chronic cases, lateral internal sphincterotomy offers a permanent solution. \ud83e\ude79 Lateral Internal Sphincterotomy\ud83d\udc89 Botox Treatment\ud83c\udfe5 Outpatient Surgery\u2705 90%+ Success Home \u203a Conditions \u203a [&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 v27.7) - 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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