An anal fissure is an extremely painful condition and making passage of stools a challenge and disruptive task. While traditional treatments such as dietary changes, topic
al medications, and sitz baths can provide some relief, chronic fissures often require a more targeted approach. Botox injection for anal fissure has emerged as a highly effective, minimally invasive treatment that relaxes the anal sphincter and promotes healing of anal fissure. In this blog, we explore how Botox injection for anal fissure works, its benefits, the procedure, and why it might be the right choice for you.
What is Anal Fissure?
An anal fissure refers to a tear or cut in the anal canal. As a result, patients complain of excessive pain while passing stools along with intermittent small episodes of bleeding. Depending upon the duration of symptoms, anal fissure can be classified into two stages:
Acute Anal Fissure: In Acute anal fissure, the symptoms are usually present within six weeks of duration.
Chronic anal fissures: When acute anal fissures wont heal within 6 weeks, then it is termed as chronic anal fissure.. Fissures can be complicated to diagnose, along with pain during stool pass, a burning sensation, and skin breakage. Anal Fissures come about due to excessive changes in the lining of the anal canal or excess skin growth around the anus.
What Causes Anal Fissure?
The most common cause of anal fissure is passage of hard stools resulting in tear of the lining of anal canal.Fissures can result from factors such as stool characteristics, such as form and size, Stomach problems like obstipation
or the more recognizable chronic constipation, and skin and mouth surgical procedures, such as tummy minus equator region procedures and episiotomies (alongside cuts made before labor).
When a sphincter muscle circumscribes the anal region and gets too tense, it might diminish the flow of blood in that region, thus making the healing process quite tricky. B
ut Botox can treat it well!
Non-Surgical
Treatment for Anal Fissure:
Anal Fissures can be treated with Botox, but some other methods can be treated and stitched as well before the process becomes suggested by an expert, which includes:
Dietary Changes:
Softening stool by raising fiber intake.
Hydration: Increased water consumption helps in preventing constipation and softening of stools.
Stool Softeners: Medication that facilitates the passage of feces by increasing the motility of intestines and softening of the stools,
Sitz Baths: Sitting in warm water helps in healing and relaxing the anal muscles. It thereby increases the blood flow to the fissure area which aids in healing.
Medicated Creams: The doctor can prescribe certain medications that aid in muscle relaxation and pain relief. These medicines can be quite effective in management of acute anal fissures.
Laser Surgery for Anal fissure:
Laser Surgery for Anal Fissure is one of the latest treatments for the management of non healing anal fissures. In this procedure, the surgeon makes a small cut in the muscles surrounding the anal canal with the help of a laser machine.
As a result, the spasm immediately decreases resulting in increased blood flow to the fissure area and thus helps in healing the anal fissure.
Botox Therapy for Anal Fissure:
Mechanism behind Botox injection for Anal Fissure?
Botulinum toxin (Botox) treatment is an effective and minimally invasive option for chronic anal fissures or fissures which fail to heal with conservative methods. Botox injection works by temporarily paralyzing the muscles and hence immediately blocking the spasm of muscles.
What is done for the procedure?
This process is painless and can be done in an outpatient clinic or near the doctor’s office:
Preparation: The doctor first applies a numbing cream or administers anesthesia to numb the patient in the injection area.
Injection: Using a fine needle, a tiny quantity of Botox, approximately 50-100 IU is injected into the inner sphincter muscle of the anus.
The action of Botox: The medication commences curing within a few hours. The muscle loosens gradually, which improves blood flow to the fissure.
Healing Process: Following the procedure, the fissure begins to heal during the following few weeks due to decreased pressure.
Patients can usually go home on the same day, as the process takes roughly 10-15 minutes.
Is the Procedure Painful?
For many people, pain is non-existent or minimal during the injection because the area being treated is likely numb. Although mild discomfort or pressure may be felt in some individuals, it is temporary and lasts for 10-15 minutes.
How Long Does Botox Injection for Anal Fissure Last?
The effects of buttocks Botox can typically last around 3-4 months. At this point, the fissure is supposed to heal. In some cases, if the fissure is still present, patients may require a second injection. After one treatment, though, most patients report feeling a lot better.
Success Rate of Botox for Anal Fissures
Studies show that Botox injections work around 80-90% of the time in patients who suffer from anal fissures. While most sufferers will not find a permanent solution, it will certainly avoid the need for surgery.
Advantages of Botox for Anal Fissure
✔ Non-surgical & minimally invasive
✔ Quick outpatient procedure
✔ No incisions or wounds
✔ Fast relief from pain & spasms
✔ High success rate (~80-90%)
✔ Safe for patients unfit for surgery
Who Should Consider Botox for Anal Fissure?
🔹 Patients with chronic fissures (lasting more than 6 weeks)
🔹 Those who do not respond to medications like nitrate or calcium channel creams
🔹 People who want to avoid surgery (e.g., lateral internal sphincterotomy)
🔹 Those at risk of fecal incontinence after surgery
Does It Have Anything Undesired Associated With It?
Even though botox treatments are usually safe, they also have, like other medical procedures, some adverse effects, which include:
- Temporary inability to control gas
- There is a bit of tenderness around the site of the injection
- Infrequently, minor stool incontinence, which is self-limiting in nature
- Some patients might have slight weakness of the anal sphincter, but this usually gets better with time.
When is it possible to consult with a therapist?
It is best to consult a physician in case you experience anal discomfort that lingers for more than a few weeks or if you start spotting blood while passing stool. A physician can assess whether Botox is needed or if another procedure is appropriate.
Comparison Between Laser Surgery and Botox Injection for Anal Fissure:
While Botox is a viable option, some severe circumstances where anal fissures appear may require surgical treatment. Here’s how the two treatments compare:
Botox Injection for Anal Fissure:
- Non-invasive fissure surgery is termed a Botox treatment.
- Implies muscle relaxation on a short-term basis.
- Harmless or low risk as compared to alternative treatment.
- Patients might have to come in again for Botox if the fissure does not heal completely.
Laser Surgery for Anal Fissure (Lateral Internal Sphincterotomy: LIS):
- This procedure is a little bit more painful but permanent, which makes for it.
- Cutting a tiny section of the anal sphincter muscles to relieve pressure is the surgical treatment.
Why Opt For Habilite Clinics?
Dr. Kapil Agrawal, principal surgeon at Habilite Clinics, is a highly skilled surgeon with a high success rate in the treatment of anal fissures.
The clinic takes measures to reduce the recovery period and limit discomfort during the process.
Generally, they seek to circumvent surgical procedures as much as possible and prescribe medicines and non-invasive procedures like Botox.
Habilite Clinics provide Botox therapy for anal fissures alongside other minimally invasive procedures.
Habilite Clinics offer:
Habilite Clinics, is one of the best hospital for the management of piles, anal fissure and anal fistula treatment. The various advantages offered by us are:
Individual Treatment Strategies: Each patient’s condition and medical history are considered for a unique treatment plan.
Exemplary Medical Equipment: The latest technology is used for the most efficient and safe procedures at Habilite Clinics.
Comprehensive Management of Anal Fissure: At Habilite Clinics, we offer a complete range of procedures for the best and most effective management of anal fissure. This includes non surgical conventional methods, Botox treatment and Laser surgeries.
Skilled Medical Personnel: Botox treatment for anal fissures is provided by specialists with vast experience in treating the disease.
Care After The Procedure: Follow-up treatments and check-ups are carried out, and detailed instructions for post-care are provided.
Memorable Experience: The clinics are designed to ensure patients feel at ease and focus on fast recovery.
How to Avoid Anal Fissure:
Once an anal fissure heals, it’s imperative to prevent recurrence. Follow these guidelines for prevention.
Take note of the following:
- A high-fiber diet should be maintained to ensure soft stool.
- Make sure to drink enough fluids so as not to get dehydrated.
- Physical activities increase energy expenditure, enhance digestion, and avert constipation.
- Don’t remain seated for too long, and don’t push hard during bowel movements.
- Do not put off the bathroom visit when you need to relieve yourself.
Conclusion
To treat anal fissures, Botox treatment is direct, trouble-free, and has minimal handling. If you are experiencing an anal fissure, don’t be ashamed to see a doctor. The proper treatment will ease your embarrassment, and the appropriate lifestyle will help put it behind you. Embrace life to the fullest and look forward to a future without anal fissures. Fissures are best treated with a combination of treatments and lifestyle adjustments.
You can request an appointment at Habilite Clinics at +91 9999-456-455 or +91 9910-024-564. Our clinic is located in Lajpat Nagar, New Delhi.
