Anal Fissure

  • Sarah E. TevisEmail author
  • Gregory D. Kennedy


Fissure in ano is characterized by severe pain with defecation. Conservative treatment involves increasing dietary fiber intake and topical administration of smooth muscle relaxants. When these conservative options fail, surgery may be indicated. Closed and open lateral internal sphincterotomy will be discussed in detail in this chapter.


Fissure Sphincterotomy Hypertrophied anal papilla 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of General SurgeryUniversity of WisconsinMadisonUSA
  2. 2.Department of SurgeryUniversity of Alabama at BirminghamBirminghamUSA

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