About this disease

What it concerns

Tears in the area of the anal canal and anus are almost exclusively caused by hard bowel movements and the associated heavy pressing, however diarrhea can also lead to tearing of the skin of the anus. Most anal fissures are localized towards the coccyx. A distinction is made between acute and chronic anal fissure.

Symptoms and consequences

Those suffering from anal fissure will experience severe pain during and especially after defecation. Bleeding often occurs at the same time. The pain, which can last for hours, is caused by spasm of the sphincter muscle.

How we can help you

Examination and diagnosis

During the proctological examination the skin around the anus is closely inspected and an anal fissure can usually be seen immediately. Further examinations of the anal area are not performed because of the pain. The complete proctological examination usually takes place after four to six weeks.


The basic therapy of anal fissure is stool regulation to prevent hard stool, as this will cause a prolongation of the disease. In addition special ointments will be provided which should be used regularly. If the fissure does not heal within six weeks, we can use standard surgical procedures, these can usually be performed on an outpatient basis with minimal surgical risk.

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