What is the difference between fissure and fistula?

A fissure is a small tear in the anal lining causing pain and bleeding, while a fistula is an infected tunnel connecting the anal canal to the skin near the anus.

Can a fissure turn into a fistula?

No, a fissure does not turn into a fistula. However, both can occur simultaneously if left untreated or due to chronic infection.

Is laser surgery effective for fissure and fistula?

Yes, laser surgery is a safe, painless, and highly effective treatment for both fissure and fistula with quick recovery and minimal recurrence.

How to prevent fissure or fistula?

Maintain a high-fiber diet, stay hydrated, avoid straining during bowel movements, and seek early medical advice if symptoms appear.

Fissure vs Fistula — What’s the Difference?

Anal fissure and anal fistula are two common yet often confused anorectal conditions. While both cause discomfort and pain near the anal area, they differ in causes, symptoms, and treatment methods. Let’s explore how they differ and which treatment options offer the best outcomes.

What is an Anal Fissure?

An anal fissure is a small tear or crack in the lining of the anus, usually caused by passing hard stools or constipation. It results in sharp pain and bleeding during bowel movements.

⚠️ Pain during or after bowel movement
⚠️ Bright red blood on toilet tissue
⚠️ Itching or burning sensation

What is an Anal Fistula?

An anal fistula is an abnormal tunnel that connects the anal canal to the skin near the anus. It often develops due to infection or abscess in an anal gland. This tunnel allows pus or discharge to drain from the infected area.

⚠️ Swelling or pus discharge near anus
⚠️ Persistent pain and irritation
⚠️ Recurrent abscess formation

Fissure vs Fistula: Key Differences

Feature	Fissure	Fistula
Definition	Small tear in anal lining	Abnormal tunnel between anal canal and skin
Main Cause	Constipation, hard stools	Infection or abscess
Pain Type	Sharp during stool passage	Constant throbbing or dull pain
Discharge	Rare	Frequent pus or fluid
Treatment	Medication or laser fissure surgery	Laser fistulotomy or surgical drainage

Modern Laser Treatments at Vasanth Gastro Centre

At Vasanth Gastro Centre, Chennai, we use advanced laser techniques for fissure and fistula treatment. These procedures are minimally invasive, painless, and allow same-day discharge. Patients experience faster healing and minimal recurrence.

“Laser procedures for fissure and fistula ensure faster recovery, minimal pain, and long-term relief.”

Dr. Ramesh Babu, Senior Gastro Surgeon

When Should You See a Doctor?

If you experience bleeding, pain, or pus discharge from the anal area for more than 2–3 days, it’s important to consult a specialist. Early diagnosis can prevent chronic complications.

Contact Vasanth Gastro Centre, Chennai

Our expert team provides accurate diagnosis and advanced laser treatments for fissure, fistula, and piles. With over 25 years of experience, we ensure safe and effective care.

Call us now: +91 94453 10233