Anal Fissure Surgery Doctor in Mumbai: Treatment, Symptoms and When Surgery May Be Needed
An anal fissure is a small tear in the delicate lining of the anus that can cause significant pain, burning and bleeding, particularly during or after bowel movements. Although many fissures improve with appropriate non-surgical treatment, some become chronic and may require a surgical procedure.
Persistent anal pain or bleeding should not be ignored. An accurate diagnosis helps determine whether symptoms are caused by an anal fissure or another anorectal condition and whether conservative treatment or surgery is appropriate.
If you are looking for an anal fissure surgery doctor in mumbai, Dr. Chintamani Godbole at Gadre Hospital provides specialist evaluation and treatment for anal and colorectal conditions.
What Is an Anal Fissure?
An anal fissure is a tear or crack in the anal lining. It commonly develops when a person passes hard or large stools, particularly in the presence of constipation or straining. Anal fissures can affect people of different age groups and are usually not considered a serious condition, but the pain can be considerable.
Common symptoms include:
Sharp or severe pain during bowel movements
Pain that continues after passing stool
Bright red blood in the stool or on toilet paper
Itching or irritation around the anus
A visible tear near the anal opening
A small skin tag or lump near the fissure
Because similar symptoms can occur with other anorectal conditions, professional evaluation is important when symptoms persist or recur.
What Causes Anal Fissures?
Anal fissures are commonly associated with trauma to the anal lining caused by hard stools or excessive stretching during bowel movements. Other factors may contribute to their development.
Common causes and contributing factors include:
Constipation
Passing large or hard stools
Straining during bowel movements
Chronic diarrhoea
Reduced blood supply to the anal region
Pregnancy
Identifying and addressing the underlying cause is an important part of treatment and may reduce the risk of recurrence.
Acute vs Chronic Anal Fissure
Not every anal fissure requires surgery. Many fissures can heal naturally within approximately four to six weeks or improve with conservative treatment.
A chronic fissure, however, may persist despite appropriate treatment. The reference information from Dr. Godbole notes that a fissure that remains unhealed for more than six weeks may require medication or surgery. Chronic fissures may also be associated with skin tags or other changes around the tear.
This distinction is important because treatment should be based on the duration, severity and characteristics of the fissure rather than simply the presence of pain.
How Is an Anal Fissure Diagnosed?
Diagnosis is often possible through an outpatient clinical examination. Your doctor may assess your symptoms and examine the affected area to identify the fissure and determine whether there are signs of a chronic condition.
Additional investigations are not routinely necessary for every patient. However, depending on age, symptoms and risk factors, further testing such as colonoscopy may sometimes be recommended to investigate other possible causes of bleeding or gastrointestinal symptoms.
Can Anal Fissures Be Treated Without Surgery?
Yes. Conservative management is generally the first approach for many anal fissures.
Treatment may include:
Increasing dietary fibre
Drinking adequate fluids
Stool softeners or laxatives when medically appropriate
Topical medications
Measures to reduce constipation and straining
Dietary modifications
The treatment information on Dr. Godbole’s website states that medical therapy can cure at least 80% of anal fissures.
However, treatment needs to be individualised. Persistent symptoms despite appropriate conservative management should be reviewed by a colorectal or gastrointestinal surgeon.
When Is Anal Fissure Surgery Recommended?
Surgery may be considered when a fissure does not respond adequately to conventional treatment or becomes chronic and continues to cause significant symptoms.
One of the surgical treatments described by Dr. Godbole is Lateral Internal Sphincterotomy (LIS). During this procedure, a portion of the internal anal sphincter muscle is divided. This helps reduce excessive muscle spasm and facilitates healing of the fissure. If a sentinel pile is present, it may also be removed to support healing.
The procedure is described on the reference page as a rapid surgical technique that may be performed as a day-case procedure and as an effective treatment option for non-healing fissures.
Whether surgery is appropriate for you should be determined only after an individual assessment.
Why Choose a Colorectal Specialist?
Anorectal symptoms can sometimes be embarrassing or uncomfortable to discuss, but delaying evaluation can allow a persistent condition to become more difficult to manage.
A Colorectal Surgeon in Mumbai with specialised training can evaluate fissures and other conditions involving the colon, rectum and anus and help determine the most appropriate treatment.
Dr. Chintamani Godbole is a dedicated colorectal surgeon with special interests in colorectal surgery and peritoneal surface oncology. His professional qualifications include MBBS, MS in General Surgery, DNB in Surgical Gastroenterology, MRCS from the Royal College of Surgeons of Edinburgh and FRCS from Edinburgh. He has also completed fellowships in robotic colorectal surgery and colorectal and peritoneal oncology in the UK.
Dr. Chintamani Godbole: Experience and Expertise
Dr. Chintamani Godbole completed his MBBS and MS in General Surgery through Maharashtra University of Health Sciences and subsequently completed DNB training in GI Surgery at Jaslok Hospital and Research Centre, Mumbai. He received further colorectal surgery training in the UK, where he worked for five years.
His UK experience included fellowships in minimally invasive colorectal surgery, including laparoscopic and robotic surgery, colorectal cancer surgery, peritoneal cytoreductive surgery and HIPEC. He also worked as a locum General/Colorectal Surgical Consultant at University Hospitals Coventry in the UK.
His areas of expertise include colorectal surgery, robotic and laparoscopic surgery, colorectal cancer treatment, sphincter-preserving surgery, inflammatory bowel disease, pelvic floor problems and complex fistula-in-ano. His profile states that he has performed more than 200 minimally invasive colorectal surgeries and more than 50 cytoreductive surgeries and HIPEC procedures for advanced peritoneal cancers.
His specialist colorectal background makes a detailed assessment particularly valuable when anorectal symptoms are persistent, recurrent or complicated.
Patient-Centred Care at Gadre Hospital
Dr. Chintamani Godbole consults at Gadre Hospital, near Hindmata Cinema, Dadar East, Mumbai. His practice focuses on specialist colorectal and gastrointestinal surgical care, with direct communication and personalised treatment planning forming an important part of his approach. His profile also notes affiliations with hospitals including Jaslok Hospital, Sir H. N. Reliance Foundation Hospital, Breach Candy Hospital and Wockhardt Hospitals in Mumbai.
Patients can discuss symptoms such as anal pain, bleeding, constipation and recurrent fissures in a professional clinical setting and understand whether conservative treatment or surgery may be appropriate.
Why Early Evaluation Matters
Anal fissures can be painful, but pain alone should not determine whether surgery is required. Some fissures heal with dietary and medical management, while chronic or non-healing fissures may need further intervention.
Seeking specialist advice can help establish the cause of symptoms, avoid unnecessary treatment and identify persistent fissures that require additional management.
If you have recurrent pain or bleeding during bowel movements, do not rely solely on home remedies or postpone evaluation. A colorectal specialist can assess the condition and explain the available options.
Consult Dr. Chintamani Godbole for Anal Fissure Treatment
If persistent anal pain, bleeding or discomfort is affecting your daily life, a specialist consultation can help you understand the cause and appropriate treatment options.
Dr. Chintamani Godbole combines specialist training in gastrointestinal and colorectal surgery with international experience in colorectal and minimally invasive surgery. His patient-focused approach aims to provide clear guidance and personalised treatment based on each patient’s condition.
If you are searching for an anal fissure surgery doctor in mumbai, schedule a consultation at Gadre Hospital to discuss your symptoms and receive an appropriate treatment plan.
Book Your Consultation
📞 Call: 81087 91470
📧 Email: drchintamanigodbole@gmail.com
Contact Dr. Chintamani Godbole’s team to schedule a consultation for persistent anal pain, bleeding or suspected anal fissure.
Frequently Asked Questions
1. How do I know if I have an anal fissure?
Typical symptoms include sharp pain during or after bowel movements, bright red bleeding, itching or irritation around the anus and sometimes a visible tear or skin tag. A clinical examination can help confirm the diagnosis.
2. Does every anal fissure require surgery?
No. Many anal fissures improve with conservative measures such as dietary fibre, adequate fluids, stool softeners and topical medications. Surgery may be considered when a fissure becomes chronic or does not respond adequately to conventional treatment.
3. What is lateral internal sphincterotomy?
Lateral internal sphincterotomy is a surgical treatment for persistent anal fissures. It involves dividing a portion of the internal anal sphincter to reduce spasm and allow the fissure to heal. The procedure may be performed as a day-case procedure in appropriate patients.
4. When should I see a colorectal surgeon for an anal fissure?
You should consider specialist evaluation if pain or bleeding persists, symptoms repeatedly return, or conservative treatment has not provided adequate improvement. A colorectal surgeon can determine whether continued medical management or surgery is appropriate.
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