Management of Anal Fissure

  • Matthew Z. WilsonEmail author
  • Kirsten Bass Wilkins


Anal fissure is a tear in the sensate anoderm below the dentate line, typically resulting from traumatic bowel movements. These are almost always located in the posterior midline. Atypical fissures are located laterally in the anal canal. The majority of fissures will heal with dietary modification and topical medication.


Fissure Fiber supplementation Typical fissure Atypical fissure Crohn’s disease Sphincterotomy 

Suggested Reading

  1. Stewart DB, et al. Clinical practice guideline for the management of anal fissures. Dis Colon and Rectum. 2017;60:7–14.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryDartmouth Hitchcock Medical Center, One Medical Center DriveLebanonUSA
  2. 2.Department of SurgeryRutgers Robert Wood Johnson Medical SchoolNew BrunswickUSA

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