Difference Between Fissure and Fistula: Causes, Symptoms, and Treatment Options
Anorectal issues can be both painful and embarrassing, yet timely diagnosis and treatment can prevent serious complications.
Two commonly confused conditions are anal fissures and anal fistulas. Although they may seem similar, they differ significantly in causes, symptoms, and treatments.
In this blog, we explore the clear difference between fissure and fistula and how advanced laser treatments offered by Dr. Pramod D. Bahekar, a leading fissure and fistula specialist in Dombivli and Kalyan, can provide relief with minimal discomfort and faster recovery.

What is Fissure?
Definition and Overview
A fissure is a small tear or cut in the lining of the anal canal. This condition typically occurs due to trauma, often during bowel movements.
Common Causes of Anal Fissures
- Chronic constipation
- Straining while passing stool
- Anal intercourse
- Childbirth trauma
- Frequent diarrhea
Symptoms of Anal Fissure
- Sharp, burning pain during or after bowel movements
- Bright red blood on toilet paper or stool
- Itching or irritation around the anus
- Visible crack or tear in the anal skin
What is Fistula?
Definition and Overview
A fistula is an abnormal tunnel or tract that forms between the anal canal and the skin near the anus. It usually develops after an abscess or infection.
Common Causes of Anal Fistulas
- Anal abscess or infection
- Crohn’s disease
- Tuberculosis
- Trauma or previous anorectal surgeries
Symptoms of Anal Fistula
- Persistent pain, especially when sitting
- Swelling or a small lump near the anus
- Discharge of pus or foul-smelling fluid
- Fever or general fatigue
- Recurrent abscesses
Fissure vs Fistula: Causes and Symptoms Compared
Criteria |
Fissure |
Fistula |
Definition |
Tear in the anal lining |
Abnormal tract between anus and skin |
Cause |
Trauma, constipation |
Infection, abscess, Crohn’s disease |
Pain |
Sharp during bowel movements |
Constant or throbbing |
Discharge |
Bleeding |
Pus or fluid discharge |
Fever |
Rare |
Common |
Healing |
May heal with medication |
Often requires surgical intervention |
Understanding the difference between fissure and fistula is essential to ensure the right diagnosis and treatment.
Fissure vs Fistula Treatment Options
Non-Surgical Treatment for Fissure
- Increased fiber and water intake
- Topical ointments for pain relief and healing
- Sitz baths to relax the anal muscles
Advanced Laser Anal Fissure Surgery
- Offered by Dr. Pramod D. Bahekar, a reputed anal fissure surgery doctor in Dombivli
- Minimally invasive with faster healing
- Stitch-free and low pain procedure
Fistula Treatment Options
- Antibiotics and sitz baths for mild cases
- Fistulotomy or seton placement for complex tracts
- Laser fistula surgery in Dombivli for precision and minimal recurrence
Advantages of Laser Surgery
- Less pain and bleeding
- Quick recovery and minimal downtime
- Daycare procedure with no hospital stay
- Performed by an experienced fistula specialist in Dombivli
Why Choose Dr. Pramod D. Bahekar for Fissure and Fistula Treatment?
Expertise and Specialization
- Over a decade of experience in treating anorectal disorders
- Trusted name for fistula surgery in Dombivli and Kalyan
Benefits of Choosing Dr. Bahekar
- Advanced laser technology.
- Patient-focused care and hygiene standards
- Affordable, painless treatments
Patient Testimonials
“I was suffering from a fistula for over a year and was scared of surgery. Thanks to Dr. Bahekar’s laser treatment, I recovered quickly without any pain.” – Sunil, Dombivli
“The fissure laser surgery was quick and effective. I highly recommend Dr. Bahekar to anyone facing these issues.” – Neha, Kalyan
FAQs: Fissure vs Fistula
Q-1. Can fissures turn into fistulas?
No, fissures and fistulas are different conditions. While fissures are surface tears, fistulas are deeper abnormal tracts often caused by infections.
Q-2. How do I know if I have a fissure or a fistula?
Symptoms like sharp pain and bleeding suggest a fissure, while pus discharge and swelling indicate a fistula. Visit a fistula specialist in Dombivli like Dr. Bahekar for a proper diagnosis.
Q-3. Is laser surgery better than traditional surgery?
Yes, laser surgery offers minimal pain, no stitches, faster healing, and lower risk of infection compared to traditional surgery.
Q-4. Are fissures and fistulas serious?
While not life-threatening, both can cause significant discomfort and may lead to complications if left untreated.
Q-5. What is the recovery time after laser surgery?
Most patients resume normal activities within 2-3 days post-laser surgery, with complete healing in a few weeks.
Book a Consultation with Dr. Pramod D. Bahekar
If you are suffering from symptoms of fissure or fistula, don’t wait. Dr. Pramod D. Bahekar offers advanced fissure and fistula laser surgery in Dombivli and Kalyan. Experience world-class care with faster relief and minimal discomfort.
Contact Now: [+91-9920070956 | +91-8591076817]
Clinic Location: Dombivli & Kalyan
Appointment Booking: https://amruthospital.in/contact/
Conclusion
Understanding the difference between fissure and fistula is crucial for early detection and effective treatment. With High-Tech laser techniques, Dr. Pramod D. Bahekar ensures top-quality care, less pain, and rapid recovery for patients in Dombivli and Kalyan.
Don’t suffer in silence—book your consultation today.