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Anal fissure surgery

Anal fissure surgery at our Centre is an uncomplicated and effective solution for avoiding pain, bleeding, and discomfort.
Before recommending the most suitable treatment, we will carry out an examination of the anus and, if possible, a rectoscopy examination.

Treatment: we treat the anal fissure with bath procedures, medication, apply a so-called etiologic treatment method – nitric oxide donor therapy and botulinum toxin injections.

When these methods fail or the disease is too persistent, surgery is recommended.

After the surgery: Usually the patient can start light physical activity – drive or work on a computer – just several days after the surgery. Full physical capacity is regained within 1-2 weeks, depending on the type of surgery.

Do not postpone treatment! Early diagnosis of pain and bleeding cause may help to avoid serious diseases, including cancer.


Price of anal fissure surgical treatment

Anal fissure surgery is an uncomplicated and effective solution that will restore your life comfort. The treatment price includes consultation with a coloproctologist, pre-surgical tests, and the surgery.

Duration – about 30 min.
  • Evaluation of medical condition.
  • Examination.
  • Diagnosis.
  • The best treatment is recommended.

Rectoscopy examination

The standard price at the Centre with the doctor’s referral

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Duration – about 30 min.
  • Painless.
  • Accurate diagnosis.

Lateral sphincterotomy for chronic anal fissure

Under combined and local anaesthesia

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You will spend up to 24 hours in the clinics.
  • Effectiveness – almost 100 per cent.
  • Result – long lasting.

What factors affect the price?

The prices indicated below apply to citizens of the Republic of Lithuania and the European Union.
If you are coming from another country please check the price by telephoning or sending an email.

More about prices

  • General blood test;
  • Blood coagulation test (aPTT);
  • Glucose test;
  • electrocardiogram (ECG) with evaluation;

The patient can bring their test records from other healthcare institutions, or they may have them done at the Medical Diagnostic and Treatment Centre. The tests take 2 hrs. Prices of the tests performed at the Centre. The tests must be performed no earlier than 14 days before the surgery.

Under combined intravenous and local anaesthesia, the internal sphincter is cut about 1 cm. This helps to reduce the anal sphincter muscle tonus, and the fissure heals. The result is long lasting and the effectiveness is almost 100 per cent.

Memo. How to prepare for the blood test
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4 reasons

why to choose us

  • We can operate the next day after the initial consultation.
  • You can go home, take a flight the day after the surgery.
  • The surgery method is chosen with the patient’s best interests in mind.
  • No hospital infections during the last 5 years.


Assoc. prof., MD  Dulskas Audrius
Assoc. prof., MD Dulskas Audrius

Surgeon, Coloproctologist

  • language LT, RU, EN, DE
  • Working hours
MD  Radziunas Gintautas
MD Radziunas Gintautas

Coloproctologist, Endoscopist, Abdominal surgeon

  • language LT, EN, RU
  • Working hours
Prof. MD  Samalavicius Narimantas Evaldas
Prof. MD Samalavicius Narimantas Evaldas

Abdominal surgeon, Coloproctologist

  • language LT, RU, EN
  • Working hours

Frequently asked questionsgery

The causes of anal fissure are not fully known. Frequently it is constipation (hard stools) or some component in the stools traumatises the perianal area by moving in the anal canal. An anal fissure is a liner ulcer in the anal canal. Usually it occurs in the middle of the dorsal anal area. Since this zone is poorly fed with blood, the fissure’s healing is complicated. In addition, there is a psychological discomfort, the patient, fear of pain, delays defaecation, the stool becomes harder, and the hard stool traumatises the anal canal again. Eventually, when the disease is untreated, the internal anal sphincter tonus changes – it stays in a constant hyper-tonus status. Due to long-lasting inflammation, a skin fold forms above the fissure. Rarely, the urination function may be also disturbed. 

An anal fissure may be caused by specific conditions such as Crohn’s disease, leukemia, sexually transmitted infectious diseases, rectum cancer.

Complications are rare, though there can be some bleeding, hematoma, or paraproctitis. Also, after a lateral sphincterotomy, minor dysfunctions of the anal sphincter might occur.

Don’t delay, take care of yourself now