Anal fissure
Anal fissure is a condition we examine and treat discreetly at Proctocare in Bratislava and Žilina. MUDr. Karim Masalkhi, founder and head physician of the clinic, will explain the diagnosis and the safest treatment options clearly. Urgent patients can usually be seen within 24 hours, without a referral.
- Discreet proctology care in Bratislava and Žilina, without a referral
- Urgent patients are usually seen within 24 hours, including weekends and holidays
- MUDr. Karim Masalkhi – more than 20 years of experience and over 2000 successfully treated patients
Bratislava – Bernolákova 3 (STEIN II) · Žilina – Alexandra Rudnaya 100
What is an anal fissure?
An anal fissure is a longitudinal tear in the lining of the anal canal. It most often appears after hard stool or when the anal sphincter is too tight. An acute fissure can heal with proper care, but a chronic fissure often persists for weeks or months.
In chronic fissure, sphincter tension reduces blood flow to the wound edges, so healing is difficult and symptoms return. Similar symptoms can occur with hemorrhoids, which is why accurate diagnosis matters.
Symptoms of an anal fissure
In many patients the symptoms recur and significantly reduce quality of life.
- sharp, cutting pain during bowel movement
- burning or pain after stool that may last for hours
- bright red blood on toilet paper or on the surface of stool
- spasm, pressure or tightness in the anal area
- fear of bowel movement and stool withholding
- a long-lasting small wound or a skin tag at the edge of the fissure
Rectal bleeding should never be automatically attributed to a fissure. Read more on Blood in the stool.
Why an anal fissure develops
- hard stool and chronic constipation
- long-term increased tension of the anal sphincter
- childbirth and the postpartum period
- long-term irritation, for example during diarrhea
- recurrent inflammation in the anal area
We also examine pregnant patients. The examination is gentle and requires no preparation.
Diagnosis of an anal fissure
In most cases, the diagnosis is made during the initial proctological examination. The doctor can see the fissure during a careful visual and palpation examination. If another cause must be ruled out, we add anoscopy or rectoscopy.
The initial examination takes up to 15 minutes and costs 80 €. A comprehensive examination including rectoscopy costs 100 €. You do not need a referral.
Treatment of anal fissure at Proctocare
The treatment depends on the stage: from conservative care to a minimally invasive procedure.
Conservative treatment
For an acute fissure, stool regulation, local treatment, sitz baths and regimen measures are often enough. We set the exact plan after examination.
Laser fissure treatment with botulinum toxin
For chronic or recurrent fissures we combine gentle laser treatment with botulinum toxin, which relaxes the sphincter and supports healing.
The procedure takes about 15-20 minutes and you go home the same day. Prices are listed in the price list.
When to see a doctor
The longer a fissure lasts, the lower the chance that it will heal on its own.
- pain during bowel movement lasts more than 2-3 weeks despite home care
- seek help if you repeatedly notice blood on paper or on stool
- seek help if the pain is so strong that you avoid bowel movement
- symptoms return after temporary improvement
Acute symptoms? Appointment within 24 hours
For acute patients we offer appointments within 24 hours, also on weekends and holidays. Call +421 948 687 667.
Frequently asked questions about anal fissure
A fissure typically causes sharp cutting pain during and after bowel movement. Hemorrhoids more often cause bleeding, swelling or a lump. A proctological examination is the reliable way to distinguish them.
An acute fissure often heals within a few weeks with proper stool regulation and care. A chronic fissure rarely heals without targeted treatment.
The procedure is performed under local anesthesia. Most patients tolerate it well, and laser treatment is designed to minimize postoperative pain.
The initial examination costs 80 €, a comprehensive examination including rectoscopy 100 €. Laser fissure surgery with botulinum toxin starts from 900 €.
Improvement is often felt in the first weeks. Complete healing may take 12-20 weeks depending on the fissure and sphincter tension.
Yes, especially if constipation or straining persists. That is why stool regulation and dietary recommendations are part of treatment.
Related topics
Hemorrhoids
The most common rectal condition with similar bleeding, itching or discomfort.
Blood in the stool
Rectal bleeding has many causes and should be assessed.
Anal itching
Unpleasant itching can accompany fissures and other anal conditions.
Who will take care of you
Founder and head physician of Proctocare · surgeon-proctologist
A respected specialist with more than 20 years of experience in minimally invasive proctology and laser surgery, and over 2000 successfully treated patients. He regularly attends international training focused on modern minimally invasive surgery, proctology and oncological surgery.
- Certified in the LHP® method – he was the first to introduce laser treatment of hemorrhoids and anal fissures in Slovakia
- Specialist in correcting unsuccessful proctological operations for hemorrhoids and anal fissures
- Personally guarantees the expertise, safety and sensitive approach provided to each patient
Proctologist · Bratislava clinic
He focuses on the diagnosis and outpatient treatment of proctological conditions, including hemorrhoids, anal fissures and other rectal disorders, with a discreet and individual approach. He communicates with patients in Slovak, Russian and English.
Surgeon-proctologist · Žilina clinic
At the Proctocare clinic in Žilina, your care is provided by MUDr. Matúš Kačeriak – a surgeon working at the surgical department of FNsP Žilina. He focuses on proctological examinations, diagnosis of rectal conditions and minimally invasive proctological procedures, with emphasis on precise diagnosis and an individual approach.
Author and medical review: Your care is supervised by MUDr. Karim Masalkhi – founder and head physician of Proctocare, a proctologist with more than 20 years of experience and over 2000 treated patients. · Last medical review: July 2026
Do not let pain during bowel movement control your day
Book a discreet examination. Acute appointments are available within 24 hours, also on weekends.
Bratislava: Bernolákova 3, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
Žilina: Alexandra Rudnaya 100, 010 01 · by appointment
info@proctocare.sk
Anal fissure
Anal fissure is a condition we examine and treat discreetly at Proctocare in Bratislava and Žilina. MUDr. Karim Masalkhi, founder and head physician of the clinic, will explain the diagnosis and the safest treatment options clearly. Urgent patients can usually be seen within 24 hours, without a referral.
- Discreet proctology care in Bratislava and Žilina, without a referral
- Urgent patients are usually seen within 24 hours, including weekends and holidays
- MUDr. Karim Masalkhi – more than 20 years of experience and over 2000 successfully treated patients
Bratislava – Bernolákova 3 (STEIN II) · Žilina – Alexandra Rudnaya 100
What is an anal fissure?
An anal fissure is a longitudinal tear in the lining of the anal canal. It most often appears after hard stool or when the anal sphincter is too tight. An acute fissure can heal with proper care, but a chronic fissure often persists for weeks or months.
In chronic fissure, sphincter tension reduces blood flow to the wound edges, so healing is difficult and symptoms return. Similar symptoms can occur with hemorrhoids, which is why accurate diagnosis matters.
Symptoms of an anal fissure
In many patients the symptoms recur and significantly reduce quality of life.
- sharp, cutting pain during bowel movement
- burning or pain after stool that may last for hours
- bright red blood on toilet paper or on the surface of stool
- spasm, pressure or tightness in the anal area
- fear of bowel movement and stool withholding
- a long-lasting small wound or a skin tag at the edge of the fissure
Rectal bleeding should never be automatically attributed to a fissure. Read more on Blood in the stool.
Why an anal fissure develops
- hard stool and chronic constipation
- long-term increased tension of the anal sphincter
- childbirth and the postpartum period
- long-term irritation, for example during diarrhea
- recurrent inflammation in the anal area
We also examine pregnant patients. The examination is gentle and requires no preparation.
Diagnosis of an anal fissure
In most cases, the diagnosis is made during the initial proctological examination. The doctor can see the fissure during a careful visual and palpation examination. If another cause must be ruled out, we add anoscopy or rectoscopy.
The initial examination takes up to 15 minutes and costs 80 €. A comprehensive examination including rectoscopy costs 100 €. You do not need a referral.
Treatment of anal fissure at Proctocare
The treatment depends on the stage: from conservative care to a minimally invasive procedure.
Conservative treatment
For an acute fissure, stool regulation, local treatment, sitz baths and regimen measures are often enough. We set the exact plan after examination.
Laser fissure treatment with botulinum toxin
For chronic or recurrent fissures we combine gentle laser treatment with botulinum toxin, which relaxes the sphincter and supports healing.
The procedure takes about 15-20 minutes and you go home the same day. Prices are listed in the price list.
When to see a doctor
The longer a fissure lasts, the lower the chance that it will heal on its own.
- pain during bowel movement lasts more than 2-3 weeks despite home care
- seek help if you repeatedly notice blood on paper or on stool
- seek help if the pain is so strong that you avoid bowel movement
- symptoms return after temporary improvement
Acute symptoms? Appointment within 24 hours
For acute patients we offer appointments within 24 hours, also on weekends and holidays. Call +421 948 687 667.
Frequently asked questions about anal fissure
A fissure typically causes sharp cutting pain during and after bowel movement. Hemorrhoids more often cause bleeding, swelling or a lump. A proctological examination is the reliable way to distinguish them.
An acute fissure often heals within a few weeks with proper stool regulation and care. A chronic fissure rarely heals without targeted treatment.
The procedure is performed under local anesthesia. Most patients tolerate it well, and laser treatment is designed to minimize postoperative pain.
The initial examination costs 80 €, a comprehensive examination including rectoscopy 100 €. Laser fissure surgery with botulinum toxin starts from 900 €.
Improvement is often felt in the first weeks. Complete healing may take 12-20 weeks depending on the fissure and sphincter tension.
Yes, especially if constipation or straining persists. That is why stool regulation and dietary recommendations are part of treatment.
Related topics
Hemorrhoids
The most common rectal condition with similar bleeding, itching or discomfort.
Blood in the stool
Rectal bleeding has many causes and should be assessed.
Anal itching
Unpleasant itching can accompany fissures and other anal conditions.
Who will take care of you
Founder and head physician of Proctocare · surgeon-proctologist
A respected specialist with more than 20 years of experience in minimally invasive proctology and laser surgery, and over 2000 successfully treated patients. He regularly attends international training focused on modern minimally invasive surgery, proctology and oncological surgery.
- Certified in the LHP® method – he was the first to introduce laser treatment of hemorrhoids and anal fissures in Slovakia
- Specialist in correcting unsuccessful proctological operations for hemorrhoids and anal fissures
- Personally guarantees the expertise, safety and sensitive approach provided to each patient
Proctologist · Bratislava clinic
He focuses on the diagnosis and outpatient treatment of proctological conditions, including hemorrhoids, anal fissures and other rectal disorders, with a discreet and individual approach. He communicates with patients in Slovak, Russian and English.
Surgeon-proctologist · Žilina clinic
At the Proctocare clinic in Žilina, your care is provided by MUDr. Matúš Kačeriak – a surgeon working at the surgical department of FNsP Žilina. He focuses on proctological examinations, diagnosis of rectal conditions and minimally invasive proctological procedures, with emphasis on precise diagnosis and an individual approach.
Author and medical review: Your care is supervised by MUDr. Karim Masalkhi – founder and head physician of Proctocare, a proctologist with more than 20 years of experience and over 2000 treated patients. · Last medical review: July 2026
Do not let pain during bowel movement control your day
Book a discreet examination. Acute appointments are available within 24 hours, also on weekends.
Bratislava: Bernolákova 3, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
Žilina: Alexandra Rudnaya 100, 010 01 · by appointment
info@proctocare.sk
Anal fissure
Anal fissure is a condition we examine and treat discreetly at Proctocare in Bratislava and Žilina. MUDr. Karim Masalkhi, founder and head physician of the clinic, will explain the diagnosis and the safest treatment options clearly. Urgent patients can usually be seen within 24 hours, without a referral.
- Discreet proctology care in Bratislava and Žilina, without a referral
- Urgent patients are usually seen within 24 hours, including weekends and holidays
- MUDr. Karim Masalkhi – more than 20 years of experience and over 2000 successfully treated patients
Bratislava – Bernolákova 3 (STEIN II) · Žilina – Alexandra Rudnaya 100
What is an anal fissure?
An anal fissure is a longitudinal tear in the lining of the anal canal. It most often appears after hard stool or when the anal sphincter is too tight. An acute fissure can heal with proper care, but a chronic fissure often persists for weeks or months.
In chronic fissure, sphincter tension reduces blood flow to the wound edges, so healing is difficult and symptoms return. Similar symptoms can occur with hemorrhoids, which is why accurate diagnosis matters.
Symptoms of an anal fissure
In many patients the symptoms recur and significantly reduce quality of life.
- sharp, cutting pain during bowel movement
- burning or pain after stool that may last for hours
- bright red blood on toilet paper or on the surface of stool
- spasm, pressure or tightness in the anal area
- fear of bowel movement and stool withholding
- a long-lasting small wound or a skin tag at the edge of the fissure
Rectal bleeding should never be automatically attributed to a fissure. Read more on Blood in the stool.
Why an anal fissure develops
- hard stool and chronic constipation
- long-term increased tension of the anal sphincter
- childbirth and the postpartum period
- long-term irritation, for example during diarrhea
- recurrent inflammation in the anal area
We also examine pregnant patients. The examination is gentle and requires no preparation.
Diagnosis of an anal fissure
In most cases, the diagnosis is made during the initial proctological examination. The doctor can see the fissure during a careful visual and palpation examination. If another cause must be ruled out, we add anoscopy or rectoscopy.
The initial examination takes up to 15 minutes and costs 80 €. A comprehensive examination including rectoscopy costs 100 €. You do not need a referral.
Treatment of anal fissure at Proctocare
The treatment depends on the stage: from conservative care to a minimally invasive procedure.
Conservative treatment
For an acute fissure, stool regulation, local treatment, sitz baths and regimen measures are often enough. We set the exact plan after examination.
Laser fissure treatment with botulinum toxin
For chronic or recurrent fissures we combine gentle laser treatment with botulinum toxin, which relaxes the sphincter and supports healing.
The procedure takes about 15-20 minutes and you go home the same day. Prices are listed in the price list.
When to see a doctor
The longer a fissure lasts, the lower the chance that it will heal on its own.
- pain during bowel movement lasts more than 2-3 weeks despite home care
- seek help if you repeatedly notice blood on paper or on stool
- seek help if the pain is so strong that you avoid bowel movement
- symptoms return after temporary improvement
Acute symptoms? Appointment within 24 hours
For acute patients we offer appointments within 24 hours, also on weekends and holidays. Call +421 948 687 667.
Frequently asked questions about anal fissure
A fissure typically causes sharp cutting pain during and after bowel movement. Hemorrhoids more often cause bleeding, swelling or a lump. A proctological examination is the reliable way to distinguish them.
An acute fissure often heals within a few weeks with proper stool regulation and care. A chronic fissure rarely heals without targeted treatment.
The procedure is performed under local anesthesia. Most patients tolerate it well, and laser treatment is designed to minimize postoperative pain.
The initial examination costs 80 €, a comprehensive examination including rectoscopy 100 €. Laser fissure surgery with botulinum toxin starts from 900 €.
Improvement is often felt in the first weeks. Complete healing may take 12-20 weeks depending on the fissure and sphincter tension.
Yes, especially if constipation or straining persists. That is why stool regulation and dietary recommendations are part of treatment.
Related topics
Hemorrhoids
The most common rectal condition with similar bleeding, itching or discomfort.
Blood in the stool
Rectal bleeding has many causes and should be assessed.
Anal itching
Unpleasant itching can accompany fissures and other anal conditions.
Who will take care of you
Founder and head physician of Proctocare · surgeon-proctologist
A respected specialist with more than 20 years of experience in minimally invasive proctology and laser surgery, and over 2000 successfully treated patients. He regularly attends international training focused on modern minimally invasive surgery, proctology and oncological surgery.
- Certified in the LHP® method – he was the first to introduce laser treatment of hemorrhoids and anal fissures in Slovakia
- Specialist in correcting unsuccessful proctological operations for hemorrhoids and anal fissures
- Personally guarantees the expertise, safety and sensitive approach provided to each patient
Proctologist · Bratislava clinic
He focuses on the diagnosis and outpatient treatment of proctological conditions, including hemorrhoids, anal fissures and other rectal disorders, with a discreet and individual approach. He communicates with patients in Slovak, Russian and English.
Surgeon-proctologist · Žilina clinic
At the Proctocare clinic in Žilina, your care is provided by MUDr. Matúš Kačeriak – a surgeon working at the surgical department of FNsP Žilina. He focuses on proctological examinations, diagnosis of rectal conditions and minimally invasive proctological procedures, with emphasis on precise diagnosis and an individual approach.
Author and medical review: Your care is supervised by MUDr. Karim Masalkhi – founder and head physician of Proctocare, a proctologist with more than 20 years of experience and over 2000 treated patients. · Last medical review: July 2026
Do not let pain during bowel movement control your day
Book a discreet examination. Acute appointments are available within 24 hours, also on weekends.
Bratislava: Bernolákova 3, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
Žilina: Alexandra Rudnaya 100, 010 01 · by appointment
info@proctocare.sk