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YIT - STEIN2

Bernolákova 3,
811 07 Bratislavaa

+421 948 687 667

Mon. - Fri.: 07:30- 15:30

Sat: 07:30 - 12:00
Sun: According to the agreement

Anal fissure surgery with laser and botulinum toxin

A chronic anal fissure that does not respond to ointments and conservative treatment often will not heal on its own. The modern solution is minimally invasive laser surgery combined with an injection of botulinum toxin — outpatient, under local anesthesia and with sphincter function preserved. The procedure is led by MUDr. Karim Masalkhi, an experienced proctologist with over 2000 successfully operated patients.

Bratislava – Bernolákova 9 (STEIN II) | Žilina – Alexandra Rudnaya 100

What anal fissure surgery is

Anal fissure surgery at our clinic combines two gentle techniques. The laser treats the edges of the chronic fissure — it removes the hardened, poorly healing tissue and encourages the formation of a healthy, well-supplied wound that is able to heal. Botulinum toxin injected into the anal sphincter temporarily relaxes its excessive tension, which is the main cause of poor healing. This breaks the vicious circle: pain triggers sphincter spasm, the spasm worsens the blood supply, and a poorly supplied fissure cannot heal.

The procedure is done on an outpatient basis under local anesthesia, takes approximately 15 to 20 minutes, and you go home the same day. Unlike classic surgery, the sphincter is not cut, so its function and continence are preserved as much as possible. The procedure is led by MUDr. Karim Masalkhi, who has long specialized in proctology and the surgical treatment of anorectal conditions. We are a private clinic — you do not need a referral, and we offer appointments even within 24 hours.

Who the procedure is suitable for

The doctor decides whether surgery is right for you after the initial examination

Not sure whether it is a fissure? Similar problems can also be caused by hemorrhoids or other anorectal conditions. The doctor makes the exact diagnosis at the initial examination — you can read more about the condition on the page anal fissure.

How the surgery works

From the examination to going home the same day

1. Examination and treatment plan

At the initial examination the doctor confirms the chronic fissure, rules out other anorectal conditions and proposes the date and course of the procedure.

2. Local anesthesia

The area of the procedure is thoroughly numbed with local anesthesia. No general anesthesia or hospital stay is needed.

3. Laser and botulinum toxin

The laser gently treats the edges of the fissure and removes the poorly healing tissue. Botulinum toxin is injected into the sphincter, relaxing the spasm and allowing healing.

4. Going home

The whole procedure takes approximately 15 to 20 minutes. After a short recovery you go home the same day with instructions on caring for the wound.

Advantages of laser surgery with botulinum toxin

A minimally invasive, gentle procedure

The laser works precisely and gently, with no extensive surgical wound and with minimal post-operative pain.

The sphincter is preserved

Unlike classic surgery, the sphincter is not cut — botulinum toxin relaxes it only temporarily; function and continence remain intact.

A quick procedure with no hospital stay

The procedure takes approximately 15 to 20 minutes, is done on an outpatient basis under local anesthesia, and you go home the same day.

It addresses the cause, not just the symptom

Botulinum toxin breaks the vicious circle of spasm and poor blood supply; the laser prepares the edges of the fissure for healthy healing.

A fast return to activities

Most patients return to everyday activities within a few days and feel an improvement in the very first weeks.

An experienced surgeon

The procedure is led by MUDr. Karim Masalkhi with more than 20 years of experience and over 2000 successfully operated patients.

Preparing for the procedure

The preparation is simple; you will receive exact instructions in advance

Recovery and healing

The first days

After the anesthesia wears off there may be mild pain or burning, which responds well to common painkillers. You return to undemanding activities within a few days.

The first follow-up

The follow-up with the doctor takes place after about one week. The doctor checks the healing of the wound and adjusts the recommendations.

The first weeks

The botulinum toxin relaxes the sphincter and the pain during bowel movements gradually eases. Most patients feel a marked improvement in the very first weeks.

Complete healing

Complete healing of the fissure takes approximately 12 to 20 weeks, depending on its extent, the sphincter tension and lifestyle.

Recommendations after the surgery

If heavy bleeding, increasing pain or fever appears, contact us at +421 948 687 667 — we have acute appointments within 24 hours, including weekends and holidays.

Frequently asked questions about anal fissure surgery

No. The procedure is done under local anesthesia, and most patients manage it without any major problems. After the anesthesia wears off there may be mild pain, which responds well to common painkillers.

The procedure itself takes approximately 15 to 20 minutes. No hospital stay is needed — it is an outpatient procedure and you go home the same day.

Botulinum toxin injected into the anal sphincter temporarily relaxes its excessive tension. This breaks the vicious circle in which sphincter spasm worsens the blood supply and prevents the fissure from healing. The relaxed sphincter allows the wound to heal, and its function then returns to normal.

Unlike classic surgery, the sphincter is not cut, so its function is preserved as much as possible. The effect of the botulinum toxin is temporary and controlled — the aim is only to relax the excessive spasm, not to weaken the sphincter permanently.

The first follow-up takes place after about a week, and patients usually feel an improvement within the first weeks. Complete healing of the fissure takes approximately 12 to 20 weeks, depending on its extent, the sphincter tension and lifestyle.

With untreated constipation or an unsuitable lifestyle the problem can recur. An important part of the treatment is therefore prevention — soft, regular stool and enough fiber and fluids. You will receive recommendations from MUDr. Masalkhi at the follow-up.

Related topics

Anal fissure

Symptoms, causes and treatment options for an anal fissure — from conservative measures to a minimally invasive procedure.

Hemorrhoids

Pain and bleeding during bowel movements can also be caused by hemorrhoids. Read about the symptoms and treatment options.

Laser hemorrhoid surgery LHP®

A modern laser method for treating hemorrhoids under local anesthesia. The first in Slovakia.

Who will take care of you

MUDr. Karim Masalkhi

Founder and head physician of the Proctocare clinic · surgeon – proctologist

A recognized specialist with more than 20 years of experience in minimally invasive proctology and laser surgery, with over 2000 successfully operated patients. He regularly attends training placements abroad focused on the most modern techniques of minimally invasive surgery, proctology and surgical oncology.

MUDr. Manuchekhr Burkhanov

Proctologist · office: Bratislava

He focuses on the diagnosis and outpatient treatment of proctological conditions – hemorrhoids, anal fissure and other disorders of the rectum – with a discreet and individual approach. He communicates with patients in Slovak, Russian and English.

MUDr. Matúš Kačeriak

Surgeon – proctologist · office: Žilina

At the Proctocare office in Žilina you will be cared for by MUDr. Matúš Kačeriak – a surgeon at the surgical department of the FNsP Žilina hospital. He focuses on proctological examinations, diagnosis of rectal disorders and minimally invasive proctological procedures with an emphasis on precise diagnosis and individual care.

Author and medical review: Your health is in the hands of MUDr. Karim Masalkhi – founder and head physician of the Proctocare clinic, a proctologist with more than 20 years of experience and over 2000 treated patients. · Last medical review: July 2026

End the pain during bowel movements — book anal fissure treatment

A discreet examination with MUDr. Masalkhi, an appointment within 24 hours, no referral needed.

Bratislava: Bernolákova 9, 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 surgery with laser and botulinum toxin

A chronic anal fissure that does not respond to ointments and conservative treatment often will not heal on its own. The modern solution is minimally invasive laser surgery combined with an injection of botulinum toxin — outpatient, under local anesthesia and with sphincter function preserved. The procedure is led by MUDr. Karim Masalkhi, an experienced proctologist with over 2000 successfully operated patients.

Bratislava – Bernolákova 9 (STEIN II) | Žilina – Alexandra Rudnaya 100

What anal fissure surgery is

Anal fissure surgery at our clinic combines two gentle techniques. The laser treats the edges of the chronic fissure — it removes the hardened, poorly healing tissue and encourages the formation of a healthy, well-supplied wound that is able to heal. Botulinum toxin injected into the anal sphincter temporarily relaxes its excessive tension, which is the main cause of poor healing. This breaks the vicious circle: pain triggers sphincter spasm, the spasm worsens the blood supply, and a poorly supplied fissure cannot heal.

The procedure is done on an outpatient basis under local anesthesia, takes approximately 15 to 20 minutes, and you go home the same day. Unlike classic surgery, the sphincter is not cut, so its function and continence are preserved as much as possible. The procedure is led by MUDr. Karim Masalkhi, who has long specialized in proctology and the surgical treatment of anorectal conditions. We are a private clinic — you do not need a referral, and we offer appointments even within 24 hours.

Who the procedure is suitable for

The doctor decides whether surgery is right for you after the initial examination

Not sure whether it is a fissure? Similar problems can also be caused by hemorrhoids or other anorectal conditions. The doctor makes the exact diagnosis at the initial examination — you can read more about the condition on the page anal fissure.

How the surgery works

From the examination to going home the same day

1. Examination and treatment plan

At the initial examination the doctor confirms the chronic fissure, rules out other anorectal conditions and proposes the date and course of the procedure.

2. Local anesthesia

The area of the procedure is thoroughly numbed with local anesthesia. No general anesthesia or hospital stay is needed.

3. Laser and botulinum toxin

The laser gently treats the edges of the fissure and removes the poorly healing tissue. Botulinum toxin is injected into the sphincter, relaxing the spasm and allowing healing.

4. Going home

The whole procedure takes approximately 15 to 20 minutes. After a short recovery you go home the same day with instructions on caring for the wound.

Advantages of laser surgery with botulinum toxin

A minimally invasive, gentle procedure

The laser works precisely and gently, with no extensive surgical wound and with minimal post-operative pain.

The sphincter is preserved

Unlike classic surgery, the sphincter is not cut — botulinum toxin relaxes it only temporarily; function and continence remain intact.

A quick procedure with no hospital stay

The procedure takes approximately 15 to 20 minutes, is done on an outpatient basis under local anesthesia, and you go home the same day.

It addresses the cause, not just the symptom

Botulinum toxin breaks the vicious circle of spasm and poor blood supply; the laser prepares the edges of the fissure for healthy healing.

A fast return to activities

Most patients return to everyday activities within a few days and feel an improvement in the very first weeks.

An experienced surgeon

The procedure is led by MUDr. Karim Masalkhi with more than 20 years of experience and over 2000 successfully operated patients.

Preparing for the procedure

The preparation is simple; you will receive exact instructions in advance

Recovery and healing

The first days

After the anesthesia wears off there may be mild pain or burning, which responds well to common painkillers. You return to undemanding activities within a few days.

The first follow-up

The follow-up with the doctor takes place after about one week. The doctor checks the healing of the wound and adjusts the recommendations.

The first weeks

The botulinum toxin relaxes the sphincter and the pain during bowel movements gradually eases. Most patients feel a marked improvement in the very first weeks.

Complete healing

Complete healing of the fissure takes approximately 12 to 20 weeks, depending on its extent, the sphincter tension and lifestyle.

Recommendations after the surgery

If heavy bleeding, increasing pain or fever appears, contact us at +421 948 687 667 — we have acute appointments within 24 hours, including weekends and holidays.

Frequently asked questions about anal fissure surgery

No. The procedure is done under local anesthesia, and most patients manage it without any major problems. After the anesthesia wears off there may be mild pain, which responds well to common painkillers.

The procedure itself takes approximately 15 to 20 minutes. No hospital stay is needed — it is an outpatient procedure and you go home the same day.

Botulinum toxin injected into the anal sphincter temporarily relaxes its excessive tension. This breaks the vicious circle in which sphincter spasm worsens the blood supply and prevents the fissure from healing. The relaxed sphincter allows the wound to heal, and its function then returns to normal.

Unlike classic surgery, the sphincter is not cut, so its function is preserved as much as possible. The effect of the botulinum toxin is temporary and controlled — the aim is only to relax the excessive spasm, not to weaken the sphincter permanently.

The first follow-up takes place after about a week, and patients usually feel an improvement within the first weeks. Complete healing of the fissure takes approximately 12 to 20 weeks, depending on its extent, the sphincter tension and lifestyle.

With untreated constipation or an unsuitable lifestyle the problem can recur. An important part of the treatment is therefore prevention — soft, regular stool and enough fiber and fluids. You will receive recommendations from MUDr. Masalkhi at the follow-up.

Related topics

Anal fissure

Symptoms, causes and treatment options for an anal fissure — from conservative measures to a minimally invasive procedure.

Hemorrhoids

Pain and bleeding during bowel movements can also be caused by hemorrhoids. Read about the symptoms and treatment options.

Laser hemorrhoid surgery LHP®

A modern laser method for treating hemorrhoids under local anesthesia. The first in Slovakia.

Who will take care of you

MUDr. Karim Masalkhi

Founder and head physician of the Proctocare clinic · surgeon – proctologist

A recognized specialist with more than 20 years of experience in minimally invasive proctology and laser surgery, with over 2000 successfully operated patients. He regularly attends training placements abroad focused on the most modern techniques of minimally invasive surgery, proctology and surgical oncology.

MUDr. Manuchekhr Burkhanov

Proctologist · office: Bratislava

He focuses on the diagnosis and outpatient treatment of proctological conditions – hemorrhoids, anal fissure and other disorders of the rectum – with a discreet and individual approach. He communicates with patients in Slovak, Russian and English.

MUDr. Matúš Kačeriak

Surgeon – proctologist · office: Žilina

At the Proctocare office in Žilina you will be cared for by MUDr. Matúš Kačeriak – a surgeon at the surgical department of the FNsP Žilina hospital. He focuses on proctological examinations, diagnosis of rectal disorders and minimally invasive proctological procedures with an emphasis on precise diagnosis and individual care.

Author and medical review: Your health is in the hands of MUDr. Karim Masalkhi – founder and head physician of the Proctocare clinic, a proctologist with more than 20 years of experience and over 2000 treated patients. · Last medical review: July 2026

End the pain during bowel movements — book anal fissure treatment

A discreet examination with MUDr. Masalkhi, an appointment within 24 hours, no referral needed.

Bratislava: Bernolákova 9, 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 surgery with laser and botulinum toxin

A chronic anal fissure that does not respond to ointments and conservative treatment often will not heal on its own. The modern solution is minimally invasive laser surgery combined with an injection of botulinum toxin — outpatient, under local anesthesia and with sphincter function preserved. The procedure is led by MUDr. Karim Masalkhi, an experienced proctologist with over 2000 successfully operated patients.

Bratislava – Bernolákova 9 (STEIN II) | Žilina – Alexandra Rudnaya 100

What anal fissure surgery is

Anal fissure surgery at our clinic combines two gentle techniques. The laser treats the edges of the chronic fissure — it removes the hardened, poorly healing tissue and encourages the formation of a healthy, well-supplied wound that is able to heal. Botulinum toxin injected into the anal sphincter temporarily relaxes its excessive tension, which is the main cause of poor healing. This breaks the vicious circle: pain triggers sphincter spasm, the spasm worsens the blood supply, and a poorly supplied fissure cannot heal.

The procedure is done on an outpatient basis under local anesthesia, takes approximately 15 to 20 minutes, and you go home the same day. Unlike classic surgery, the sphincter is not cut, so its function and continence are preserved as much as possible. The procedure is led by MUDr. Karim Masalkhi, who has long specialized in proctology and the surgical treatment of anorectal conditions. We are a private clinic — you do not need a referral, and we offer appointments even within 24 hours.

Who the procedure is suitable for

The doctor decides whether surgery is right for you after the initial examination

Not sure whether it is a fissure? Similar problems can also be caused by hemorrhoids or other anorectal conditions. The doctor makes the exact diagnosis at the initial examination — you can read more about the condition on the page anal fissure.

How the surgery works

From the examination to going home the same day

1. Examination and treatment plan

At the initial examination the doctor confirms the chronic fissure, rules out other anorectal conditions and proposes the date and course of the procedure.

2. Local anesthesia

The area of the procedure is thoroughly numbed with local anesthesia. No general anesthesia or hospital stay is needed.

3. Laser and botulinum toxin

The laser gently treats the edges of the fissure and removes the poorly healing tissue. Botulinum toxin is injected into the sphincter, relaxing the spasm and allowing healing.

4. Going home

The whole procedure takes approximately 15 to 20 minutes. After a short recovery you go home the same day with instructions on caring for the wound.

Advantages of laser surgery with botulinum toxin

A minimally invasive, gentle procedure

The laser works precisely and gently, with no extensive surgical wound and with minimal post-operative pain.

The sphincter is preserved

Unlike classic surgery, the sphincter is not cut — botulinum toxin relaxes it only temporarily; function and continence remain intact.

A quick procedure with no hospital stay

The procedure takes approximately 15 to 20 minutes, is done on an outpatient basis under local anesthesia, and you go home the same day.

It addresses the cause, not just the symptom

Botulinum toxin breaks the vicious circle of spasm and poor blood supply; the laser prepares the edges of the fissure for healthy healing.

A fast return to activities

Most patients return to everyday activities within a few days and feel an improvement in the very first weeks.

An experienced surgeon

The procedure is led by MUDr. Karim Masalkhi with more than 20 years of experience and over 2000 successfully operated patients.

Preparing for the procedure

The preparation is simple; you will receive exact instructions in advance

Recovery and healing

The first days

After the anesthesia wears off there may be mild pain or burning, which responds well to common painkillers. You return to undemanding activities within a few days.

The first follow-up

The follow-up with the doctor takes place after about one week. The doctor checks the healing of the wound and adjusts the recommendations.

The first weeks

The botulinum toxin relaxes the sphincter and the pain during bowel movements gradually eases. Most patients feel a marked improvement in the very first weeks.

Complete healing

Complete healing of the fissure takes approximately 12 to 20 weeks, depending on its extent, the sphincter tension and lifestyle.

Recommendations after the surgery

If heavy bleeding, increasing pain or fever appears, contact us at +421 948 687 667 — we have acute appointments within 24 hours, including weekends and holidays.

Frequently asked questions about anal fissure surgery

No. The procedure is done under local anesthesia, and most patients manage it without any major problems. After the anesthesia wears off there may be mild pain, which responds well to common painkillers.

The procedure itself takes approximately 15 to 20 minutes. No hospital stay is needed — it is an outpatient procedure and you go home the same day.

Botulinum toxin injected into the anal sphincter temporarily relaxes its excessive tension. This breaks the vicious circle in which sphincter spasm worsens the blood supply and prevents the fissure from healing. The relaxed sphincter allows the wound to heal, and its function then returns to normal.

Unlike classic surgery, the sphincter is not cut, so its function is preserved as much as possible. The effect of the botulinum toxin is temporary and controlled — the aim is only to relax the excessive spasm, not to weaken the sphincter permanently.

The first follow-up takes place after about a week, and patients usually feel an improvement within the first weeks. Complete healing of the fissure takes approximately 12 to 20 weeks, depending on its extent, the sphincter tension and lifestyle.

With untreated constipation or an unsuitable lifestyle the problem can recur. An important part of the treatment is therefore prevention — soft, regular stool and enough fiber and fluids. You will receive recommendations from MUDr. Masalkhi at the follow-up.

Related topics

Anal fissure

Symptoms, causes and treatment options for an anal fissure — from conservative measures to a minimally invasive procedure.

Hemorrhoids

Pain and bleeding during bowel movements can also be caused by hemorrhoids. Read about the symptoms and treatment options.

Laser hemorrhoid surgery LHP®

A modern laser method for treating hemorrhoids under local anesthesia. The first in Slovakia.

Who will take care of you

MUDr. Karim Masalkhi

Founder and head physician of the Proctocare clinic · surgeon – proctologist

A recognized specialist with more than 20 years of experience in minimally invasive proctology and laser surgery, with over 2000 successfully operated patients. He regularly attends training placements abroad focused on the most modern techniques of minimally invasive surgery, proctology and surgical oncology.

MUDr. Manuchekhr Burkhanov

Proctologist · office: Bratislava

He focuses on the diagnosis and outpatient treatment of proctological conditions – hemorrhoids, anal fissure and other disorders of the rectum – with a discreet and individual approach. He communicates with patients in Slovak, Russian and English.

MUDr. Matúš Kačeriak

Surgeon – proctologist · office: Žilina

At the Proctocare office in Žilina you will be cared for by MUDr. Matúš Kačeriak – a surgeon at the surgical department of the FNsP Žilina hospital. He focuses on proctological examinations, diagnosis of rectal disorders and minimally invasive proctological procedures with an emphasis on precise diagnosis and individual care.

Author and medical review: Your health is in the hands of MUDr. Karim Masalkhi – founder and head physician of the Proctocare clinic, a proctologist with more than 20 years of experience and over 2000 treated patients. · Last medical review: July 2026

End the pain during bowel movements — book anal fissure treatment

A discreet examination with MUDr. Masalkhi, an appointment within 24 hours, no referral needed.

Bratislava: Bernolákova 9, 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

Proktológia 10.7 (Piatok) 9:40
Urológia 13.7. (Pondelok) 16:25
Neurológia 14.7. (Utorok) 13:10
Gastroskopia 11.7. (Sobota) 8:00
Kolonoskopia 13.7. (Pondelok) 15:25

Proktológia 14.7. (Utorok) 9:40