Can It Be Treated Without Surgery?

That depends on the stage of the condition. With an acute anal fissure, conservative treatment may be possible. But if the fissure is already chronic, recurrent, and does not heal with local therapy, surgical treatment often becomes the main way to solve the problem.

How Can I Tell if the Fissure Has Already Become Chronic?

This is usually indicated by a prolonged course, repeated flare-ups, pronounced pain after bowel movements, the absence of complete healing, and the return of symptoms after temporary improvement. A proctologist can make an accurate assessment during the examination.

Can Surgery Be Delayed for a Long Time if Symptoms Ease and Then Return?

If this is a chronic anal fissure, delaying treatment often only prolongs the cycle of flare-ups. Even if symptoms decrease periodically, the underlying problem may still remain.

> Proctology > Anal Fissure Treatment

Anal Fissure Treatment

Treatment of anal fissure at New Life Clinic helps stop chronic mucosal damage, achieve complete healing, and avoid recurring flare-ups.

When it comes to a chronic anal fissure, surgical treatment often becomes the main way to solve the problem.

Proctologist With Experience in Surgical Treatment
Surgery for Chronic Anal Fissure
Well-Grounded Management Without Delay
Transparent Treatment Pricing

Treatment of anal fissure is rarely a matter of “trying one more ointment.” If the problem does not heal completely, returns after temporary improvement, or has already been diagnosed as chronic, further repetition of the same local therapy often only delays a truly effective solution.

That is why at New Life Clinic the focus is placed not on formally prescribing another standard regimen, but on a precise understanding: whether the fissure still has a real chance to heal without surgery, or whether the chronic process already requires surgical treatment.

The Proctologist Who Provides Treatment at New Life Clinic

Dr. Serhiy Usachov

A Ph.D in Medicine, a top-category proctologist, and the leading specialist of the clinic’s proctology department, Dr. Usachov has been diagnosing and treating diseases of the rectum and anal canal for more than 25 years, using modern minimally invasive methods and surgical approaches.

In cases of anal fissure, it is especially important that the doctor evaluates not only the presence of the defect itself, but also the duration of the process, signs of chronicity, the severity of sphincter spasm, and the likelihood of complete healing without surgery.

Dr. Usachov’s clinical experience is especially valuable in cases where the patient needs not just an examination, but a precise decision about management: whether it still makes sense to continue conservative treatment or whether the chronic anal fissure already requires surgical intervention.

Cost of Anal Fissure Treatment

The cost of surgical treatment for chronic anal fissure at New Life Clinic is clear in advance and does not require complex grading by categories. The patient immediately understands exactly which service is planned and what its cost is, without hidden surcharges or vague wording.

If the examination confirms a chronic anal fissure and there are indications for surgery, the doctor explains in advance why surgical treatment in this case is a well-founded decision.

Surgical Treatment of Chronic Anal Fissure

UAH 13,100

All Clinic Prices

Patient Reviews

For many patients, anal fissure is one of the most delicate proctological problems, which is why seeing a doctor is often postponed longer than it should be. That is why in reviews, not only the treatment result is important, but also how calmly, respectfully, and professionally the entire pathway is structured – from the first visit to recovery after the procedure.

*The language, style, and spelling of the authors have been preserved. Reviews reflect the individual experiences of patients and do not guarantee an identical result in every clinical case.

Светлана

★★★★★

Стала замечать небольшие прожилки в кале. Естественно это меня напугало, и сразу стала искать, кто может помочь. Оказалось, клиник, с услугами проктолога очень много в Киеве и выбрать есть из чего. Но я обращала внимание прежде всего на опыт персонала и наличие дополнительных услуг. Нью Лайф порадовала наличием стационара и работает уже приличное время. Поэтому выбор сделала в пользу этой клиники и оказалось правильно. Провели обследование, причем все было очень компетентно и уважительно. Не чувствовала никаго дискомфорта и страха перед процедурами. Затем врач провел эндоскопическое удаление и сейчас у меня все благополучно.

Елена

★★★★★

Лечилась в Нью Лайф клинике по поводу геморроя, который появился после второй беременности. Очень хорошее впечатление осталось и от врачей, и от атмосферы в самой клинике. Результатом довольна, лечение прошло успешно, повторных случаев пока не было и надеюсь и не будет.

Леонид

★★★★★

Большие нагрузки не прошли даром, и появилась проблема, которую конечно никак не ожидал. Самостоятельно справится не удалось и пришлось обращаться к врачам. Рекомендую всем, не тяните и не стесняйтесь, иначе все сложнее будет лечить, сразу обращайтесь к профи, они помогут.

Леся

★★★★★

Уже давно беспокоил геморрой, но все как-то периодами, и поэтому я не особо беспокоилась. Но в последний раз уже что-то очень напрягать стал, поэтому и обратилась в клинику поблизости. Скажу честно, когда сказали, что консервативно здесь не обойтись распереживалась. Но доктор успокоил, и заверил, что с помощью процедуры будет надежнее и эффективнее. Поэтому и согласилась. Сейчас уже все позади, и могу с уверенностью рекомендовать эту клинику всем.

Миша

★★★★★

Спасибо докторам клиники Нью Лайф. Избавили меня от проблем с геморроем, а то я уже думал, что это навсегда. Рекомендую, проктологическое направление здесь поставлено очень хорошо (за остальные не знаю). Врачи чувствуются хорошие специалисты с опытом работы. Правда надеюсь, больше по этому поводу уже не буду к ним обращаться.

Максим

★★★★★

У меня до определенного момента вообще никогда и никаких проблем особых со здоровьем не было. Но как-то так сложилось, что стали беспокоить боли в области прямой кишки, дальше хуже появился гной и неприятный запах. Естественно с этим надо было, что-то делать. Пошел в поликлинику по месту жительства, а там жесть. Я не пробился с первого дня к специалисту, плюнул и начал искать частную клинику. Посмотрел отзывы и приглянулась Нью Лайф. В отличие от первого опыта, в этот раз все прошло очень благополучно. Консультация на высоком уровне. Рекомендую всем.

Семен

★★★★★

У меня уже давно проблема, связанная с анальными трещинами. И пока я не попал в руки к Усачеву Сергею Николаевичу, лечение давало только временный эффект и не более. Но после его лечения у меня уже много лет нет рецидивов, но я все равно продолжаю периодически наблюдаться. Отличный специалист советую всем.

Лилия

★★★★★

Вот не думала, что когда-то попаду в клинику с проктологической проблемой, да еще и отзывы буду писать. Но не могу не сказать огромное спасибо своим лечащим докторам и помогли решить проблему очень быстро и главное качественно. Спасибо Вам за это.

Нина

★★★★★

Лечилась у доктора Усачева Сергея, все устроило и по качеству лечения и обслуживания, и по эффективности рекомендаций. Рекомендую.

Advantages of Treatment at New Life Clinic

A Focus on Complete Healing, Not Temporary Relief

With chronic anal fissure, short-term pain reduction does not yet mean the problem is solved. We focus on a management plan that offers a chance for a lasting result, not just another temporary improvement.

A Clear Decision Instead of Endless Changes in Local Treatment Regimens

If the patient has already gone through several cycles of suppositories, ointments, and restrictions, it is important not to automatically repeat the same approach. The doctor helps determine whether it still makes sense to continue the conservative path or whether it has already been exhausted.

A Delicate Care Pathway for Patients Who Have Delayed Treatment for a Long Time

Anal fissure often becomes the kind of problem patients postpone because of embarrassment, fear of pain, and unsuccessful self-treatment. We build the entire pathway calmly, respectfully, and without pressure.

A Focus on a Lasting Result Without Delay

If the chronic process has already formed, further waiting rarely works in the patient’s favor. That is why the goal of treatment is not only to relieve the current flare-up, but also to break the cycle of constant recurrence.

Results in Numbers

*Based on the clinic’s statistics for the past 12 months and internal patient feedback.

10+

cases of surgical treatment for chronic anal fissure over the past year

95 %

of patients note a reduction or disappearance of pain and discomfort after treatment

96 %

of patients are ready to recommend anal fissure treatment at the clinic

When Surgery for Anal Fissure Is Needed

Treatment of anal fissure is needed not only when the pain becomes sharply severe. In many cases, the lack of complete healing, repeated flare-ups, and the ineffectiveness of local therapy are already sufficient reasons to reconsider the treatment plan.

The Fissure Does Not Heal Completely
If after treatment there is a feeling that the problem only temporarily calms down but does not fully disappear, this is already a reason for reassessment.
Symptoms Return Again After Improvement
If suppositories, ointments, or restrictions provide only a short-term effect and then everything returns, this indicates a recurrent course.
Local Therapy Has Stopped Providing a Stable Result
If standard regimens help less and less or for increasingly shorter periods, continuing to repeat the same approach often loses its meaning.
A Proctologist Has Already Confirmed Chronic Anal Fissure
If the diagnosis has been established and surgical treatment has already been discussed before, it is usually not worth postponing a repeat evaluation.
Pain After Bowel Movements Has Become a Regular Part of Life
If the patient already perceives pain and discomfort as a “normal condition,” this is not adaptation – it is a sign that the problem has become chronic.
There Is a Conscious Avoidance of Defecation
If a person starts adjusting their routine and postponing bowel movements, this already affects not only well-being, but also everyday life.
The Problem Has Lasted for Months Without a Full Resolution
If treatment keeps being postponed or is limited to temporary measures, the need to move to a more effective treatment strategy becomes increasingly relevant.

What Patients Should Know About Anal Fissure Treatment

Once the problem stops being a one-time episode and becomes chronic, patients usually start asking different questions: whether surgery can still be avoided, how to understand that local treatment is no longer working, how the procedure is performed, and what matters for proper healing afterward. Below is practical information that helps calmly understand the logic of treatment.

Preparation for Treatment: Before choosing the treatment plan, the doctor assesses the duration of the condition, the frequency of recurrences, the severity of pain, the presence of sphincter spasm, signs of chronic anal fissure, and associated proctological problems. If needed, additional tests are prescribed only if they truly affect decision-making. Preparation is not based on a template, but tailored to the specific clinical situation.

How the Treatment Method Is Chosen: The approach depends on whether the fissure is acute or chronic. At an early stage, conservative treatment may be possible in some cases, but with an established chronic process, repeated recurrences, and a persistent course, surgical management often becomes the main way to solve the problem.

When Surgery Is Indicated: Surgery is considered when an anal fissure stops being an acute episode and becomes a chronic condition. This usually applies to cases with a prolonged course, recurrent flare-ups, pronounced pain after bowel movements, persistent spasm, and the absence of complete healing despite local treatment.

How Surgical Treatment Is Performed: The specific extent of the procedure depends on the clinical situation and the characteristics of the chronic process. In the treatment of chronic anal fissure, the surgical approach is aimed at eliminating both the defect itself and the factors that interfere with normal healing. During the consultation, the doctor explains what problem the surgery is intended to solve, why this specific extent of treatment has been chosen, and what results can be expected.

Recovery After Treatment: After surgical treatment, it is especially important to properly go through the early healing period: follow recommendations regarding bowel movements, diet, hygiene, activity level, and follow-up visits. With anal fissure, recovery depends not only on the surgery itself, but also on how carefully the patient follows the recommendations that help prevent repeated trauma.

Operative Proctology at New Life Clinic

Doctor: Serhiy Usachov

Frequently Asked Questions

Even when a patient already understands that the problem needs treatment, completely understandable concerns remain: whether surgery can still be avoided, how serious it is, what recovery is like, and why the fissure keeps returning. Below are short answers to the most common questions that help reduce unnecessary anxiety before visiting a proctologist.

Can It Be Treated Without Surgery?: Answer:
That depends on the stage of the condition. With an acute anal fissure, conservative treatment may be possible. But if the fissure is already chronic, recurrent, and does not heal with local therapy, surgical treatment often becomes the main way to solve the problem.

How Can I Tell if the Fissure Has Already Become Chronic?: Answer:
This is usually indicated by a prolonged course, repeated flare-ups, pronounced pain after bowel movements, the absence of complete healing, and the return of symptoms after temporary improvement. A proctologist can make an accurate assessment during the examination.

Can Surgery Be Delayed for a Long Time if Symptoms Ease and Then Return?: Answer:
If this is a chronic anal fissure, delaying treatment often only prolongs the cycle of flare-ups. Even if symptoms decrease periodically, the underlying problem may still remain.

You can schedule a consultation to assess your clinical situation by phone or through the form below. An administrator will help arrange a convenient appointment time and explain any preparation details for the examination, if needed.

Leave a Request –
We Will Find a Convenient Time for You

Equipment and Facilities at New Life Clinic

At New Life Clinic, the treatment of proctological conditions is organized so that the patient can go through the key stages sequentially and without unnecessary loss of time: assessment of the clinical situation, determination of the treatment plan, and further follow-up.

With chronic anal fissure, it is especially important that the decision is made not formally, but with a clear understanding of the duration of the condition, the risk of recurrence, and the expected treatment outcome. That is why for the patient, not only the doctor’s experience matters, but also a clearly structured pathway within one medical center.