Laser Internal Sphincterotomy (LIS) — the most effective, minimally invasive treatment for chronic anal fissures. Daycare procedure, rapid healing, no prolonged suffering.

Understanding Fissure
An anal fissure is a small tear or crack in the lining of the anal canal. It is one of the most painful anorectal conditions — the sharp, burning pain during and after passing stools can severely affect quality of life.
The pain triggers a spasm of the internal anal sphincter muscle, which reduces blood supply to the area and prevents healing — creating a vicious cycle. This is why chronic fissures rarely heal on their own and require medical intervention.
Common Symptoms:
Root Causes
Straining to pass hard, dry stools is the most common cause.
Frequent loose stools can irritate and tear the anal lining.
Trauma during vaginal delivery can cause anal fissures in women.
Can cause stretching and tearing of the anal canal.
Inflammatory bowel disease can cause fissures that are harder to heal.
Inadequate fibre leads to hard stools and increased straining.
Classification
Fissures are classified as acute or chronic based on duration. The type determines the best treatment approach.
A fresh tear, usually less than 6 weeks old. Edges are soft and the wound is superficial. Often heals with conservative treatment.
Recommended Treatment:
Medication, sitz baths, dietary changes
A fissure lasting more than 6 weeks. Has hardened edges, a visible base, and is often associated with a sentinel skin tag. Requires procedural treatment.
Recommended Treatment:
Laser Sphincterotomy (LIS)
The Procedure
Laser Internal Sphincterotomy (LIS) is a precise, minimally invasive procedure performed by Dr Ratnadip Shantaram Sonawane.
Dr. Sonawane performs a careful clinical examination to confirm the diagnosis, assess the fissure type, and rule out other conditions.
Simple bowel preparation at home. No prolonged fasting or pre-admission required. The procedure is done under local or spinal anaesthesia.
A precise laser beam is used to make a small, controlled cut in the internal anal sphincter muscle. This relieves spasm, improves blood flow, and allows the fissure to heal.
The procedure takes 15–20 minutes. You rest briefly and go home the same day — no overnight stay required.
Most fissures heal completely within 4–6 weeks. Dr. Sonawane provides dietary and lifestyle guidance to prevent recurrence.
Why Choose Laser
Laser precision means less trauma to surrounding tissue compared to traditional surgery.
Go home the same day. No overnight hospital admission needed.
Most patients heal completely within 4–6 weeks with minimal restrictions.
Laser sphincterotomy preserves sphincter function better than conventional methods.
Laser LIS has a success rate of over 95% for chronic anal fissures.
Dr. Sonawane has performed thousands of successful anorectal laser procedures.
Common Questions
Dr Ratnadip Shantaram Sonawane's clinic in Punawale is conveniently accessible from across Pimpri-Chinchwad and the western Pune corridor.
MBBS MS FIAGES · Laser Piles Specialist Surgeon
Punawale, Pimpri-Chinchwad
4th floor, Theia, Siddhashila Eela Society, Kate Wasti Rd, Punawale, Pimpri-Chinchwad — 411033
OPD: Mon–Sun | 8:00 AM – 10:00 PM
Serving: Punawale, Marunji, Tathwade, Wakad, Ravet, Hinjewadi, Nigadi
📞 7447660789Anal fissures are completely treatable. Consult Dr Ratnadip Shantaram Sonawane for expert laser treatment in Pune — painless, daycare, and highly effective.