If every time you go to the bathroom seems like torture… it’s not normal (nor do you have to endure it)
An anal fissure is a small wound in a very sensitive area. But even if it’s small… it hurts.
A lot.
Like being stabbed with a knife. Like shitting glass.
And although it is rarely talked about, there are people who faint from the pain.
Or they stop eating so they don’t have to go to the bathroom.
Or they normalize the itching, bleeding, or “discomfort” because… “it will pass.”
Until it happens.
Or it comes back. Again and again.
The pain of an anal fissure is unmistakable. And most importantly, it’s not the same as hemorrhoids.
If the pain is predominant, it’s most likely a fissure.
Because in many cases, the fissure is just the consequence.
What’s really behind it is pelvic floor dyssynergia: a muscle coordination problem that prevents the anus from relaxing during defecation.
And when that happens:
Thus the vicious cycle continues: pain → spasm → poor healing → more pain.
Many people try ointments—sometimes even Hemorrhoid ointments—but most only provide temporary pain relief.
The wound may heal temporarily, but if the muscle spasm and underlying problem aren’t treated, it’s likely to recur.
At ProctoPelvis, we treat not just the fissure itself, but the context in which it appears, to break the root of the cycle that keeps it active.
When the cause is understood, treatment changes.
It’s not just about relieving the pain, but about helping the body break out of the loop.
All of this is tailored to your case. We don’t use generic prescriptions, and we don’t take anything for granted.
When the fissure doesn’t heal, a very effective technique is botulinum toxin injection into the anal sphincter.
This doesn’t paralyze the muscle, but rather temporarily reduces the spasm that prevents blood from reaching the wound and allowing it to heal.
It’s a safe, reversible, and effective procedure in many cases, especially when the pain has become chronic or the fissure doesn’t heal completely with ointments.
It’s applied quickly in the office and can facilitate recovery while also treating the underlying cause: how you defecate, how your pelvic floor functions, and what’s keeping the problem active.
At ProctoPelvis, we don’t believe the solution to anal fissures is irreversible surgery that involves cutting the sphincter (sphincterotomy).
We believe that pain can be treated, healing can be sustained, and it can be prevented from recurring.
How?
By treating the root cause, not just the symptom.
Because if the problem is a muscle spasm or poor pelvic floor coordination…
…cutting the sphincter is like hammering open a door because you can’t find the key.
Because 75% of recurrent fissures have a functional problem behind them that, if left untreated, causes them to recur again and again. That’s why our goal isn’t just to close the wound, but to help you break the cycle of pain and spasm permanently.
You should consider a consultation if:
Address: Vía de las Dos Castillas 9A, Pozuelo de Alarcón, Madrid 28224
Email: info@proctopelvis.com
WhatsApp: +34623781848
Hours:
Monday – Friday 10am to 2pm
Tuesday – 10am to 7pm
Saturday and Sunday – Closed
