Gregg Shore, MD

Anal fissures and abscesses are two prevalent conditions affecting the anorectal region, often causing significant discomfort and pain. An anal fissure is a small tear in the lining of the anus, typically resulting from passing hard stools or straining during bowel movements . This condition can lead to severe pain and bleeding during defecation. On the other hand, an anal abscess is an infected cavity filled with pus near the anus or rectum, usually stemming from blocked anal glands or infections. While many cases can be managed with conservative treatments such as dietary modifications, topical medications, and sitz baths, some severe or persistent cases require surgical intervention. Surgeries like lateral internal sphincterotomy for fissures and incision and drainage for abscesses are commonly performed. However, these procedures carry potential risks and complications that patients should be aware of. Infection and Delayed Healing Infections are a primary concern in any surgical p