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Breakthrough treatment proves 90 success rate on painful anal fissures. Chronic anal fissure is anal pain cause number one our 15 second treatment solution for the months, or even years, long anal pain from chronic anal fissure after succesful laser treatment of more than 1000 patient with painful anal fissure, laven clinic specialists have made it a 15 second procedure with consistently great results. Anal fissure is a common painful problem, affecting all age groups. Its pathophysiology is based on high sphincter pressures and reduced blood supplying and treatments which means that it generally reduces anal pressures and increases anodermal blood flow. The procedure is done under gala-anesthesia, by the use of laser the pathological tissue of anal fissure is vaporized. Sasa milosevic, md answered this anal fissure causes, risk factors, and treatment options. a chronic anal fissure in a female patient who also had skin tags is treated here using laser sphincterotomy. Anal fissure laser surgery the accuracy of the operation can be increased by using magnifying glasses that make even the smallest details visible during the procedure. According to our observations, the use of a diode laser instead of an electroscalpel also ensures a better end result, as wound healing begins earlier and the scars become smooth and elastic. laser is a good procedure with no blood loss and little or no pain. Laser treatment is a pain-free procedure of fewer than 30 minutes. The patient is given general anesthesia before the surgery to make sure there is no pain or discomfort during the surgery. There are no cuts, stitches or incisions in the surgery thus no risk of infection. Breakthrough treatment proves 90 success rate on painful anal fissures.