Hemorrhoid Energy Therapy for Treatment of Deep Chronic Anal Fissures

Energy therapy is a well-known, minimally invasive treatment for internal hemorrhoids. This treatment has not yet been studied in anal fissures refractory to medical therapy. Anal fissures, such as hemorrhoids, can disrupt the quality of life for patients. Currently, nonsurgical treatments available for anal fissures are only supportive measures. Definitive for chronic anal fissures refractory to medical therapy is internal sphincterotomy. This treatment has chances of relapse and a risk of anal incontinence. We propose the use of hemorrhoid energy therapy with bipolar cautery as a safer, less invasive, and effective therapy for recurrent anal fissures refractory to conservative management.