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Knowledge Centre / Anal Fissure

Anal Fissure

Management of anal fissures.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner)
Last reviewed: 21 October 2025
GastroenterologySurgery

Clinical Guidelines

Anal fissure | CKS | NICE
National
CKS: Anal Fissure
National
NICE guideline [NG180]
National
ACG Clinical Guideline: Management of Benign Anorectal Disorders
Local
Anorectal emergencies: WSES-AAST guidelines
Local
Clinical Practice Guideline for the Management of Anal Fissures (ASCRS)
Local
Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease and anal fissure
Local
NICE CKS: Anal Fissure
Local
The Association of Coloproctology of Great Britain and Ireland Guideline on the Management of Anal Fissure
Local
The Italian Unitary Society of Colon-proctology (SIUCP) guidelines for the management of anal fissure
Local

Recent iatroX Q&As

  • What are the recommended first-line treatments for an anal fissure in adults?Updated: 8/16/2025
  • When should I consider referring a patient with an anal fissure to a specialist?Updated: 8/16/2025
  • What lifestyle and dietary modifications should I advise to prevent recurrence of anal fissures?Updated: 8/16/2025
  • What role do topical treatments, such as glyceryl trinitrate or diltiazem, play in the management of anal fissures?Updated: 8/16/2025
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