Picture of anal fissure and anal fistula

An anal fissure is a narrow tear that extends from the muscles that control the anus (sphincters) up into the anal canal. These tears usually develop when anal tissue is damaged during a hard bowel movement or when higher-than-normal tension develops in the anal sphincters.

An anal fistula is a tubelike passage (tract) from the anal canal to a hole in the skin near the anus. This may occur after rectal surgery, after an abscess in the rectal area, or as a complication of a bowel disease.

ByHealthwise Staff
Primary Medical ReviewerKathleen Romito, MD - Family Medicine
Specialist Medical ReviewerC. Dale Mercer, MD, FRCSC, FACS - General Surgery
Last RevisedMay 25, 2010

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