Surgical Management of Anal Fissures in a Proctologic Surgery Service: A Retrospective Descriptive Study

Background: Anal fissure is a frequent benign anorectal disorder. Although lateral internal sphincterotomy has long been considered the reference surgical treatment, concerns regarding postoperative continence disorders have encouraged sphincter-preserving strategies. Objective: To report our institutional experience in the surgical management of anal fissures in a specialized proctologic surgery service. Methods: Retrospective descriptive study including all consecutive patients operated on for anal fissure in the Service of Proctologic Surgery, Mohammed V Military Teaching Hospital (HMIMV), Rabat, between November and December 2025. Results: Twenty patients were included. Most fissures were posterior and chronic. Associated anorectal lesions were frequent. Surgical management was based on fissurectomy with tailored associated procedures. No systematic lateral internal sphincterotomy was performed. No intraoperative complications were observed. Conclusion: Anal fissure is rarely an isolated disease. A fissurectomy-based, sphincter-sparing approach appears safe and well adapted to tertiary proctology practice.