INTRODUCTION:
Anal fissure is a benign painful anorectal condition. It affects any age group but especially the young adults
The anal spasm is considered a defense mechanism to prevent more stretching of the anal canal. A closed cycle occurs when the anal spasm increase the ischemia and prevents the healing of the fissure. As long this cycle continues, the chance of spontaneous healing decreases and the fissure edges become fibrosed, which may lead to a chronic fissure.
Good history and physical examination are usually allow the diagnosis of the anal fissure.
Surgical management of anal fissure is still the best and last option for fissures which not responded well or not completely healed over 6-8 weeks by the above mentioned options.
Of all surgical options, lateral internal sphincterotomy is the treatment of choice for chronic anal fissures.
Laser Surgery for Treatment of Anal Fissure is newly introducing surgical method supposed to be a successful, easy and quick way of treating Anal Fissure.

AIM OF THE WORK:
The aim of the current study was to compare the impact of the Anal fissure laser surgery Vs the Notaras closed lateral internal sphincterotomy on short term outcome including: post-operative pain, infection, incontinence, time of healing and quality of Life.