Anal Fissures


4.6 out of 5 (22 Reviews)



Post Assessment Questions


Expiration Date

28 Feb 2026

Last Reviewed

1 Mar 2023

Estimated Time To Finish

90 Minutes

Need Help?  If you have a system or content concerns, please contact

Activity Description

An anal fissure is a superficial tear in the skin distal to the dentate line. Anal fissures are common in those with a history of constipation or hard stools, low fiber diet, trauma, and previous anal surgery. Anal fissures can be acute (lasting less than six weeks) or chronic (more than six weeks). The majority of anal fissures occur at either the posterior or anterior midline. Other locations warrant further workup to rule out secondary causes. This activity describes the etiology, clinical features, and types, along with treatment strategies including conservative and surgical procedures and postoperative management, while outlining the lifestyle modifications for preventing recurrences of anal fissures. This activity highlights the critical role of the interprofessional care team in caring for patients with anal fissures and improving long-term outcomes.

Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Describe the etiology of anal fissures.
  • Outline the clinical presentation of patients with anal fissures.
  • Explain the various treatment options along with postoperative and long-term management of patients with anal fissures.
  • Identify the importance of improving coordination amongst the interprofessional team to enhance long-term outcomes and quality of life for patients with anal fissures.


StatPearls requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. None of the planners of this educational activity have any relevant financial relationships to disclose.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Continuing Education Accreditation Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University, and StatPearls, LLC. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.

Quillen College of Medicine, East Tennessee State University designates this activity for a maximum of 1.50 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity is reported to the following Maintenance of Certification (MOC) boards:
American Board of Internal Medicine
  • Adolescent Medicine
  • Internal Medicine
  • Gastroenterology
American Board of Pathology
  • Clinical Pathology
  • GI (incl. Liver, Pancreas, Bilary)
American Board of Pediatrics
  • Pediatric Gastroenterology
American Board of Surgery
  • General Surgery

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content in the activity.
  4. Choose the best answer to each activity test question. To receive credit, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment.
  6. Obtain a certificate.

For information on the applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.


Faculty may discuss investigational products or off-label uses of products regulated by the US Food and Drug Administration. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on StatPearls specifically disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Cancellation Policy: Cancellations must be received in writing and a money-back guarantee is provided if not completely satisfied.

  • StatPearlsand and Quillen College of Medicine, East Tennessee State University reserve the right to cancel any course due to unforeseen circumstances. StatPearls andQuillen College of Medicine, East Tennessee State University will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Medium or Media Used:

  • Computer Requirements: Internet Access
  • E-mail Address

Equal Opportunity

  • StatPearls andQuillen College of Medicine, East Tennessee State University are Equal Opportunity/Affirmative Action/Equal Access Institutions. 


Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.

  • Name: 'Gray1080.png' Attribution: Contributed by Gray's Anatomy Plates
  • Name: '1024px-Anal_fissure.JPG' Attribution: Contributed by Jonathan Lund, Wikimedia Commons (Public Domain)


Tera Y. on 6/23/2021

Mary C. on 11/10/2021

Huy D. on 1/9/2022

Rick S. on 2/20/2022

priya n. on 3/5/2022

Christine D. on 5/22/2022

Ehsan Q. on 6/5/2022

Angela G. on 6/27/2022

ALI H. on 7/6/2022

Kimberli C. on 9/19/2022

Teri N. on 10/15/2022

Adult oriented although under list of pediatric topic.

donald b. on 11/17/2022

Kecia T. on 12/21/2022

Florence Y. on 1/20/2023

Amy S. on 2/24/2023

Daniel C. on 3/21/2023

Aaron M. on 4/14/2023


Daniela E. on 4/28/2023

Jordan W. on 4/30/2023

Manreet K. on 5/10/2023

Michael B. on 6/2/2023

Ross M. on 6/7/2023

Unlimited Physician CME

Stay up to date on the latest medical knowledge with 6673 CME activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 7930 hours of CME.

Learn About Lifetime CME

Single Activity

Take this single activity

$39 1 activity

6 Month Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$289 per half year per user

1 Year Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$399 per 1 year per user