
According to a new report published by AkVis Intelligence, titled, “Anal Fissure Treatment Market by Treatment Type, Route of Administration, End User: Global Opportunity Analysis and Industry Forecast, 2024–2032,” The global Anal Fissure Treatment Market Size Was Valued at USD 1.77 Billion in 2023 and is Projected to Reach USD 7.99 Billion by 2032, Growing at a CAGR of 18.23% From 2024-2032. The anal fissure treatment market focuses on managing and healing small tears in the anus lining, often caused by bowel movement trauma or conditions like constipation. It comprises conservative and surgical interventions. Conservative approaches include topical treatments such as nitroglycerin ointment, which relaxes the anal sphincter and enhances blood flow for healing, and calcium channel blockers with similar effects.
Surgical options like lateral internal sphincterotomy involve cutting a portion of the sphincter muscle to alleviate spasms, while botulinum toxin injections temporarily paralyze muscles for healing. Market growth is driven by conditions predisposing fissures, advancements in treatment methods, and patient preference for minimally invasive procedures. Key players include pharmaceutical firms developing topical medications and medical device manufacturers supplying surgical tools. Adoption of new technologies by healthcare providers also influences market dynamics, supporting treatment efficacy and patient outcomes.
According to the global Anal Fissure Treatment market analysis, the market is segmented into Treatment Type, Route of Administration, End User and region By Treatment Type the market is categorized into (Medication, and Surgery), the Route of Administration the market is categorized into (Oral, Tropical), and End User the market is categorized into (Hospitals & Clinics, and Research & Academic Institutes). By region, it is analyzed across North America (U.S.; Canada; Mexico), Eastern Europe (Bulgaria; The Czech Republic; Hungary; Poland; Romania; Rest of Eastern Europe), Western Europe (Germany; UK; France; Netherlands; Italy; Russia; Spain; Rest of Western Europe), Asia-Pacific (China; India; Japan; Southeast Asia, etc.), South America (Brazil; Argentina, etc.), Middle East & Africa (Saudi Arabia; South Africa, etc.).
The Anal Fissure Treatment market thrives on increased awareness among patients and healthcare providers. As understanding grows about this condition, characterized by painful tears in the anus lining, more patients seek early diagnosis and treatment, driving market demand. Healthcare providers play a pivotal role by enhancing diagnostic methods and treatment options. Innovations such as minimally invasive procedures (like botulinum toxin injections and sphincterotomy) and topical medications (nitroglycerin, calcium channel blockers) offer less invasive solutions, appealing to patients seeking quicker recovery and reduced discomfort. These advancements cater to a broader patient base, including those preferring non-surgical options or with health constraints. Educational initiatives and improved management strategies further boost market growth by promoting early intervention and symptom management.
Global Anal Fissure Treatment Market, Segmentation
The Anal Fissure Treatment market is segmented based on Treatment Type, Route of Administration, End User, and region
Treatment Type:
The Medication segment is poised to lead the Anal Fissure Treatment market, driven by its widespread adoption and effectiveness in managing symptoms. Topical creams and ointments containing nitroglycerin, calcium channel blockers, or steroids are key treatments. Nitroglycerin-based creams dilate blood vessels, improving blood flow and reducing spasms. Calcium channel blockers like diltiazem relax the anal sphincter, easing discomfort. Steroid creams reduce inflammation and itching, aiding healing. This segment's dominance stems from its non-invasive nature compared to surgery, making it a preferred initial treatment. Advances in formulations and growing patient awareness of non-surgical options also contribute. Easy access to over-the-counter and prescription medications further supports their prominence in Anal Fissure Treatment.
Route of Administration:
Oral administration is poised to lead the Anal Fissure Treatment market due to its inherent advantages. This route offers convenience and ensures patient compliance, contrasting with topical or injectable options. Oral medications like pain relievers, muscle relaxants, and healing-promoting agents cater to varying fissure severities. They also tackle underlying causes like constipation or bowel diseases, broadening their utility. Moreover, technological strides, such as extended-release formulations, heighten efficacy while reducing dosing frequency. These innovations enhance treatment outcomes bolster patient comfort, cementing oral medications as the preferred choice in clinical settings.
Region:
North America is poised to maintain its leading position in the anal fissure treatment market due to several pivotal factors. The region's advanced healthcare infrastructure and substantial healthcare spending, particularly in the United States and Canada, facilitate early detection and effective treatment options for anal fissures. Furthermore, the presence of established pharmaceutical firms dedicated to innovative treatments strengthens the market. Lifestyle factors like sedentary behaviors and dietary patterns contribute to a higher demand for treatments. North American patients benefit from accessible healthcare services and strong awareness about seeking medical care for such conditions. Ongoing research and development endeavors to enhance treatment outcomes and minimize recurrence rates, coupled with supportive regulatory frameworks, further propel market growth in the region.
Key Players in the Global Anal Fissure Treatment Market
- Bausch Health Companies Inc. (Canada)
- GlaxoSmithKline plc (United Kingdom)
- Allergan, Inc. (United States)
- Pfizer Inc. (United States)
- Johnson & Johnson (United States)
- Sanofi S.A. (France)
- Novartis International AG (Switzerland)
- Takeda Pharmaceutical Company Limited (Japan)
- Boehringer Ingelheim GmbH (Germany)
- Astellas Pharma Inc. (Japan)
- Eisai Co., Ltd. (Japan)
- Merck & Co., Inc. (United States)
- Abbott Laboratories (United States), and Other Major Players.
Key Industry Developments:
- In July 2023, Acrux Limited, a pharmaceutical industry, declared that the U.S. Food and Drug Administration (FDA) has received Acrux’s application for a generic version (abbreviated New Drug Application, or ANDA) of Nitroglycerin Ointment, 0.4, for review. Nitroglycerin Ointment, 0.4%, is used to treat moderate to severe pain related to chronic anal fissures.
Key Findings of the Study
- The market was valued at USD 1.77 billion in 2023 and is projected to reach USD 7.99 billion by 2032, growing at a CAGR of 18.23% from 2024 to 2032.
- North America is a leading position due to advanced healthcare infrastructure, high healthcare spending, and strong patient awareness.
- Hospitals & Clinics are major providers of anal fissure treatments, offering both outpatient and inpatient care.

T. Kumbhar
Author Information
T. Kumbhar is a Senior Market Research Consultant at IMR, specializing in Agro-Chemicals, Food Tech, Consumer Goods, and more. With four years of experience, he delivers market insights, competitive analysis, and data-driven business strategies.