Anal Fissure Disease; The Cranford Technique

my clinical experience treating anal fissures

Please come in! Start your own personal thread, tell us a bit about yourself...and your fissure, of course. Welcome!

Return to New to the forum? Introduce yourself here

Anal Fissure Disease; The Cranford Technique

Postby Dr Cranford » 12 Feb 2016, 17:58

I have been treating anal fissures now for over 40 yrs....I wrote a paper called "Anal Fissure Disease: The Cranford Technique" which describes what fissures are, signs/symptoms, and suitable protocols for treatment. I have seen thousands and only by examination can you decide upon what needs to be done in each individual case. If there is no coexisting pathology(sentinel pile of Brodie, hypertrophied anal papilla, severe sphincter spasm etc) there are non-surgical options one may pursue. If there is surrounding pathology then a more aggressive treatment may be necessary. Typical proctologist will recommend LIS(lateral internal sphincterotomy), which at times may be necessary. However, I do the "Cranford Technique" which consists of anal dilation(manual) under local anesthesia and fissurectomy and removal of coexisting perianal/intra-anal pathology(scar tissue, anal papilla). The advantage, and a big one at that, is I do not cut the surrounding internal/external sphincter muscle. The risk with LIS is a condition called "wet anus syndrome" or anal leakage and patients are just told to live with it. If you have questions please refer to the above cited paper, which I wrote or you may go to and look under articles and find it there....Dr Steven Cranford....Sandy Blvd Rectal Clinic-Portland....Naturopathic Physician
Dr Cranford
Posts: 1
Topics: 1
Joined: 12 Feb 2016, 17:31
Has thanked: 0 time
Been thanked: 0 time
Gender: None specified

Re: Anal Fissure Disease; The Cranford Technique

Postby Savaici » 13 Feb 2016, 15:16

Thank you very much for paying us a visit! We have heard nothing but good about the clinic!! :Rock:
Posts: 3833
Topics: 222
Joined: 03 Feb 2011, 17:00
Has thanked: 170 times
Been thanked: 259 times
Gender: Female

Re: Anal Fissure Disease; The Cranford Technique

Postby JHH » 16 Feb 2016, 14:54

Thanks for posting!

This "Cranford Technique" actually sounds pretty good to me.
(description here:

I would love to learn more, like whats your success rate, how many patients have been treated this way, have there been any serious sideeffects, and how do you determine who needs LIS and who don't.

- Fissure developed in Jan '13
- Started rectogesic in Feb '13 and diltiazem Apr '13.
- Got botox Jun '13
- Healed by Okt '13, although I still had some irritation for about a year.
- Now Feb '16, all is good. Still take magnesia, and squat precautionary.
User avatar
Posts: 765
Topics: 15
Joined: 22 Feb 2013, 17:00
Location: 6 o'clock
Has thanked: 48 times
Been thanked: 67 times
Gender: Male

  • Similar Topics
    Last post

Return to New to the forum? Introduce yourself here

Who is online

Users browsing this forum: No registered users and 1 guest