Surgical treatment for anal fissure

A dietary association may exist as people taking a diet low in fibre appear to be at increased risk of developing anal fissures. Topical preparations of hydrocortisone and local anaesthetics have been compared with dietary bran supplements and probably confer no added benefit. Accessed Oct. Topical anaesthetics If you have particularly severe anal pain, your GP may prescribe a topical anaesthetic to numb your anus before passing stools. Lateral internal sphincterotomy What is a sphincterotomy? Glyceryl trinitrate If your symptoms don't improve within a week or 2, your GP may prescribe a medicine called glyceryl trinitrate GTN , an ointment applied to the anal canal, usually twice a day. It is possible that blood vessels traversing the hypertonic internal sphincter en route to the anal mucosa may be compressed, resulting in compromised perfusion of the anal mucosa and fissure.

Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. Zbar A. Epub Aug If headaches are a problem, reducing the amount of ointment you use for a few days can help. Non surgical therapy for anal fissure. Mayo Clinic, Rochester, Minn. And finally, from there, you can start to see the light at the end of the tunnel.

Internal sphincterotomy Anal fissure Chronic anal fissure botulinum toxin A proctologic diseases surgical treatment Chronic anal pain Fecal incontinence Spasm of the internal sphincter Anal sphincter insufficiency randomized. People who have had fissures in the past are more likely to have them in the future. GTN works by expanding blood vessels in and around the anus, increasing the blood supply to the fissure and helping it heal faster. Effect of delivery on anal sphincter morphology and function. So, in total, there are 6 local Botox injections, which takes about 5 minutes from start to bottom.