An anal fissure may be treated with several different types of surgery. Your surgeon will explain to you which one is correct for you. If your anal fissure doesn’t heal properly after surgery, a further surgery may be required using a different method. Here is a list of surgical treatments:
BOTOX for Fissure
Botulinum Toxin, commonly known as Botox is a neurotoxic protein which produces temporary, localized, flaccid paralysis of muscle. It is used commercially in medicine, cosmetics, and research. It is often used to treat Anal Fissure, especially when medicines have been tried without success.
It is an age-old treatment that provides good sphincter relaxation and pain relief. But, the forceful dilatation can lead to multiple scratches on the anal skin and may need 6-12 weeks to heal. The scarred tissue over the fissure can be a source of discomfort and requires to be removed separately.
Lateral internal sphincterotomy
This is the most familiar procedure for anal fissures. Your doctor makes a small cut in your inner anal sphincter muscle to relax it. This surgery isn’t always suitable for women of childbearing age or people having chronic diarrhea.
You may be advised a fissurectomy by your doctor if they think you’re likely to develop incontinence after a sphincterotomy. During a fissurectomy, your surgeon will remove all of the damaged skin around your anal fissure, then, they will leave your fissure to heal on its own.
In advancement flaps, your surgeon replaces the broken skin in your fissure with a segment of healthy skin from your anal lining. You may have this procedure along with a sphincterotomy or afterward if your fissure still doesn’t heal properly.
The laser is used to carry out internal sphincterotomy. This procedure is nearly bloodless and the surgeon has good control over the operation site. Moreover, the chronic fibrotic scar is debrided with the laser preventing any long-term discomfort and enables a faster recovery.