Sentinel pile12/16/2023 ![]() This relaxes the anal sphincter muscle and may heal up to 85% of fissures. Your colorectal surgeon may also recommend additional measures including injection of the anal sphincter with Botox. This is called an Examination under Anaesthesia (EUA). What types of operation are performed for anal fissure?Īn operation may be necessary in order to get a more detailed look at the fissure and possible take a biopsy. Other medical problems such as inflammatory bowel disease, infections, or anal growths (skin tumours) can cause fissure like symptoms and patients suffering from persistent anal pain should be examined to exclude these conditions. Persistent hard or loose bowel movements, scarring, or spasm of the internal anal sphincter muscle all contribute to delayed healing. What can be done if a fissure doesn’t heal?Ī fissure that fails to respond to treatment should be re- examined. If the problem returns without an obvious cause, further assessment may be needed. Even after the pain and bleeding has disappeared one should continue to aim for good bowel habits and adhere to a high fibre diet or fibre supplement regimen. How successful is non- operative treatment for anal fissure?įissures can recur easily, and it is quite common for a healed fissure to recur after a hard bowel movement. An information sheet on using diltiazem cream for anal fissure is available here. This is better tolerated although some patients develop skin irritation with the cream. Additional information is available on NHS choices website An information sheet on using GTN ointment for anal fissure is available here. This may cause headaches if not used according to instructions.
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