Anal fissure is a common medical condition that causes a great deal of pain. It is a small tear within the thin, moist tissue that lines the anus. It usually occurs when hard or large stools are passed during a bowel movement.
Anal Fissure generally causes pain and bleeding with bowel movements. At first, it can be treated with ointments or botulinum toxin. If this fails, surgery is the most suitable choice for a cure.
Anal fissures could be either,
Sphincterotomy, usually a lateral internal Sphincterotomy, is a simple surgery during which the sphincter, the circular group of muscles surrounding the anus responsible for controlling bowel movements, is cut or stretched.
When is Sphincterotomy needed?
Causes of Anal Fissure
Some of the causes of Anal Fissure are:
Sphincterotomy is usually performed using the following techniques:
The surgery is done under a general anaesthetic. The surgeon will first make a small cut within the skin of the anal canal to reach the anal sphincter (the muscle around your anal canal). This ring of muscle controls the gap and closing of the anus.
The surgeon will try to relax the sphincter and stop it from going into a spasm by making a small cut in it. This may allow the fissure to heal. The small skin wound may be sewed or left open to heal naturally. After that, a pad or dressing will be put onto the anus to help stop the bleeding.
The doctor will recommend the following after the procedure:
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