Anal fissure surgery's aim is to weaken the sphincter muscle by cutting one side of it. This is called a lateral sphincterotomy. This lets the fissure heal up within a week or so. The sphincter muscle will also recover in a week or two. The alternative first line of treatment is usually a course of bathing and special creams containing muscle relaxants or local anaesthetic. If they do not work, the sphincterotomy is usually the next step.Stretching the muscle is an alternative to cutting it, but there is a greater chance of poor control of your wind and motions after stretching, especially in older patients. There is also a higher chance of the fissure coming back.
A?n?a?l? ?f?i?s?s?u?r?e? ?s?u?r?g?e?r?y? s? ?a?i?m? ?i?s? ?t?o? ?w?e?a?k?e?n? ?t?h?e? ?s?p?h?i?n?c?t?e?r? ?m?u?s?c?l?e? ?b?y? ?c?u?t?t?i?n?g? ?o?n?e? ?s?i?d?e? ?o?f? ?i?t?.? ?T?h?i?s? ?i?s? ?c?a?l?l?e?d? ?a? ?l?a?t?e?r?a?l? ?s?p?h?i?n?c?t?e?r?o?t?o?m?y?.? ?T?h?i?s? ?l?e?t?s? ?t?h?e? ?f?i?s?s?u?r?e? ?h?e?a?l? ?u?p? ?w?i?t?h?i?n? ?a? ?w?e?e?k? ?o?r? ?s?o?.? ?T?h?e? ?s?p?h?i?n?c?t?e?r? ?m?u?s?c?l?e? ?w?i?l?l? ?a?l?s?o? ?r?e?c?o?v?e?r? ?i?n? ?a? ?w?e?e?k? ?o?r? ?t?w?o?.? ?T?h?e? ?a?l?t?e?r?n?a?t?i?v?e? ?f?i?r?s?t? ?l?i?n?e? ?o?f? ?t?r?e?a?t?m?e?n?t? ?i?s? ?u?s?u?a?l?l?y? ?a? ?c?o?u?r?s?e? ?o?f? ?b?a?t?h?i?n?g? ?a?n?d? ?s?p?e?c?i?a?l? ?c?r?e?a?m?s? ?c?o?n?t?a?i?n?i?n?g? ?m?u?s?c?l?e? ?r?e?l?a?x?a?n?t?s? ?o?r? ?l?o?c?a?l? ?a?n?a?e?s?t?h?e?t?i?c?.? ?I?f? ?t?h?e?y? ?d?o? ?n?o?t? ?w?o?r?k?,? ?t?h?e? ?s?p?h?i?n?c?t?e?r?o?t?o?m?y? ?i?s? ?u?s?u?a?l?l?y? ?t?h?e? ?n?e?x?t? ?s?t?e?p?.?S?t?r?e?t?c?h?i?n?g? ?t?h?e? ?m?u?s?c?l?e? ?i?s? ?a?n? ?a?l?t?e?r?n?a?t?i?v?e? ?t?o? ?c?u?t?t?i?n?g? ?i?t?,? ?b?u?t? ?t?h?e?r?e? ?i?s? ?a? ?g?r?e?a?t?e?r? ?c?h?a?n?c?e? ?o?f? ?p?o?o?r? ?c?o?n?t?r?o?l? ?o?f? ?y?o?u?r? ?w?i?n?d? ?a?n?d? ?m?o?t?i?o?n?s? ?a?f?t?e?r? ?s?t?r?e?t?c?h?i?n?g?,? ?e?s?p?e?c?i?a?l?l?y? ?i?n? ?o?l?d?e?r? ?p?a?t?i?e?n?t?s?.? ?T?h?e?r?e? ?i?s? ?a?l?s?o? ?a? ?h?i?g?h?e?r? ?c?h?a?n?c?e? ?o?f? ?t?h?e? ?f?i?s?s?u?r?e? ?c?o?m?i?n?g? ?b?a?c?k?.
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