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Breakthrough treatment proves 90 success rate on painful anal fissures. 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. the fissure may tear further, down to the ring of muscle that holds the anus closed, the internal sphincter. This may heal through the use of prescription drugs, but often requires surgical repair. A non-healing anal fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or heal the. new protocol to treat anal fissures offers excellent results, without cutting the muscle. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look. Disclaimerthis channel is intended as an encyclopedia for medical practitioners. Videos on this channel contain surgical procedures that may be graphic in n. an anal fissure is a tear of the squamous epithelium that usually extends from the dentate line to the anal verge. In 90 of cases, the fissure manifests as a painful linear ulcer lying in the posterior midline of the anal canal. The fissure may occur in other areas as well, such as the anterior midline (more commonly in female patients), or laterally. A fissure may fail to heal because of scarring or muscle spasms of the internal anal sphincter muscle. Surgery usually consists of making a cut to a small portion of the internal anal sphincter muscle to reduce pain and spasms and allow the fissure to heal. Cutting the muscle rarely results in the loss of ability to control bowel movements. An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline. Get answers to common questions about anal fissures, such as do anal fissures itch, bleed or become infected, and how anal fissure treatment can reduce the risk of these complications. A fissure that becomes chronic may eventually require surgical intervention, so its best to encourage healing before the problem reaches that point. Anal dilation is a process of using cylindrical tools of increasing diameters to open up the anal passage and gradually stretch its size. Breakthrough treatment proves 90 success rate on painful anal fissures.