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An anal fissure is a small tear around the lining of the anal canal. Anal fissures manifest with a painful ulcer at the end of the anal canal. The anal canal is a short tube surrounded by muscles at the end of the colon (the rectum). Anal fissures can cause severe pain and bleeding during defecation and continue for several hours after defecation. 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. If your anal fissure doesnt heal, or comes back after a sphincterotomy, your surgeon may suggest you have some tests to check whether the surgery went to plan. These may include an ultrasound scan of your anus and tests to see how well your sphincter muscle is working. Anal fissure is not a life-threatening or a serious condition. Laser sphincterotomy or laser treatment is a treatment for chronic fissure. In this process, the surgeon will use a laser to create an incision. This will help to relax the tight anal sphincter muscles thereby helping in healing of the fissure. anal fissures, or tears in the mucous membranes supporting the anus, are very common, painful problems. Most fissures are small and temporary, generally responding well to home remedies and medications. A fissure can become a chronic nuisance for some people, however, and surgery may be recommended as a permanent cure. The surgery, called a lateral internal sphincterotomy (lis), involves making a small cut in the anal sphincter muscle. Non-surgical treatments are recommended initially for acute and chronic anal fissures. These include topical nitroglycerin or calcium channel blockers (e. Diltiazem), or injection of botulinum toxin into the anal sphincter. Unlike the home remedies, the laser surgery assures to deliver positive results. In just a single procedure of 30 minutes, the patient is assured to get permanent relief from the fissure. Fissure can be treated effectively in the initial stages of the disease. Around 1 in every 100 people develop anal fistula again after a surgery. The channel between ones skin and anal canal is known as the anal fistula. The fistula is normally small, but surgical procedures can treat it.