Fissure Treatment

An anal fissure is a small tear or ulcer that develops in the mucosa (thin lining of tissue) of the anus. Tears that are severe or extend into the anal canal may require non-surgical and surgical treatment. 

Non-surgical treatment options generally include:

  • Stool softeners
  • Warm baths following a bowel movement
  • Topical steroid ointments
  • Topical muscle relaxants
  • Topical anesthetics
  • Lubricant suppositories

Rarely, a Botox® injection will be considered to treat the fissure. A lateral internal sphincterotomy is a surgical treatment option that cuts a small portion of the internal anal sphincter. This procedure is performed as an outpatient procedure under intravenous sedation and local anesthesia. 

Similar to a fistulotomy, there is a low incidence of temporary or permanent fecal incontinence in patients who undergo this procedure. With any anorectal surgery, there is a chance of recurrence, so it’s important patients speak to their doctor about post-operative care.