Anal fissure - series: Incision
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Most anal fissures can be treated successfully with conservative measures, which include stool softeners and warm soaks. The goal is to relax the anal sphincter, which allows the fissure to heal. If these methods are ineffective, surgery is necessary. This is called an internal sphincterotomy, a procedure in which the anal sphincter is partially cut, thus allowing it to relax and permitting the fissure to heal.
Update Date: 7/17/2008 Updated by: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.