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Documented to be the best non-surgical option for prevention and healing of anal fissures. The treatment of chronic anal fissure is directed at reducing the spasm of the internal anal sphincter and hence, anal canal pressure. Traditionally this has been achieved surgically by sphincterotomy, where part of the internal anal sphincter is divided, but more recently various pharmacological agents have been shown to lower resting anal pressure and promote healing. are there non-surgical treatment options for an anal fissure? Steroid creams may be applied externally to the area. In most cases, steroids are used four to six weeks after the development of the tear, or in conjunction with other treatment methods. The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own. We defined chronic anal fissure as an ulcer with indurated edges and exposure of the horizontal fibres of the internal anal sphincter. Data extracted from patient charts related to age, sex, clinic visits, treatments and procedures, healing of fissures, complications, recurrence and incontinence. an anal fissure (see the images below) is a painful linear tear or crack in the distal anal canal, which, in the short term, usually involves only the epithelium and, in the long term, involves the full thickness of the anal mucosa. File36258file36259for patient education resources, see the digestive disorders center, as well as anal absce. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you dont follow the self-help advice outlined below. Documented to be the best non-surgical option for prevention and healing of anal fissures.