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Documented to be the best non-surgical option for prevention and healing of anal fissures. fissure surgery usually entails one or two small snips in the rectal sphincter to loosen the muscles and widen the anal cavity. The procedure can usually be performed in an outpatient setting in less than one hour, and patients generally make full recoveries in about two months. A person who is scheduled for fissure surgery can expect to meet. When you are discharged from the hospital, this is what to expect after anal fissure surgery, regarding the medicines you will be prescribed, which include. Topical medicine to relax your anal muscle and increase blood circulation in the area. Some of these medicines also have anesthesia to relive your pain, which should only last for two to three days after surgery. An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line. It is a common condition affecting all age groups but particularly common in young adults men and women are equally affected. The classical symptoms are of anal pain during or after defaecation and the passage of bright red blood per anus. Anal fissure surgery (partial lateral internal sphincterotomy) is a common outpatient procedure performed to allow a chronic anal fissure to heal. Indications surgery may be indicated for chronic anal fissures that last longer than 6 weeks without healing. Pre-op evaluation and prep patients will have a physical exam by the surgeon to discuss. Sphincterotomy for anal fissure involves the anus, inner lining of the anal canal, and the sphincter muscles. Why is the sphincterotomy for anal fissure surgical procedure performed? Sphincterotomy for anal fissure is performed to relieve the patient of excessive pain and discomfort caused due to the anal fissure. Documented to be the best non-surgical option for prevention and healing of anal fissures.