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Breakthrough treatment proves 90 success rate on painful anal fissures. If your anal fissure is particularly severe or doesnt respond to treatment after 8 weeks, you may have to be referred to a colorectal surgeon, a doctor who specialises in conditions that affect the rectum and anus, for specialist treatment. 60 patients with relapsing acute or chronic anal fissure underwent lateral internal sphincterotomy between july 1987 and july 1994. The results of this treatment are excellent and are in accordance to those of other series. these patients are at the most risk for surgical treatment of an anal fissure, because their typical bowel pattern is loose and harder to control. 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. Detailed diagnosis & advice for anal fissure treatment in singapore available from the alpine surgical practice. 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. Breakthrough treatment proves 90 success rate on painful anal fissures.