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If you have an anal fissure that hasn’t healed with other treatments, your doctor may suggest surgery.
An anal fissure is a small tear or ulcer (open sore) in your skin around the opening of your anus.
It’s important to follow your anaesthetist’s advice.
Botulinum A toxin injections are usually used when medicines such as diltiazem cream haven’t worked.
They relax your internal sphincter muscle to help healing. They may cause some side-effects, such as muscle weakness, but this should be temporary.
Anal fissures heal in 95 in every 100 people who have this procedure.
This surgery isn’t always suitable for women of childbearing age or people with chronic (long-term) diarrhoea.