Do anal fissures require surgery

An anal fissure is a small tear or ulcer open sore in your skin around the opening of your anus. There are several different types of procedures available, including injections with botulinum toxin, removal of the fissure excision or fissurectomy and sphincterotomy. Your doctor will discuss with you which one is right for you. Anal fissures are often associated with having hard, painful bowel movements. This reduces the blood supply to the area, which stops the tear from healing properly. Having further hard bowel movements can then make the fissure come back, or get worse.
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Anal Fissure

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Anal fissure procedures| Health Information | Bupa UK

I am a year-old woman with mild to moderate constipation and a resulting anal fissure. I have noticed slight bleeding and painful stools for the past four weeks. Will self-care options take care of this or is surgery the only option? Would a pregnancy a few months after surgery complicate healing? Surgery is not the only option to treat an anal fissure. There are a variety of more conservative treatment strategies that you should try first. If you do eventually have surgery to repair the fissure, pregnancy itself should not be an issue, although labor and delivery could potentially pose some additional risks.
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Colorectal Surgery

The anal canal is a short tube surrounded by muscle at the end of your rectum. The rectum is the bottom section of your colon large intestine. An anal fissure also called fissure-in-ano is a small rip or tear in the lining of the anal canal. Fissures are common, but are often confused with other anal conditions, such as hemorrhoids. Fissures are usually caused by trauma to the inner lining of the anus from a bowel movement or other stretching of the anal canal.
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