There are many medical measures that we can use to help patients heal without an operation. Should the fissure not heal with simple measures, either the patient can live with the fissure, or the patient can undergo a lateral internal sphincterotomy.
It’s a very quick procedure, very easy to undergo and recover from. Under anesthesia, a small amount of the muscle is divided. This allows the muscle to relax, bringing new capillaries or blood vessels and oxygen to the fissure. The previously non healing fissure is now allowed to heal. As a board certified surgeon I have seen many of these, and the patients do very well. Patients are very relieved and feel much better after the operation.
You can call one of the board certified surgeons of Los Angeles Colon and Rectal Surgical Associates at (310)273-2310 to see if you are a candidate for a sphincterotomy.