Language: English French. Surgical sphincterotomy for chronic anal fissure can cause fecal incontinence. This has led to the investigation of nonsurgical treatment options that avoid permanent damage to the internal anal sphincter. We conducted a retrospective, ongoing chart review with telephone follow-up of 88 patients treated for chronic anal fissure between November and December During the first half of the study period, patients were treated with topical nitroglycerin and pneumatic dilatation. With the availability of new therapies in June , subsequent patients received topical nifedipine and botulinum toxin injections 30— units. Lateral anal sphincterotomy was reserved for patients who failed medical treatment.
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.
An anal fissure is a tear in the lining of the lower rectum anal canal that causes pain during bowel movements. Anal fissures don't lead to more serious problems. Most anal fissures heal with home treatment after a few days or weeks. These are called short-term acute anal fissures.
Aside from being annoying, hemorrhoids swollen veins in the rectum can be painful and itchy. If you have hemorrhoids, you may be able to. The surgeon creates a stoma.