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Ition that is causing your fissure. Your gp will be able to advise you about when to make your next appointment. If your anal fissure is particularly severe, or does not respond to treatment after eight weeks, you may have to be referred to a proctologist (a doctor who specialises in conditions that affect the rectum and anus) for specialist treatment. This will usually involve having some type of surgery. Surgery there are a number of different surgical techniques that can be used to treat an anal fissure. These are discussed below. Internal sphincterotomy an internal sphincterotomy is a type of surgery where the surgeon removes a section of the sphincter muscle. This helps to reduce the tension in the muscle, preventing further spasms of the sphincter and allowing the anal fissure to heal. An internal sphincterotomy is a relatively straightforward operation that can be performed using a local anaesthetic on a day patient basis, which means that you will not have to spend the night in hospital. An internal sphincterotomy is an effective treatment with a good track record of success. Around 95% of people who have this type of surgery will experience healing of their anal fissure. Around 1 in 10 people will experience bowel incontinence after having surgery due to damage to the anal muscles. This means that they will lose some control of their bowel movements. However, it is usually a mild type of incontinence where the person is unable to prevent themselves from passing wind, and they may also experience some mild soiling. The symptoms of incontinence usually improve in the first few months after surgery and resolve with two months. However, in around 1 in cc cases the incontinence is permanent. Fissurectomy a fissurectomy is a surgical procedure where the anal fissure is surgically removed as well as the surrounding tissue. Fissurectomies are not as widely used as internal sphincterotomies because unlike internal sphincterotomies they do not treat the underlying causes, such as the sphincter muscle having an increased muscle tone. Therefore, a fissurectomy may not prevent anal fissures from reoccurring in the future. However, a fissurectomy may be a recommended treatment option for children because removing a section of the sphincter muscle at an early age could cause permanent incontinence. Advancement anal flaps advancement anal flaps are a type of surgery that is often recommended to treat cases of chronic secondary anal fissure, which have occurred as a result of pregnancy or another injury to the anus. Advancement anal flaps are not usually recommended to treat primary anal fissures. Like a fissurectomy, this form of treatment does not address the underlying causes of an anal fissure. Advancement anal flaps may be recom. viagra for sale buy viagra cheap generic viagra buy cheap viagra cheap generic viagra buy viagra buy cheap viagra buy viagra online viagra for sale cheap viagra online CITESTE MAI MULT >>>









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