Larger studies with longer follow-up are needed before recommendations can be made about various other treatment modalities for anal fissure. When encountered with a patient with an anterior fissure, it may be beneficial to perform anorectal manometry before proceeding with a treatment algorithm. Jenkins and colleagues showed that anterior fissure patients were significantly more likely to have occult external sphincter injury and impaired external sphincter function compared with posterior fissure patients. I even had a scan done with a private surgeon and nothing else showed up though I don't think it would as the problem seems to be in my butt cheek. In , Watts and colleagues reported on 99 patients with anal fissures treated with anal stretch. You may have a catheter to drain off urine for the next day or so, or until you can empty your bladder by yourself.
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Dilation is performed for no less than 4 minutes. This is also known as incomplete prolapse Mucosal prolapse — the interior lining of the rectum protrudes through the anus External prolapse — the entire thickness of the rectum protrudes through the anus. This muscle complex, referred to as the external and internal anal sphincters, underlies and supports the anal canal. The visual exam may employ a short, lighted tube called an anoscope. Therapeutic effects of different doses of botulinum toxin in chronic anal fissure. However, in many instances patients do not report constipation or may have a history of watery diarrhea.