An injection of the toxin Botox may be used as a therapy for acute and chronic anal fissures.
A fistula repair closes the track between the internal lining of the anus and the outside skin, preserving the anal sphincter muscle. There are various techniques used to achieve healing and the choice of procedure will depend on the individual circumstances and particularly on the amount of sphincter muscle involved.
Anal Sphincter Control After Surgery
All procedures are chosen with special regard to the amount of sphincter muscle involved, the cause of the problem, the obstetric history (if any) and the complexity of the fistula and other relevant local anorectal factors.