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We provide the best treatment options by connecting you with the best doctors. A lateral anal sphincterotomy is done to cut the internal anal sphincter muscle and release the tension in the muscle, which causes healing of the fissure. The internal anal sphincter is one of the two muscles that constitute the anal sphincter which controls the passage of faeces. LIS is usually performed under general or spinal anaesthesia.
The procedure can be performed in two ways, which are open sphincterotomy or a closed sphincterotomy.
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An anal fissure is an anal tear or crack, in the lining of the anal canal, a cut or tear in the anus that extends into the anal canal. Most anal fissures are less than one centimeter across, but the anus is a highly sensitive part of the body. As a result, a pain in this region can be quite severe, even with a small tear. In this article we will cover the symptoms, diagnosis, and treatment of anal fissures, and cover way in which they can be prevented.
Here are some key points about anal fissures. More detail and supporting information is in the main article. Two muscular rings sphincters control the anus — the outer ring is consciously controlled; the inner ring is not. The inner sphincter is under constant pressure. Experts believe that, if the pressure gets too much, the inner sphincter might spasm, reducing blood flow, increasing the risk of a fissure.
Pain — especially when passing stools. During the passing of a stool the pain is sharp, and then afterward there may be a longer deep burning sensation. Fear of pain may put some patients off going to the toilet, increasing their risk of constipation. If the person delays using the bathroom, this can make the pain and the tear worse, because the stools will be harder and larger. Some people may experience a sharp pain when they clean themselves with toilet paper.
Blood — because the blood is fresh, it will be bright red and may be noticed on the stools or the toilet paper.