How do you heal a chronic fissure without surgery?

Nonsurgical treatments

1. Externally applied nitroglycerin (Rectiv), to help increase blood flow to the fissure and promote healing and to help relax the anal sphincter.
2. Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) may be helpful for pain relief.

Is surgery mandatory for fissure?

SURGICAL TREATMENT Although most anal fissures do not require surgery, chronic fissures are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscles relax which reduces pain and spasms, allowing the fissure to heal.

Can chronic fissures be healed?

Chronic fissures typically have a cyclical history of intermittent healing and recurrence, but about 35\% will eventually heal, at least temporarily, without intervention.

Is it possible for an anal fissure to never heal?

If you have an anal fissure that hasn’t healed after 8 to 12 weeks, it is considered a long-term (chronic) fissure. A chronic fissure may need medical treatment. Anal fissures are a common problem. They affect people of all ages, especially young and otherwise healthy people.

Can fissure come back after surgery?

Having a fissure come back again (recur) after a sphincterotomy is rare and most patients are satisfied with the results of the procedure.

Is laser surgery good for fissure?

With advancement in science and technology fissure can be treated easily through laser-based surgery. The surgery can be easily performed by using local anaesthesia in a clinic with least postoperative morbidity. The chance of recurrence of the fissure is also less compared to the traditional surgeries.

How long do chronic fissures last?

Anal fissures that last for 6 weeks or more are called chronic anal fissures. These fail conservative treatment and need a more aggressive, surgical approach.

How fissure surgery is done?

The procedure can be done in two ways. In an open sphincterotomy, your surgeon makes a small cut in your skin so they can see the sphincter muscle. The cut is usually left open to heal. In a closed sphincterotomy, your surgeon passes a blade under your skin to reach and cut the muscle.

Is laser treatment safe for chronic fissure?

4) There no chance of complication involved in treating the anal fissure through laser. 5) There are no side effects or risks involved. Other methods always have a risk of infection but with lasers, since there is no bleeding the risk of cancer is very less.