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Breakthrough treatment proves 90 success rate on painful anal fissures. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you dont follow the self-help advice outlined below. The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own. The initial approach in the treatment of anal fissures is non-operative. An acute anal fissure may heal spontaneously or in response to medical therapy with warm baths, stool softeners, bulk laxatives, analgesics, topical anaesthetics and re-assurance. 1 dietary bran supplements and warm sitz baths are superior to topically applied, local anaesthetic or hydrocortisone. We defined chronic anal fissure as an ulcer with indurated edges and exposure of the horizontal fibres of the internal anal sphincter. Data extracted from patient charts related to age, sex, clinic visits, treatments and procedures, healing of fissures, complications, recurrence and incontinence. medical treatments can therefore be used in individuals wanting to avoid surgical treatment, and surgery can be reserved for treatment failures in adults with chronic typical fissure. Topical application of calcium channel blockers may be as effective as nitroglycerin ointment in the treatment of anal fissure, without the risk of headache, which many patients find unacceptably painful. I am going cover ways to try help you out if you are suffering from a chronic anal fissure. Not everything will work for everybody and everybody is different, but there are some basic things you can try do, some natural home remedies which you may already have in your kitchen like coconut oil, manuka honey and so forth. percutaneous tibial nerve stimulation (ptns) an alternative treatment option for chronic therapy resistant anal fissure ursula aho fält , 1 martin lindsten , 1 sara strandberg , 1 mari dahlberg , 1 salma butt , 2 emelie nilsson , 2 antoni zawadzki , 1 and louis banka johnson 1. the aim of the present study was to evaluate percutaneous tibial nerve stimulation (ptns) for treatment resistant chronic anal fissure. Consecutive patients with chronic anal fissure were treated with neuromodulation via the posterior tibial nerve between october 2013 and january 2014. Gonyautoxin new treatment for healing acute and chronic anal fissures. Garrido r(1), lagos n, lattes k, abedrapo m, bocic g, cuneo a, chiong h, jensen c, azolas r, henriquez a, garcia c. Author information (1)departamento de cirugia, seccion proctologia, hospital clinico universidad de chile, casilla 70005, corrreo 7, santiago, chile. Breakthrough treatment proves 90 success rate on painful anal fissures.