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Breakthrough treatment proves 90 success rate on painful anal fissures. Anal fissure botox is a game changer for treatment of anal fissures, which are small cuts or tears in the lining of the anus, specifically as it relates to the bottoming community, and is used quite regularly. Your doctor will have recommended botox treatment for your anal fissure if you have already tried alternative measures without success such as creams (gtn rectogesic or diltiazem ointment), a high fibre diet, and laxatives. The success rate for an anal fissure healing after an injection of botox is 70 out of every 100 treatments. If your anal fissure is particularly severe or doesnt respond to treatment after 8 weeks, you may have to be referred to a colorectal surgeon, a doctor who specialises in conditions that affect the rectum and anus, for specialist treatment. 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. Botulinum a toxin (botox) injections are an effective treatment for pain from muscle spasm in many parts of the body. It is effective in treating acute and chronic anal fissure or anal pain. You should have some relief in your pain after treatment with botox. How are anal fissures treated? The goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft,. Botox is an effective treatment in the short to medium term, with three out of four people remaining symptom-free for 3 to 6 months after treatment, until the nerves regenerate. The effect(s) of botox treatment will usually be apparent after a few days in the form of pain reduction. These benefits typically last a few months, but this length is dependent on multiple factors, especially the dose injected. 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. Breakthrough treatment proves 90 success rate on painful anal fissures.