Deciding on surgery
Most fissures are initially treated without an operation. Surgery may be discussed for a chronic fissure or one that has not healed with treatment.
Preserving muscle function
Existing difficulties controlling gas or stool, childbirth-related muscle injury and previous operations are important when choosing treatment. The plan is individualized.
Clarifying expectations
The purpose of the procedure, alternatives and possible effects on gas or bowel control should be discussed. Recovery and follow-up depend on the chosen treatment.
General information only. It does not replace an individual diagnosis, treatment plan or medical consultation. This is a pre-publication editorial draft and is not presented as medically reviewed content.