If you have a chronic anal fissure that is resistant to other treatments, or if your symptoms are severe, your doctor may recommend surgery. Doctors usually perform a procedure called lateral internal sphincterotomy (LIS), which involves cutting a small portion of the anal sphincter muscle to reduce spasms and pain and promote healing. Studies have found that for chronic fissures, surgery is much more effective than any medical treatment. However, surgery has a small risk of causing incontinence.
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