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Breakthrough treatment proves 90 success rate on painful anal fissures. Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus. 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. 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. Around seven in 10 people find that their fissure heals after a botox injection. You should be prepared for some pain and discomfort in your anus after anal fissure surgery. How are anal fissures treated? The goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft,. Breakthrough treatment proves 90 success rate on painful anal fissures.