An anal fissure repair can be treated with medications or surgery. Medications used are painkillers, glyceryl trinitrate and botulinum toxin injections. Surgery is recommended if anal fissures do not respond to medication. The most effective procedure is called a lateral sphincterotomy. It is carried out under general anaesthesia. A small cut is made in the anal sphincter muscle to release the tension in the anal canal. A rare complication is bowel incontinence.
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