Acute anal fissure mainly adopts conservative therapy, that is, non-surgical therapy. It is advisable to stop the pain and stop bleeding to prevent the vicious circle of pain. For chronic anal fissure or stage ⅲ anal fissure, surgical treatment is the main method.

General treatment:

1. Anal expansion: expanding anus with fingers or instruments, mainly suitable for stage I and II anal fissure. 2. Botulinum toxin injection is suitable for anal fissure in all stages.

Drug therapy:

1. Drugs for softening feces

For constipation, laxatives and probiotics can be added.

2. Local medication

Commonly used are analgesic drugs, drugs to promote fracture healing and drugs to relieve sphincter spasm. launch

Surgical treatment:

It is suitable for patients with chronic anal fissure who are ineffective in anal fissure triad or non-surgical treatment. Commonly used surgical methods include anal fissure resection and lateral internal sphincterotomy. The purpose of the operation is to remove the anal fissure and its accessories and reduce the blood pressure of the anal canal.