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Breakthrough treatment proves 90 success rate on painful anal fissures. An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line. It is a common condition affecting all age groups but particularly common in young adults men and women are equally affected. The classical symptoms are of anal pain during or after defaecation and the passage of bright red blood per anus. Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. an anal fissure is a tear of the squamous epithelium that usually extends from the dentate line to the anal verge. In 90 of cases, the fissure manifests as a painful linear ulcer lying in the posterior midline of the anal canal. Anal fissure (fissures) is a very painful condition caused by trauma to the anus and anal canal, which then cuts or tears the anus and anal canal tissue. These tears can be caused by straining to have a bowel movement, hard stools, and chronic episodes of diarrhea. Symptoms include rectal bleeding, anal itching, and painful bowel movements. i have an anal fissure and had two skin tags and a hem as well. Exactly a week ago i had them removed and the fissure cleaned up with a botox injection. New protocol to treat anal fissures offers excellent results, without cutting the muscle. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look. Breakthrough treatment proves 90 success rate on painful anal fissures.