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Documented to be the best non-surgical option for prevention and healing of anal fissures. Lateral internal sphincterotomy is surgery to help heal an anal fissure that has not improved with medicine or other treatments. Most people notice that the pain from an anal fissure goes away within a few days after the surgery. You may be worried about having a bowel movement after your surgery. anal fissures can be painful, sometimes to the point that they disrupt everyday activities. Your doctor probably first recommended the typical treatment, consisting of a regimen of stool softeners and medicated creams. You will have some bruises around your wound, but this doesnt require treatment. Your recovery will entirely depend on the form of surgery that was performed. Often the diagnosis is anal fissure, abscess, or fistula, and these problems are usually easy to diagnose and correct. A variety of treatments, including surgery, are available to correct these conditions, which is only followed by recovery time. We usually advise patients that they we will need 2 to 3 weeks to recover from anal surgery before being able to return to work. Based on our experience we recommend the following as the best way to recover from anal surgery. Anal fissures are breaks or tears in the skin of the anal canal. After suffering for 2 years with a chronic anal fissure i had an anal fissurectomy on tuesday. 17th day after surgery, ive started getting new symptoms of itching in the anus and the area below the scrotum like crazy. anal fissures, or tears in the mucous membranes supporting the anus, are very common, painful problems. Most fissures are small and temporary, generally responding well to home remedies and medications. A fissure can become a chronic nuisance for some people, however, and surgery may be recommended as a permanent cure. The surgery, called a lateral internal sphincterotomy (lis), involves making a small cut in the anal sphincter muscle. Documented to be the best non-surgical option for prevention and healing of anal fissures.