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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. It causes considerable discomfort, loss of working days, and reduction in quality of life 1, 2. It was first described by recamier in 1829 who recommended stretching the anal sphincter to treat this condition. 3 anal fissure affects all age groups, particularly young adults. 2 ninety percent of all fissures occur posteriorly and 10 percent anteriorly. 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. Healing time after botox for anal fissure follow edited 9 days ago, 60 users are following. Hi everyone! So i went in for the botox treatment for my anal fissure around 3 weeks ago, after trying every cream for the past year or so to no avail. Welcome! Discuss your experiences, share your stories and get friendly help and advice. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. botulinum toxin (eg, onabotulinumtoxina botox) has been used to treat acute and chronic anal fissures. Botulinum a toxin (botox) injections are an effective treatment for pain from muscle spasm in many parts of the body. It is effective in treating acute and chronic anal fissure or anal pain. You should have some relief in your pain after treatment with botox. Hi gregg, i am one of the few whose condition was considerably worsened after the botox injection. When i told the colo rectal surgeons about worsening of my state they plainly replied cant be and when my pain lessened only marginally in the space of 8 months they gave me another botox injection although there was no fissure there anymore.