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An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. A sphincter injury refers to a tear or damage to the muscle that surrounds the anal canal. The anal sphincter muscle consists of two muscles the internal sphincter and the external sphincter muscle. Anal repair surgeries if following an endoanal ultrasound scan, damage to the external anal sphincter has been diagnosed, surgical repair may be an option. A tear involving the anal sphincter during vaginal delivery has great bearing on a womans future continence. Primary sphincter repair, performed by obstetricians immediately after delivery, has traditionally been regarded as providing a good outcome. Rf 1-5 however, recent studies in a total of 70 patients have reported subsequent anal incontinence in 29-48 of women three. 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. An anal fissure is a tear or split in the lining of the anus (anal mucosa). The symptoms include pain and bright red blood from the anus. Self-help suggestions include switching to a high-fibre diet and drinking plenty of water. An anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter. Fissures a fissure is a tear in the anal canal that can be very painful. Fistulae a fistula is an abnormal channel between two parts of the body, such as the anus and the skin. Swelling in the anal sphincter ulcers an ulcer is a hole or sore in the lining of a structure, such as the anal muscles. Anal sphincter injury ranee thakar, abdul h sultan obstetric anal sphincter trauma is the most common cause of faecal incontinence and can have a devastating effect on quality of life. Direct suture repair, internal anal sphincter imberication and anterior levatoroplasty.