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Breakthrough treatment proves 90 success rate on painful anal fissures. anal advancement flap versus lateral internal sphincterotomy for chronic anal fissure- a systematic review and meta-analysis. complications from surgery for anal fissure include the following infection bleeding fistula development incontinence (the most feared complication). Are there risks to anal fissure surgery? This is a tear that occurs within the surrounding tissues of the anus. Normally, anal fissures do not result in severe health complications, although they cause discomfort and irritation and are very painful at times. Complications of anal fissure anal fissures arent associated with more serious diseases, such as bowel cancer, although cancer of the anus may mimic an anal fissure. Some of the possible complications of an anal fissure include chronic anal fissure the tear fails to heal. Complications list for anal fissure the list of complications that have been mentioned in various sources for anal fissure includes permanent anal scarring - usually only if no treatment occurs. See also the symptoms of anal fissure and anal fissure introduction. Breakthrough treatment proves 90 success rate on painful anal fissures.