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+923336303550 Get appointment for operation (WhatsApp messages only, no calls). Title: How to Use Botox Injection in Anal Fissure | When Surgery Is Not an Option | Say Goodbye to Pain* Welcome to the official YouTube channel of Surgeon Dr. Imtiaz Hussain, a Gold Medalist, General & Laparoscopic Surgeon, and Certified Piles, Fissure & Fistula Specialist. With qualifications including MBBS, FCPS, FACS (USA), Diploma in Laparoscopy (Germany), and CHPE (Medical Educationist), Dr. Hussain brings over a decade of surgical expertise to educate and guide patients through effective treatment options. In this video, Dr. Hussain provides an in-depth guide on how to use Botox injections for chronic anal fissure, especially when surgery isn't an option. Chronic anal fissure is a painful condition caused by a persistent tear in the anal canal lining. While surgical options like Lateral Internal Sphincterotomy (LIS) offer excellent long-term relief, they may not be suitable for everyone. Botox injection is a highly effective, minimally invasive alternative for patients who are either unfit for surgery or wish to avoid it. Why Choose Botox for Anal Fissure? Botulinum toxin (commonly known as Botox) works by temporarily paralyzing the internal anal sphincter, reducing muscle spasm, increasing blood flow, and allowing the fissure to heal naturally over time. It's especially beneficial for: Patients with high surgical risk Those with existing sphincter damage or incontinence concerns Individuals with early chronic fissures Patients with recurrent fissures after previous surgery Those who want to try a non-surgical treatment first Stepwise Botox Injection Procedure Explained 1. Patient Evaluation: Full history, symptoms assessment, and rectal examination. Identification of chronic features. Ruling out secondary causes like IBD, STDs, or malignancy. 2. Informed Consent and Pre-Procedure Preparation: Explanation of benefits, risks, and expected outcomes. Fasting guidelines (if under sedation). Pre-procedural hygiene and laxative if required. 3. Positioning and Anesthesia: Local anesthesia or light sedation may be used for comfort. 4. Botox Reconstitution: Botulinum toxin (usually 20–40 units) is diluted with saline under sterile conditions. Prepared in a 1 ml syringe with a fine 25- or 27-gauge needle. 5. Injection Technique: Injection is given directly into the internal anal sphincter at 2–3 points (usually at 3 o'clock and 9 o'clock positions). 6. Post-Procedure Care: Mild discomfort or transient incontinence may occur but usually resolves in a few days. High-fiber diet, sitz baths, and stool softeners are continued. Follow-up is scheduled at 4–6 weeks to assess healing. 7. Evaluation of Response: Up to 80% of patients experience symptom relief within 4–6 weeks. Repeat injection may be required if healing is incomplete. What to Expect After Botox for Anal Fissure Relief from sharp pain during and after defecation. Gradual healing of the fissure over several weeks. Minimal downtime with early return to daily activities. No permanent damage to the anal sphincter. Botox is not only safe but also an effective option in the hands of an expert. With years of surgical experience and thousands of successful procedures, Dr. Imtiaz Hussain shares his detailed insights to guide patients and fellow medical professionals through this lesser-known but powerful treatment. About Surgeon Dr. Imtiaz Hussain (Gold Medalist) MBBS, FCPS (Surgery), FACS (USA) Diploma in Laparoscopy (Germany) CHPE (Certified Medical Educationist) Fellow of the American College of Surgeons Certified specialist in Piles, Anal Fissure, and Fistula Management Renowned for his academic excellence and clinical expertise Gold Medalist and award-winning educator and trainer in surgery Dr. Hussain is committed to delivering the most up-to-date, evidence-based treatments for colorectal disorders. Through this channel, he aims to educate patients, support healthcare providers, and reduce the stigma around anorectal diseases. Subscribe for More Medical Education This channel is your go-to destination for surgical stepwise guides, awareness videos, patient education, and expert commentary on anorectal health. If you or someone you know is suffering from chronic anal pain, fissures, or other related conditions, subscribe and turn on notifications for regular updates. #AnalFissureTreatment #BotoxInjectionForFissure #ChronicFissureRelief #DrImtiazHussain #GoldMedalistSurgeon #FissureWithoutSurgery #NonSurgicalFissureTreatment #ColorectalHealth #PilesFistulaSpecialist #GeneralSurgeryExpert #FACSUSA #BotoxForFissure #LaparoscopicSurgeonPakistan #MedicalEducationVideos #PatientAwareness #FissureHealing #SurgeonTips #PakistanDoctors #AnorectalDisorders #MinimalInvasiveSurgery