From the container as directed. Trauma to the perineum (the skin between the posterior vagina and the anus) may cause a tear that extends into the anoderm. Or local waste disposal company for more details about how to safely discard your product. Several surgeons have described procedures that stretch and tear the anal sphincters for the treatment of anal fissures.
Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Fissures are more common posteriorly because of the configuration of the muscle that surrounds the anus. Disclosure: nothing to disclose.