Anal fissure surgery is usually carried out when other treatments such as diltiazem cream or botulinum toxin A injections have been unsuccessful. The procedure involves your surgeon making a small cut in the ring of muscle that holds your anus closed (internal sphincter muscle) to stop it from going into spasm.n this procedure your anal fissure is removed completely, leaving an open wound to heal naturally. This surgery can be used alone, with lateral internal sphincterotomy, or with medicines such as glyceryl trinitrate or botulinum A toxin injections.
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USPS raises price of stamps. The U.S. Postal service is now charging Americans a penny more for stamps and postcard mailings. The price of a first-class stamp for domestic mail rose Sunday from 45 cents to 46 cents, while postcards cost 33 cents to send. The USPS rolled out the pricing changes alongside a new stamp â the Global Forever â which lets people mail one-ounce letters to anywhere in the world for $1.10. Other new services include free tracking for packages and the option of receiving a signature upon delivery for critical mail items, WALA reports.