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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The increase will make first-class mail postage cost 46 cents, the Associated Press said. The Postal Service will also begin a new global forever stamp, the AP said, which will let customers send letters first-class to anywhere in the world for a flat rate of $1.10.he new prices lift the cost of a first-class stamp to 45 cents starting on January 22, 2012, the first increase in more than two years. Post office announces 1-cent increase in first-class stamp, other rate increases.