Fissure treatment in Pune is provided by Dr Sarita Patil. She practices at Vithai PilesTreatment Centre in PCMC. For appointments kindly visit our website http://www.ladypilesdoctorpune.com/. An anal sphincter is when you experience spasms in the ring of muscle at the end of your anus. These are usually caused due to anal fissures. If an anal fissure does not improve with initial treatment of oral medicines and the local application of medicated creams, then we may need to go in for surgery. We can decide the line of treatment on the severity of the problem.