No word about fissurectomy or botox, hmm :)

This is what I found interesting Dexterdude.
A combined surgical and pharmacological treatment, administered by colorectal surgeons, is direct injection of botulinum toxin (Botox) into the anal sphincter to relax it. This treatment was first investigated in 1993. However it must be noted that, in many cases involving Botox injections the patients eventually had to choose another cure as the injections proved less and less potent, spending thousands of dollars in the meantime for a partial cure. Lateral sphincterotomy is clearly the Gold Standard for curing this affliction.[14] Combination of medical therapies may offer up to 98% cure rates.