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Lateral internal sphincterotomy is surgery to help heal an anal fissure that has not improved with medicine or other treatments. An anal fissure is a tear in the lining of the anus. During the surgery, the doctor puts a lighted tube called an anoscope, or scope into the anus. The doctor is able to see the inside of the anus through the scope.
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Lateral Internal Sphincterotomy: Before Your Surgery

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Sometimes a doctor will find anal cancer during a routine physical exam or during a minor procedure, such as removing a hemorrhoid. Treating cancers found this way is often very effective because the tumors are found early. This means they're small and haven't spread. If anal cancer is suspected, exams and tests will be needed to confirm the diagnosis. If cancer is found, more tests will be done to help determine the extent stage of the cancer.
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Sigmoidoscopy is a procedure used to see inside the sigmoid colon and rectum. The sigmoid colon is the area of the large intestine nearest to the rectum. Your health care provider will tell you how to prepare for the exam.
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Once it's confirmed that you have anal cancer, your doctor may recommend additional tests to determine whether your cancer has spread to your lymph nodes or to other areas of your body. Your doctor uses the information from the procedures to assign your cancer a stage. The stages of anal cancer are indicated using Roman numerals ranging from 0 to IV, with the lowest stages indicating that the cancer is small and confined to the anus. By stage IV, the cancer has spread to distant areas of the body.
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