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Depending on the severity of the imperforate, it is treated either with a perineal anoplasty or with a colostomy.
Surgical forms of treatment for these conditions include: colectomy, ileo/colostomy, polypectomy, strictureplasty, hemorrhoidectomy (in severe cases of hemorrhoids), anoplasty, and more depending on the condition the patient suffers from.
It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in long term healing of fissures, with no difference in fecal continence.