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All Rights Reserved. Join Our Team Careers. Fissures are most often located in the middle posterior back section of the anus. Anal Abscess and Fistula An abscess is a localized pocket of pus caused by infection from bacteria. Small amount of muscle can usually be safely divided to treat the anal fistula without anal cyst removal videos continence. When those muscles expand, it stretches the fissure open. The surgeon determines how much muscle the fistula crosses before he begins anal cyst removal videos.