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Male by Cleon · Potts Point, Sydney
Anal Sphincter Relaxation in Sydney
For anal fissures, and for comfort during sex. Clinical, direct, no euphemism.
A sphincter that won’t relax causes more trouble than men talk about: a fissure that keeps tearing, or sex that hurts more than it should. An in-clinic treatment can relax the muscle for a few months. At Male by Cleon in Potts Point, it starts with a private, doctor-led assessment, the simpler options first, and an honest look at the risks.
- First step
- Free video call
- Consultation
- An hour
- Effect lasts
- About 3 months
- Led by
- A doctor
- In-clinic consultation
- $100
This treatment uses prescription medicine prescribed off-label, which Australian law doesn’t allow us to advertise to the public. It’s discussed with you during a consultation, and offered only where it’s clinically appropriate. Outcomes vary between individuals.
What it is
What is anal sphincter relaxation?
The internal sphincter is the ring of muscle that keeps the anus closed without you thinking about it. When it stays too tight, it can stop a tear from healing, or make receptive sex painful. Relaxing it for a while can help with both.
In short
Anal sphincter relaxation is an in-clinic treatment that relaxes the internal sphincter muscle for about three months. It’s used for anal fissures that haven’t healed with simpler care, and some men ask about it for comfort during receptive anal sex. It uses prescription medicine prescribed off-label, so it’s discussed in a private, doctor-led consultation at Male by Cleon in Potts Point, Sydney: $100 in clinic, or a free video call first. The main risk is temporary leakage of wind, or less often stool, until the effect wears off. There are no published trials of its use for sex.
For an anal fissure
- A small tear in the lining of the anus that makes bowel motions sharply painful
- Often a streak of bright red blood on the paper
- The muscle spasms with the pain, which can stop the tear healing
- Relaxing the muscle gives it a window to heal
For comfort during sex
- A sphincter that stays tight, even when you want it to relax
- Receptive anal sex that’s consistently painful or difficult
- Once a cause such as a fissure or infection has been ruled out
- Relaxing the muscle for a few months can make it easier
Anal fissures
How are anal fissures treated?
Step by step. Most fissures heal with simple care in a few weeks. One that lasts longer than about six weeks is called chronic, and that’s when relaxing the muscle is worth discussing.
What the research says
Ointments and in-clinic muscle relaxation heal some chronic fissures, about as well as each other, but fissures often come back, and none of them is as effective as surgery.1 Surgery carries a small risk of lasting incontinence, a few in every hundred people;2 the non-surgical options don’t.
- 01
Softer stools
Fibre, fluids and not straining, so the tear isn’t reopened every day. The first step, and often enough.
- 02
Warm baths & ointments
Warm baths ease the spasm. Prescription ointments that relax the muscle are the usual next step.
- 03
In-clinic relaxation
When a fissure hasn’t healed with the steps above, relaxing the sphincter for a few months can give it the chance to.
- 04
Referral for surgery
For a fissure that keeps coming back, a colorectal surgeon can discuss a small operation on the muscle. We refer.
- 05
Anything unusual
A fissure in an unusual place, or bleeding with a change in bowel habit, needs further checks first, sometimes a colonoscopy.
Comfort during sex
Can a tight sphincter be relaxed for sex?
Yes, for a few months. Some men find receptive anal sex painful or difficult because the sphincter stays tight, and relaxing the muscle can make it easier. To be honest about the evidence: there are no published trials of this use, and what’s known about safety comes mainly from fissure treatment.
Start with the simpler things
- Going slowly, with plenty of lubricant. The sphincter relaxes with time and trust
- Breathing and relaxation. Tensing up tightens the muscle
- Pelvic floor physiotherapy. A physio can teach a muscle that tends to clench how to let go
- Ruling out a cause. Pain can mean a fissure, haemorrhoids, an infection or inflammation, and those need treating first
If you choose the in-clinic option
- It relaxes the muscle for about three months, then wears off
- It doesn’t remove the need to go slowly. Pain is still a signal to stop
- It doesn’t protect against infections. Condoms, lube and regular sexual health checks still matter
- The main risk is temporary leakage of wind, or less often stool, until the effect wears off
- Treatment can be done at the consultation or at any later appointment, whichever suits you
Risks
What are the risks of anal sphincter relaxation?
The treatment is small, but the muscle matters. Every risk is explained before you decide, and we say no when it isn’t right for you.
When it can’t wait
Heavy bleeding, severe or worsening pain, a fever, or losing control of your bowels needs same-day care. Call us straight away. If you can’t reach us, go to the nearest emergency department.
What can happen
- Temporary leakage of wind, or less often stool, which lasts until the effect wears off
- Pain, bruising or a little bleeding where it’s treated
- Itching or irritation around the anus
- Infection, which is rare
- A fissure that hasn’t fully healed by the time the effect wears off, or that comes back
Is this right for me?
Am I suited to anal sphincter relaxation?
This might suit you if
- You have a fissure that hasn’t healed after about six weeks of simpler care
- Receptive sex is consistently painful because the muscle stays tight, and a cause has been ruled out
- You understand, and accept, the risk of temporary leakage
- You’d rather start with a private video call
Worth discussing in consultation first
- Any leakage or bowel control problems already, or previous anal surgery
- Crohn’s disease or colitis, or bleeding with a change in bowel habit
- A nerve or muscle condition, blood-thinning medicines, or a bleeding disorder
- You’re under 18. We don’t offer this treatment to anyone under 18
Privacy
How private is it?
Private by design. Male by Cleon consultations run in their own appointment times, so you won’t sit in a waiting room with anyone else.
- Your own appointment time, with space either side
- No shared waiting area
- A free video call first, if you’d rather talk before you visit
- Clinical records kept under full medical confidentiality
- Nothing shared outside the clinical relationship without your consent
What to expect
How does it work at Male by Cleon?
The conversation comes first. Nothing is booked, sold or started until you’ve had time to think.
-
Talk
A free private video call, or straight to a consultation in clinic. Your choice.
-
Assess
An hour, in its own appointment time: your history, bowel habits and health, and an examination with your consent.
-
Plan
The simpler options first. If in-clinic treatment suits you, what’s involved, the risks and the cost. Treatment can happen at the same visit or later, whichever suits you.
-
Treat & review
Treatment in clinic, with clear aftercare and a review. Results are monitored, not assumed.
In clinic
Enhancement consultation
$100Comes off your treatment if it’s done on the day
An hour at our Potts Point clinic, in its own appointment time. Treatment plans are priced in consultation, and you’ll know the full cost before anything starts.
Cosmetic treatments, including enhancement, aren’t covered by Medicare or private health insurance. All pricing.
Our founder
Doctor-led, and at home in men’s health.
Male by Cleon was founded by Dr Brandon Kober-Brown, a cosmetic doctor with a Professional Diploma of Men’s Health. Every enhancement plan is set by a doctor, after a proper assessment, and treatments are performed by our clinical team under medical supervision.
This is ordinary medicine to us. You won’t shock us, and you won’t be judged. You’ll be told what’s normal, what’s worth doing, and what isn’t.
Dr Brandon Kober-Brown, founderMBBS · GCCM · ProfDip Men’s Health · AHPRA MED0002581903Member, Cosmetic Physicians College of Australasia
Frequently asked
Anal sphincter relaxation in Sydney: your questions
Anal sphincter relaxation is part of Enhancement at Male by Cleon, alongside penile enhancement, erection enhancement, premature ejaculation and scrotal aesthetics, where skin tags, itching and haemorrhoids are covered. Anything else, ask at your consultation or email hello@cleonclinic.com.
What is anal sphincter relaxation?
An in-clinic treatment that relaxes the internal sphincter muscle for about three months. It’s used for anal fissures that haven’t healed with simpler care, and some men ask about it for comfort during receptive anal sex. It’s discussed in a private, doctor-led consultation before anything is booked.
What’s used for the treatment?
A prescription medicine, prescribed off-label. Australian law doesn’t allow prescription-only medicines to be advertised to the public, so we can’t name it here. We’ll go through it with you during your consultation: what it is, why we’d use it, its risks, and whether it suits you.
What does off-label mean?
That a medicine is prescribed for a use other than the one it’s registered for. Off-label prescribing is legal and common in medicine, when a doctor judges it appropriate and you’ve agreed to it after hearing the benefits, the risks and the alternatives. We’ll talk it through with you at your consultation.
How is an anal fissure treated?
Step by step: softer stools, fibre and fluids, warm baths, then prescription ointments. If a fissure still hasn’t healed, relaxing the sphincter in clinic is the next option, and a colorectal surgeon can discuss surgery for one that keeps coming back. Ointments and in-clinic relaxation work about as well as each other; surgery works best, with a small risk of lasting incontinence.1
How long does an anal fissure take to heal?
Most heal within a few weeks with softer stools and simple care. One that lasts longer than about six weeks is called chronic, and is less likely to heal on its own.
Can a tight sphincter be relaxed for sex?
Yes, for a few months. Relaxing the muscle can make receptive anal sex easier for men whose sphincter stays tight. There are no published trials of this use, so we start with the simpler options and make sure nothing else is causing the pain.
Why is anal sex painful for me?
Usually because the sphincter is tensing, often from going too fast, too little lubricant, or nerves. But pain can also come from a fissure, haemorrhoids, an infection or inflammation. If it’s consistently painful, it’s worth a check before anything else.
Is it safe?
It’s a small treatment, but not risk-free. The main risk is temporary leakage of wind, or less often stool, until the effect wears off. Pain, bruising, itching and, rarely, infection can happen. Every risk is explained before you decide. Treatment can be done at the consultation or at a later appointment if you’d like time to think.
Will I leak?
Some people notice temporary leakage of wind, and less often stool, while the muscle is relaxed. It wears off as the effect does. If you already have any leakage or bowel control problems, this treatment may not suit you.
How long does it last?
About three months, then the muscle returns to normal. For a fissure, that’s the window for it to heal. For comfort during sex, some men choose to repeat it.
Does it hurt?
Most men describe brief, sharp discomfort. Some tenderness afterwards is common for a day or two.
Will it affect erections?
It acts on the sphincter muscle, not on the nerves and blood flow involved in erections, so it isn’t expected to. If you have erection problems as well, we’ll look at those too.
When can I have sex afterwards?
You’ll get clear aftercare, including when sex is fine again. With a fissure, the aim is to let it heal first.
Will I be judged?
No. This is ordinary medicine to us. You won’t shock us, and the consultation is about your concern, not anyone’s opinion of it.
Do I need a referral?
No. You can book directly. If you’ve seen a GP or a specialist about a fissure, bring any letters or results.
How do I refer a patient?
Email a referral to hello@cleonclinic.com with the patient’s details, their history and what’s been tried, or call 0438 163 638. We see referred patients privately, in their own appointment time.
How private is it?
Male by Cleon consultations run in their own appointment times, with space either side, and there’s no shared waiting area. Clinical records are kept under full medical confidentiality, and nothing is shared outside the clinical relationship without your consent.
How much does it cost?
A face-to-face consultation at Male by Cleon is $100, and a private video call is free. Because the treatment uses prescription medicine prescribed off-label, it’s priced in consultation, and you’ll know the full cost before anything starts. If you’re coming for a fissure, ask us what applies with Medicare when you book.
Is there anal fissure treatment near me in Sydney?
Male by Cleon is at Ground 02, 46a Macleay Street, Potts Point, a short walk from Kings Cross station and close to Elizabeth Bay, Darlinghurst, Rushcutters Bay, Woolloomooloo and the CBD. If you’re further away, start with a free video call.
Book a private consultation
It’s a medical question. Ask it.
Online, or face to face at Potts Point. Every plan is set by a doctor, and nothing happens without your agreement.
The evidence
References
The reviews behind the fissure claims on this page. There are no published trials of sphincter relaxation for sex. Last reviewed October 2026.
- 1Nelson RL, Thomas K, Morgan J, Jones A. Non surgical therapy for anal fissure. Cochrane Database Syst Rev. 2012;(2):CD003431. doi:10.1002/14651858.CD003431.pub3
- 2Nelson RL, Manuel D, Gumienny C, Spencer B, Patel K, Schmitt K, et al. A systematic review and meta-analysis of the treatment of anal fissure. Tech Coloproctol. 2017;21(8):605–25. doi:10.1007/s10151-017-1664-2
Treatment outcomes vary between individuals. Information on this page is general and not a substitute for medical advice.
