Fariborz Eshghi. Abstract Aim of the present study was to compare the effect of L-arginine chemical sphinctrotomy with lateral internal sphinctrotomy surgical sphinctrotomy in treatment of chronic anal fissure. This clinical trial study was preformed on 60 patients referring to hospital complaining of chronic anal fissure diseases. They were randomized two groups of equal number patients undergoing internal sphinctrotomy control and treatment of topical L-arginine gel case. All of the patients were assessed for pain, bleeding and wound healing for three months. In the control group treated with surgical method, had not any pain and bleeding after treatment and wound healing occurred in
Identifying the best therapy for chronic anal fissure
Chronic anal fissure CAF is a painful tear or crack which occurs in the anoderm. The optimal algorithm of therapy for CAF is still debated. It relieves CAF symptoms with a high rate of healing. Chemical sphincterotomy CS with nitrates, calcium blockers or botulinum toxin BTX is safe, with the rapid relief of pain, mild side-effects and no risk of surgery or anesthesia, but is a statistically less effective therapy for CAF than LIS. This article considers if aggressive treatment should only be offered to patients who fail pharmacological sphincterotomy.
Jump to navigation. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look. But anal pain is best treated sooner than later, and an earlier diagnosis can improve patients' outcomes in the long run. What's more, the new protocol offers superb results without cutting the anal sphincter muscle.