We are the Best in Fissure Treatment without
Surgery
Surgical sphincterotomy for chronic anal fissure
can cause fecal incontinence. This has led to the investigation of nonsurgical
treatment options that avoid permanent damage to the internal anal sphincter.
In 98% of patients the fissure healed with conservative
nonsurgical treatment. The combination of nifedipine and botulinum toxin was
superior to nitroglycerin and pneumatic dilatation with respect to both healing
(94% v. 71%) and recurrence rate (2% v. 27%). There was no statistical
difference between the number of dilatations and botulinum toxin injections
needed to achieve healing. Three patients who received botulinum toxin reported
mild transient flatus incontinence. At an average telephone follow-up of 27
months, 92% of patients reported having no pain or only mild occasional pain
with bowel movements.
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Source
: www.sahajgastro.com
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