A PROSPECTIVE STUDY OF ACUTE FISSURE-IN-ANO IN RELATION TO CLINICAL DIAGNOSIS AND MANAGEMENT

An anal fissure is a longitudinal ulcerated area in the vertical axis of squamous lining canal between verge and dentate line, noted 10–15% proctological patients. Present study was aimed to study, acute fissure-in-ano relation clinical diagnosis management at tertiary hospital. hospital based prospective observational conducted patients 18-70 years age ( including males & females ), with symptoms pain on defecation, bright red bleeding, constipation (i.e. suspected cases anal-fissure). Among 100 subjects, 47 % subjects were aged 31-40 years. mean 36.44 ± 3.2 Out patients,51% 49% females. Posterior ano present 90% anterior 20% Also concomitant fissures 6% 75% Patients (70% male 80% female) pain-free after 2 weeks medical line management. 84% (84% each) 4 91% (92% females) 6 patients, 4% (males undergone surgery (lateral internal sphincterotomy) 8 relieved symptoms. Acute fissure-in-ano, can be treated (conservative) management, which effective, cheaper feasible way treatment. Those who are still symptomatic undergo sphincterotomy).