Non surgical therapy for chronic anal fissure

Introduction. Sphincterotomy is a pathogenetically justified method of surgical treatment chronic anal fissures with spasm the sphincter, but risk incontinence can reach 44%. Therefore, other methods are being sought to eliminate and greatest interest medical relaxation internal sphincter. Aim. To determine efficacy limitations use combined preparation in form gel 0.3% nifedipine 2.0% lidocaine for fissure. Materials methods. All patients included study were recommended apply 2 times day an interval 12 hours on skin anus inside canal. In total, results 40 analyzed. Results. Before start treatment, average pain during defecation was 5 (4.5; 7), third – 4 (4; 5), 10th (2; 3). By 10, 80% (32) refused take painkillers. On 21, complete epithelialization observed 31 (77.5%) patients. The healing time 17 ± 3 days. epithelization fissures, according EMG 21st therapy, spontaneous wave activity absent. 9 patients, despite reduction pain, sphincter persisted after therapy cracks canal did not heal. Discussion . When analyzing reasons that led ineffectiveness gel, it revealed all cases, ultrasound studies, there fibrous changes Conclusion. Summarizing above-mentioned, we state fixed-dose combination effective fissure spasm.