Treatment Option for Aged, Multiparous Women With a Chronic Anal Fissure
نویسنده
چکیده
1. Corby H, Donnelly VS, O’Herlihy C, O’Connell PR. Anal canal pressures are low in women with postpartum anal fissure. Br J Surg 1997;84:86-8. 2. Frudinger A, Halligan S, Bartram CI, Price AB, Kamm MA, Winter R. Female anal sphincter: age-related differences in asymptomatic volunteers with high-frequency endoanal US. Radiology 2002;224:417-23. 3. Farouk R. Sphincter-preserving therapy for treating a chronic anal fissure: long-term outcomes. Ann Coloproctol 2014;30:132-4. Chronic anal fissures are a common disease and show a high recurrence rate even though after various treatment modalities have been applied. The lateral internal sphincterectomy is the most successful treatment modality, but is difficult to apply to aged patients or multiparous women due to postoperative fecal incontinence [1, 2]. In these cases, a stepwise approach of Diltiazem and Botox injection with an anal fissurectomy is a good alternative for reducing postoperative fecal incontinence [3]. However, the high treatment cost and the lengthy treatment time are two obstacles that need to be resolved, so pretreatment counseling and strict indications for the selection of such a treatment modality are essential.
منابع مشابه
مقایسه اثر درمان جراحی اسفنکتروتومی داخلی و درمان طبی با ژل دیلتیازم در شقاق مزمن مقعد
Comparison Between the Therapeutic Effects of Internal Sphincterotomy and Diltiazem Gel in Chronic Anal Fissure M.A. Rajabi MD Received: 15/08/06 Sent for Revision: 18/10/06 Received Revised Manuscript: 15/05/07 Accepted: 29/05/07 Background and Objective: Surgery is now the "treatment of choice" for chronic anal fissure. However, considering the pathogenesis of this disease and the tendency fo...
متن کاملمقایسه تاثیر تزریق توکسین بوتولینیوم و اسفنکتروتومی جانبی- داخلی در درمان فیشرآنال مزمن
Background: Botulinum toxin (Dysport) is a powerful semi-biological toxin. It has proved to be a remarkable therapeutic agent for treatment of benign anal disorders. Different results have been achieved from injection of botulinum toxin in order to treatment of anal fissure since 1993. The aim of this study was to evaluate the efficacy of botulinum toxin injection in the treatment of chron...
متن کاملSuccessful treatment of chronic anal fissure utilizing sacral nerve stimulation.
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متن کاملمقایسه اثر درمانی مقادیر 25 و 50 واحدی سم بوتولینوم در شقاق مزمن مقعدی
Chronic anal fissure is maintained by contraction of the internal anal sphincter. Sphincterotomy, which is successful in 85% to 95% of patients, permanently weakens the sphincter and therefore might be associated with anal deformity, infections and incontinence. The object of the present study was to compare the therapeutic effects of 25U and 50U doses of botulinum toxin in chronic ...
متن کاملComparison of Topical Nifedipine With Oral Nifedipine for Treatment of Anal Fissure: A Randomized Controlled Trial
BACKGROUND Medical sphincterotomy has gained popularity as a treatment for anal fissure. Calcium channel blockers in topical forms could also be appropriate with low adverse effects. OBJECTIVES This was a prospective randomized controlled trial to compare topical and oral nifedipine in the treatment of chronic anal fissure. PATIENTS AND METHODS A prospective randomized controlled trial was ...
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عنوان ژورنال:
دوره 30 شماره
صفحات -
تاریخ انتشار 2014