Successful treatment of chronic anal fissure utilizing sacral nerve stimulation.
نویسندگان
چکیده
OBJECTIVE This is a report of a novel treatment approach for chronic anal fissure using minimally invasive sacral nerve stimulation (SNS). MEASUREMENTS The patient underwent uneventful placement of 1 temporary 8-electrode lead (Medtronic Inc, Minneapolis, Minnesota) for sacral nerve root stimulation. RESULTS The patient experienced instantaneous relief of perineal pain after start of SNS and steady healing of the fissure by the end of the second week. CONCLUSION SNS offers an alternative treatment option of chronic anal fissure for patients who choose not to use more invasive surgical interventions.
منابع مشابه
مقایسه 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 ...
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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...
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BACKGROUND It has been suggested that the effects of sacral nerve stimulation against fecal incontinence involve neuromodulation at spinal or supraspinal levels. OBJECTIVE This study aims to investigate the afferent sensory pathways from the anorectum before and during sacral nerve stimulation. DESIGN This is an explorative study. PATIENTS Fifteen women with idiopathic fecal incontinence ...
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ورودعنوان ژورنال:
- WMJ : official publication of the State Medical Society of Wisconsin
دوره 109 5 شماره
صفحات -
تاریخ انتشار 2010