Anal Fissure

Overview

Journal Clin Colon Rectal Surg

Date 2012 Mar 2

PMID 22379402

Citations 29

Authors

Karen N Zaghiyan

Phillip Fleshner

Affiliations

Soon will be listed here.

Abstract

Anal fissure is one of the most common anorectal problems. Anal fissure is largely associated with high anal sphincter pressures and most treatment options are based on reducing anal pressures. Conservative management, using increased fiber and warm baths, results in healing of approximately half of all anal fissures. In fissures that fail conservative care, various pharmacologic and surgical options offer satisfactory cure rates. Lateral internal sphincterotomy remains the gold standard for definitive management of anal fissure. This review outlines the key points in the presentation, pathophysiology, and management of anal fissure.

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