Comparative outcomes of Botulinum toxin and sphincterotomy in treatment of chronic anal fissure

N Jeddi

Journal of Inflammatory Diseases

The Official Journal of Qazvin University of Medical Sciences

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Comparative outcomes of Botulinum toxin and sphincterotomy in treatment of chronic anal fissure

Author(s):

N Jeddi^,*

Journal of Inflammatory Diseases:Vol. 6, issue 3; 18-21

Article type:Research Article

How to Cite:N JeddiComparative outcomes of Botulinum toxin and sphincterotomy in treatment of chronic anal fissure.J Inflamm Dis.6(3):e154885.

Abstract

Abstract Background: Chronic anal fissure is a tear in the lower half of anal canal usually in midline posterior. It is accompanied by pain and bleeding. In chronic cases sphincterotomy operation is suggested. Objective: To compare the surgical results of sphincterotomy and botulinum toxin in treatment of chronic anal fissure. Methods: This prospective study was implemented on 40 women suffering from chronic posterior anal fissure who had referred to either Shahid Rajaee’s hospital or private medical offices (2001). Being divided into 2 groups of 20, the first group were treated by injecting 25 units of botulinum toxin and sphincterotomy operation was preformed on the second group. Using Fisher-P statistical tests, the data was analyzed. Findings: Patients were followed up for two months. 13 patients of the first group & 19 patients of the second one were completely cured. Conclusion: Having no complication, needing no hospitalization and being cheap, botulinum toxin can be used as an alternative to sphincterotomy in treatment of chronic anal fissure.

Keywords

Keywords: Fissure

Sphincterotomy

Botulinum

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